A nurse is assessing a patient who is presented with flu-like symptoms. Assessment reveals the presence of fever, sore throat, enlarged neck lymphatic nodes. What assessment question addresses the possible etiology of human immunodeficiency virus?

Has anyone in your family ever experienced symptoms similar to yours?"

"How many alcoholic drinks do you typically consume in a weak?"

To the best of your knowledge, are your immunizations up to date?"

"Have you recently had unprotected Intercourse with a new partner?"

Answer and Explanation

The Correct Answer is D

A. "Has anyone in your family ever experienced symptoms similar to yours?":
This question aims to gather information about potential familial illnesses or infections but does not specifically address the possible etiology of human immunodeficiency virus (HIV). While HIV can be transmitted vertically from mother to child, asking about family members' symptoms is less directly relevant to the assessment of HIV exposure.

B. "How many alcoholic drinks do you typically consume in a week?":
This question assesses the patient's alcohol consumption habits and is important for evaluating overall health and potential risk factors for various conditions. However, it does not directly address the possible etiology of human immunodeficiency virus (HIV). Alcohol consumption may affect immune function but is not a primary indicator of HIV exposure.

C. "To the best of your knowledge, are your immunizations up to date?":
This question is aimed at assessing the patient's immunization status and is essential for preventive healthcare. However, it does not directly address the possible etiology of human immunodeficiency virus (HIV). Immunizations primarily protect against infectious diseases caused by bacteria or viruses other than HIV.

D. "Have you recently had unprotected intercourse with a new partner?":
This question directly addresses behaviors that could lead to HIV transmission. Unprotected sexual intercourse with a new partner is a significant risk factor for acquiring HIV, as the virus can be transmitted through sexual contact with an infected individual. Asking about recent sexual activity helps identify potential exposure to HIV and informs appropriate testing and counseling.

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Correct Answer is B

Explanation

A. "I will take this medication at the same time each day": This statement demonstrates an understanding of the importance of consistency in medication administration, which is essential for maintaining therapeutic levels of warfarin in the bloodstream. Therefore, this statement does not indicate a need for further teaching.
B. "I will add a green leafy salad to my dinner today": This statement is concerning because warfarin interacts with vitamin K, which is abundant in green leafy vegetables. Increasing intake of vitamin K-rich foods, such as green leafy salads, can interfere with the anticoagulant effects of warfarin, potentially leading to ineffective treatment. The patient should be educated to maintain a consistent intake of vitamin K-containing foods to avoid fluctuations in warfarin effectiveness.
C. "I will avoid alcohol when I am taking warfarin": This statement demonstrates an understanding of the potential interactions between alcohol and warfarin. Alcohol can increase the risk of bleeding in individuals taking warfarin, so it is advisable to limit or avoid alcohol consumption while on this medication. Therefore, this statement does not indicate a need for further teaching.
D. "I will use an electronic shaver and a soft toothbrush": This statement reflects the patient's understanding of the precautions to minimize the risk of bleeding while taking warfarin. Using an electronic shaver and a soft toothbrush helps reduce the risk of cuts or injuries that could lead to bleeding, especially in individuals whose blood clotting ability may be compromised by warfarin therapy. Therefore, this statement does not indicate a need for further teaching.

A. Apply a heating pad to the lower extremities for pain. B. Always wear sot shoes or slippers when out of bed. C. Wear knee high sight socks D. Put cream or lotion between the toes

Correct Answer is B

Explanation

A. Apply a heating pad to the lower extremities for pain: Heat application can increase vasodilation and worsen symptoms in patients with peripheral arterial disease (PAD). Therefore, it is not recommended as a pain management strategy for PAD.

B. Always wear soft shoes or slippers when out of bed: This instruction is important for patients with PAD to protect their feet from injury and provide adequate support. Soft shoes or slippers help prevent trauma and pressure ulcers, which are common complications in patients with reduced peripheral circulation.

C. Wear knee-high tight socks: Tight socks can restrict blood flow and exacerbate symptoms in patients with PAD. It is important to encourage patients to wear loose-fitting socks to promote adequate circulation.

D. Put cream or lotion between the toes: Moisture between the toes can increase the risk of fungal infections, which can be particularly problematic in patients with compromised circulation. It is important to keep the feet clean and dry and avoid applying cream or lotion between the toes.

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A nurse is assessing a patient who is presented with flu-like symptoms. Assessment reveals the presence of fever, sore throat, enlarged neck lymphatic nodes. What assessment question addresses the possible etiology of human immunodeficiency virus?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

A nurse is developing a discharge teaching plan for a patient diagnosed with peripheral arterial disease. Which instruction will the nurse include in the plan?

Correct Answer is B

Explanation

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