A home health nurse is caring for a patient newly diagnosed with a history of human immunodeficiency virus (HIV). What is the nurse's action to help ensure successful outcomes of decrease sense of isolation?

Encourage the patient and family to manage the patient's activity level and activities of daily living effectively.

Encourage the patient to express feelings of isolation and loneliness, with the assurance that these feelings are not unique or abnormal.

Encourage the patient and family to be active partners in the management of immunodeficiency.

Make sure that the patient and family know how to adjust dosages of the medications used in treatment.

Answer and Explanation

The Correct Answer is B

A. Encourage the patient and family to manage the patient's activity level and activities of daily living effectively: While managing activity levels and daily living tasks is important for overall health and well-being, this action alone may not directly address feelings of isolation experienced by the patient. Encouraging social support and addressing emotional needs are also vital aspects of care for someone with HIV.

B. Encourage the patient to express feelings of isolation and loneliness, with the assurance that these feelings are not unique or abnormal: Patients with HIV often experience feelings of isolation and loneliness due to stigma, fear of rejection, or loss of social support. Encouraging the patient to openly express these feelings can help them feel validated and understood. Assuring them that such feelings are common among individuals with HIV can help reduce their sense of isolation and promote emotional well-being.

C. Encourage the patient and family to be active partners in the management of immunodeficiency: While involving the patient and family in the management of HIV is essential, this action primarily focuses on medical management rather than addressing the psychosocial aspect of isolation. Collaborative care is important, but addressing emotional needs should also be prioritized.

D. Make sure that the patient and family know how to adjust dosages of the medications used in treatment: While medication adherence is crucial in managing HIV, ensuring proper dosage adjustments is primarily a clinical aspect of care. While important, this action alone may not directly address the patient's feelings of isolation.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

A. Loss of hair over toes:
Loss of hair over the toes is not typically associated with deep vein thrombosis (DVT). Instead, it may be indicative of peripheral arterial disease (PAD) or poor peripheral circulation. In DVT, symptoms are more related to venous congestion and inflammation rather than hair loss.

B. Tenderness in the thigh:
Tenderness in the thigh is a common clinical manifestation of deep vein thrombosis (DVT). It occurs due to the presence of a thrombus within the deep veins of the thigh, causing local inflammation and irritation of the vessel wall. This tenderness may be elicited by palpation along the course of the affected vein.

C. Rest pain:
Rest pain is not typically associated with deep vein thrombosis (DVT). Rest pain is more commonly seen in conditions such as peripheral arterial disease (PAD), where inadequate blood supply to the extremities leads to ischemic pain at rest, especially during periods of reduced blood flow.

D. Auscultation of bruit over pedal pulse:
Auscultation of a bruit over the pedal pulse is not typically associated with deep vein thrombosis (DVT). A bruit is an abnormal sound caused by turbulent blood flow through a narrowed or obstructed vessel, commonly heard in arterial conditions such as atherosclerosis. In DVT, venous obstruction does not typically produce bruits.

A. Continue to administer the metoprolol tartrate as ordered. B. Ask the patient if her pulse is within the normal range C. Hold the medication and call the provider D. Ask the patient to eat salty foods

Correct Answer is C

Explanation

A. Continue to administer the metoprolol tartrate as ordered:
Metoprolol is a beta-blocker commonly used to treat hypertension, angina, and heart failure. One of its main effects is to decrease heart rate and blood pressure. In this scenario, the patient's vital signs reveal a low heart rate (48 bpm) and relatively low blood pressure (100/50 mmHg). Given that metoprolol can further reduce heart rate and blood pressure, it would be prudent for the nurse to withhold the medication until further assessment is conducted.

B. Ask the patient if her pulse is within the normal range:
While it's essential to assess the patient's understanding of her condition, asking if her pulse is within the normal range is not sufficient. The nurse should perform a more thorough assessment and consider the clinical significance of the vital signs obtained. In this case, a heart rate of 48 bpm is lower than the typical normal range for adults (60-100 bpm), indicating bradycardia, which may be symptomatic or concerning in the context of administering a beta-blocker like metoprolol.

C. Hold the medication and call the provider:
Given the patient's low heart rate (bradycardia) and relatively low blood pressure, holding the metoprolol tartrate and contacting the healthcare provider is the most appropriate action. Bradycardia and hypotension can be signs of excessive beta-blockade, especially with medications like metoprolol, which can further lower heart rate and blood pressure. The nurse should notify the provider promptly to discuss the patient's condition and determine the appropriate course of action.

D. Ask the patient to eat salty foods:
Encouraging the patient to eat salty foods would not address the underlying issue of bradycardia and hypotension. While increasing salt intake may help raise blood pressure in some cases, it is not a standard intervention for managing symptomatic bradycardia or low blood pressure caused by medication effects.

View Question and Answer

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

A home health nurse is caring for a patient newly diagnosed with a history of human immunodeficiency virus (HIV). What is the nurse's action to help ensure successful outcomes of decrease sense of isolation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a patient diagnosed with deep-vein thrombosis. Which clinical manifestation is consistent with the diagnosis?

Correct Answer is B

Explanation

The nurse takes a patient's vital signs prior to giving metoprolol tartrate and obtains the following results: T 98 degrees F, P 48, R 16 bpm, BP 100/50 and a pulse oximeter of 98%. What action will the nurse take?

Correct Answer is C

Explanation

The nurse is assessing a patient who was recently switched to amlodipine. Which assessment finding indicates that the patient is experiencing side effects of the drug? Select All That Apply

A nurse is teaching a patent who is taking warfarin for deep venous thrombosis. Which statement by the patient indicates a need for further teaching?

A home health nurse is caring for a patient newly diagnosed with a history of human immunodeficiency virus (HIV). What is the nurse's action to help ensure successful outcomes of decrease sense of isolation?

During a health education session, a participant asked the nurse about the hepatitis B virus. What measure will the nurse recommend for preventing infection with this virus?

The nurse is teaching a patient, newly diagnosed with primary hypertension, about the recommended blood pressure range needed to prevent organ damage. Which range, chosen by patient, indicates that the teaching was successful?

The nurse is reviewing the lab results of a patient who takes warfarin to prevent deep vein thrombosis. Which laboratory result requires follow up by the nurse?

A nurse is conducting a health education about viral hepatitis B (HBV)in a community setting. An individual plans to travel to a country where hepatitis B is common. What will the nurse teach is the only preventive measure for HBV?

A patient with hepatitis E is admitted to a medical-surgical unit. The nurse teaches the patient and their family that this type of hepatitis spread through which mode of transmission?