A nurse is preparing a client who has AIDS for discharge. Which of the following statements should the nurse include in the discharge instructions?

"Food preparation is not your responsibility.”.

"Disinfect equipment contaminated with blood or body fluids for twenty-four hours.”.

"Prevent the spread of infection with good household cleaning practices.”.

"Burn soiled dressings.”.

Answer and Explanation

The Correct Answer is C

Choice A rationale:
While it’s important for someone with AIDS to avoid potential sources of infection, food preparation can be done safely with proper precautions.
Choice B rationale:
Disinfecting equipment for 24 hours is not a standard practice. Standard cleaning procedures with appropriate disinfectants are usually sufficient.
Choice C rationale:
Good household cleaning practices can help prevent the spread of infection, which is crucial for someone with AIDS due to their compromised immune system.
Choice D rationale:
Burning soiled dressings is not a recommended practice. Soiled dressings should be disposed of properly in a biohazard waste bag.

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Correct Answer is A

Explanation

Choice A rationale:
Increasing fluid intake can help replace cerebrospinal fluid lost during a lumbar puncture, which can alleviate a post-lumbar puncture headache.
Choice B rationale:
Elevating the head of the bed can actually worsen a post-lumbar puncture headache by increasing the loss of cerebrospinal fluid.
Choice C rationale:
While pain medication can provide temporary relief, it does not address the underlying cause of the headache.
Choice D rationale:
Darkening the room and closing the door can help reduce sensory stimulation, but it does not directly address the cause of the headache.

A. Behavioral indicators and effect. B. Scheduled treatments and client illness. C. Pulse and blood pressure findings. D. A self-report pain rating scale.

Correct Answer is A

Explanation

Choice A rationale:
Behavioral indicators are the most reliable way to assess pain in a client with expressive aphasia as they may not be able to verbally communicate their pain.
Choice B rationale:
Scheduled treatments and client illness do not directly indicate the client’s pain level.
Choice C rationale:
Pulse and blood pressure findings can be influenced by many factors and are not the most reliable indicators of pain.
Choice D rationale:
A self-report pain rating scale would not be effective for a client with expressive aphasia as they may have difficulty understanding and using the scale.

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A nurse is preparing a client who has AIDS for discharge. Which of the following statements should the nurse include in the discharge instructions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who reports a throbbing headache after a lumbar puncture. Which of the following actions is most likely to facilitate resolution of the headache?

Correct Answer is A

Explanation

A nurse is caring for a client who has expressive aphasia following a cerebrovascular accident (CVA). Which of the following parameters should the nurse use first in order to assess the client's pain level?

Correct Answer is A

Explanation

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