A nurse is implementing a plan of care for a client who has AIDS with recurring pneumonia.

Which of the following actions should the nurse take?

Obtain a sputum culture.

Position head of bed at 10 degrees.

Cough and deep breathe every 8 hr.

Encourage fluid intake of 1500 mL/day.

Answer and Explanation

The Correct Answer is A

Choice A rationale:
Obtaining a sputum culture helps identify the causative organism and guide treatment.
Choice B rationale:
Positioning the head of bed at 10 degrees is not beneficial for pneumonia patients.
Choice C rationale:
Coughing and deep breathing every 8 hours is not frequent enough for pneumonia patients.
Choice D rationale:
Encouraging fluid intake of 1500 mL/day is not sufficient for pneumonia patients.

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Correct Answer is B

Explanation

Choice A rationale:
Sensitivity to light is common after cataract surgery and does not need to be reported.
Choice B rationale:
Severe pain could indicate complications such as increased intraocular pressure or infection.
Choice C rationale:
Itching is common after surgery due to healing and does not need to be reported.
Choice D rationale:
Difficulty with vision is expected due to the eye patch, but fear of falling should be addressed through safety measures, not necessarily reported to the provider.

A. Dehydration. B. Shivering. C. Seizures. D. Burns.

Correct Answer is B

Explanation

The correct answer is choice B: Shivering.

Choice A rationale: Dehydration is a risk associated with high fever and infections like meningitis, but it is not a direct complication of using a hypothermia blanket.

Choice B rationale: Shivering is a complication of using a hypothermia blanket, as the body may react to the induced cooling by shivering, which can raise body temperature and counteract the blanket's cooling effect.

Choice C rationale: Seizures can occur in meningitis cases, but they are not specifically a complication of using a hypothermia blanket.

Choice D rationale: Burns are not a typical complication of using a hypothermia blanket when it is used as directed and monitored appropriately. However, skin irritation may occur in some cases.

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A nurse is implementing a plan of care for a client who has AIDS with recurring pneumonia. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client following cataract surgery. Which of the following comments from the client should the nurse report to the client's provider?

Correct Answer is B

Explanation

A nurse is caring for a client who has meningitis, a temperature of 39.7° C (103.5° F) and is prescribed a hypothermia blanket. While using this therapy, the nurse should know that the client must carefully be observed for which of the following complications?

Correct Answer is B

Explanation

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A nurse is implementing a plan of care for a client who has AIDS with recurring pneumonia.

Which of the following actions should the nurse take?