A client with HIV is being discharged home and will begin receiving care in the home setting. During discharge education, which aspect of self-care should the nurse emphasize as the priority to help prevent complications?
Avoiding crowded places such as public transportation during peak hours
Appropriate use of prophylactic antibiotics
Taking prescribed medications with food to reduce gastrointestinal upset
Maintaining strict personal hygiene practices
The Correct Answer is D
A. Avoiding crowded places such as public transportation during peak hours: Avoiding crowded areas can help reduce exposure to infections, but it is not the most critical aspect of self-care. Clients cannot always fully avoid public spaces, and prevention strategies must be more comprehensive.
B. Appropriate use of prophylactic antibiotics: Some clients with HIV may be prescribed prophylactic antibiotics to prevent opportunistic infections. However, this is provider-directed and not a universal measure for all clients. Teaching should emphasize broader, daily self-care practices.
C. Taking prescribed medications with food to reduce gastrointestinal upset: Taking medications with food can help manage side effects and improve adherence, but this is secondary to infection prevention. GI upset is manageable, whereas infections can quickly become life-threatening.
D. Maintaining strict personal hygiene practices: Clients with HIV are immunocompromised and highly susceptible to infections. Proper handwashing, safe food handling, and skin/mouth care are essential in reducing exposure to pathogens and preventing serious complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Tardive dyskinesia: This involves repetitive, involuntary movements such as lip smacking, grimacing, and abnormal tongue or neck motions. These symptoms are characteristic of tardive dyskinesia, a long-term side effect of first-generation antipsychotics caused by dopamine receptor hypersensitivity.
B. Agranulocytosis: This is a serious adverse effect but is not associated with abnormal motor movements. Instead, it presents with signs of infection such as fever, sore throat, and decreased white blood cell count, making it unrelated to the client’s current symptoms.
C. Akathisia: This condition is marked by restlessness, pacing, and an inability to remain still. It does not involve lip smacking, grimacing, or twisting movements, so the client’s presentation does not align with akathisia.
D. Dystonic reaction: Acute dystonia involves sudden, painful muscle contractions such as eye deviation, neck spasms, or jaw locking. The patient’s slow, repetitive, snakelike twisting movements and lip smacking are more consistent with tardive dyskinesia.
Correct Answer is ["22.8"]
Explanation
Calculation:
- Calculate the total dose in milligrams (mg) for the client's weight.
Total dose (mg) = Patient weight (kg) x Ordered dose (mg/kg)
= 95 kg x 6 mg/kg
= 570 mg.
Available concentration = 250 mg / 10 mL
= 25 mg/mL.
- Calculate the volume to administer in milliliters (mL).
Volume to administer (mL) = Total dose (mg) / Available concentration (mg/mL)
= 570 mg / 25 mg/mL
= 22.8 mL.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.