An adult client is admitted with AIDS and oral Candida albicans manifested by several painful mouth ulcers. The nurse delegates oral care to the unlicensed assistive personnel (UAP) and discusses how to assist the client. Which instruction should the nurse provide to the UAP?

Assist with personal care, but leave oral care for the nurse to complete.

Provide a soft-bristled toothbrush for the client to use during oral care.

Offer the client mouthwash for thorough cleansing after brushing teeth.

Wear sterile gloves when cleansing any areas of infected mucosa.

Answer and Explanation

The Correct Answer is B

A. While the nurse can perform oral care, it is essential for the UAP to assist where appropriate, and oral care should not be solely left for the nurse.
B. A soft-bristled toothbrush is the best option for the client with painful mouth ulcers, as it is gentle and reduces the risk of further irritation.
C. Offering mouthwash may not be appropriate, especially if it contains alcohol, as it could further irritate the ulcers; additionally, thorough cleansing is typically more effective with careful brushing rather than rinsing alone.
D. Wearing sterile gloves is unnecessary for oral care; standard precautions, including clean gloves, should be used, but sterile gloves are not required for this type of care.

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Correct Answer is C

Explanation

A. A hemoccult test on sputum is used to detect blood and is not specific to TB.
B. A positive PPD skin test indicates exposure to TB but does not confirm active disease; further testing is required.
C. A sputum culture positive for Mycobacterium tuberculosis is the definitive test for confirming active tuberculosis, as it isolates the organism.
D. A chest x-ray or CT can suggest the presence of TB but does not provide a definitive diagnosis; culture is necessary for confirmation.

A. pH 7.30, PCO2 20 mm Hg, HCO3 22 mEq/L (22 mmol/L), PO2 85 mm Hg. B. pH 7.49, PCO2 45 mm Hg, HCO3 32 mEq/L (32 mmol/L), PO2 90 mm Hg. C. pH 7.46, PCO2 55 mm Hg, HCO3 36 mEq/L (36 mmol/L), PO2 95 mm Hg. D. pH 7.29, PCO2 35 mm Hg, HCO3 25 mEq/L (25 mmol/L), PO2 99 mm Hg.

Correct Answer is B

Explanation

A. This value indicates metabolic acidosis rather than alkalosis due to a low pH and normal HCO3.
B. This value is indicative of metabolic alkalosis as the pH is elevated (7.49), the HCO3 is elevated (32 mEq/L), and the PCO2 is within normal range, reflecting a compensatory response.
C. While the pH is slightly elevated, the high PCO2 suggests respiratory compensation, making it less consistent with primary metabolic alkalosis.
D. This value indicates metabolic acidosis due to a low pH and normal HCO3 levels, not alkalosis.

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An adult client is admitted with AIDS and oral Candida albicans manifested by several painful mouth ulcers. The nurse delegates oral care to the unlicensed assistive personnel (UAP) and discusses how to assist the client. Which instruction should the nurse provide to the UAP?

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Naxlex Comprehensive Predictor Exams

The nurse is admitting a client with possible tuberculosis (TB). The client is placed in a private room with airborne precautions pending diagnostic test results. Which diagnostic test should the nurse review to confirm the diagnosis of TB?

Correct Answer is C

Explanation

Correct Answer is B

Explanation

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