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 A

Explanation

Choice A rationale:
Hemoglobin of 10 g/dL and hematocrit of 30% are lower than the normal ranges (Hemoglobin: 13.5-17.5 g/dL for men, 12.0-15.5 g/dL for women; Hematocrit: 38.8-50.0% for men, 34.9-44.5% for women). This can lead to cellular hypoxia as there are fewer red blood cells to carry oxygen.
Choice B rationale:
These lab values do not directly indicate a risk for prolonged bleeding.
Choice C rationale:
These lab values do not directly indicate a risk for fluid retention.
Choice D rationale:
While severe anemia can affect the immune response, these values do not directly indicate impaired immunity.

A. Family history. B. BMI less than 25. C. Hypocalcemia. D. Diuretic use.

Correct Answer is A

Explanation

The correct answer is choicea. Family history.

Choice A rationale:

Family history is a well-known risk factor for urolithiasis.If a close relative has had kidney stones, the likelihood of developing them increases due to genetic predispositions.

Choice B rationale:

A BMI less than 25 is generally considered normal or healthy weight and is not typically associated with an increased risk of urolithiasis.In fact, obesity is more commonly linked to a higher risk of kidney stones.

Choice C rationale:

Hypocalcemia, or low calcium levels in the blood, is not a common risk factor for urolithiasis.High calcium levels in the urine (hypercalciuria) are more often associated with the formation of kidney stones.

Choice D rationale:

Diuretic use can sometimes be associated with kidney stones, but it depends on the type of diuretic.Thiazide diuretics, for example, are often used to prevent calcium stones by reducing calcium excretion in the urine.

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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?

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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?