Å nurse is caring for a client who has HIV infection dementia and has progressed to AIDS. Which of the following findings should the nurse expect?

Night sweats

Increased WBC count

Increased hemoglobin

Weight gain

Answer and Explanation

The Correct Answer is A

A. Night sweats are a common symptom in clients with AIDS, often related to opportunistic infections like tuberculosis or certain types of cancers.

B. In HIV/AIDS, WBC counts are often decreased due to immune suppression, so an increased WBC count is not typical.

C. Decreased, rather than increased, hemoglobin levels are often seen in AIDS due to anemia of chronic disease.

D. Weight loss, rather than gain, is more commonly associated with AIDS due to malnutrition and wasting syndrome.

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Correct Answer is B

Explanation

A. Ambulating soon after surgery is encouraged to promote circulation and decrease the risk of VTE.

B. Massaging the legs is unsafe, as it can dislodge any existing clot, potentially leading to a pulmonary embolism.

C. Elevating the feet helps improve venous return and is a safe practice to reduce VTE risk.

D. Flexing the ankles is part of exercises that help promote blood flow and reduce clot formation risk.

A. The client opens his eyes when spoken to. B. The client is unable to make vocal sound. C. The client is unconscious. D. The client can follow simple motor commands.

Correct Answer is A

Explanation

A. A GCS score of 3 for eye opening indicates that the client does not open their eyes spontaneously, while a score of 5 for best verbal response suggests that they can respond verbally, likely indicating that they can open their eyes when spoken to or when commanded. This conclusion aligns with the score of 5 for verbal response, which indicates a higher level of responsiveness.

B. This option is incorrect because a score of 5 for best verbal response indicates that the client can produce vocal sounds, meaning they are capable of making verbal responses.

C. While the eye opening score of 3 suggests significant impairment, the overall GCS score of 13 (3 + 5 + 5) does not support the conclusion that the client is completely unconscious. The presence of verbal and motor responses indicates some level of consciousness.

D. This conclusion is incorrect because a score of 5 for best motor response suggests that the client can follow commands and respond to stimuli, which is inconsistent with being unable to follow commands.

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Å nurse is caring for a client who has HIV infection dementia and has progressed to AIDS. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is postoperative and is at risk for developing venous thromboembolism (VTE). The nurse should instruct the client to avoid which of the following unsafe actions?

Correct Answer is B

Explanation

A nurse is receiving a transfer report for a client who has a head injury. The client has a Glasgow Coma Scale (GCS) score of 3 for eye opening, 5 for best verbal response, and 5 for best motor response. Which of the following is an appropriate conclusion based on this data?

Correct Answer is A

Explanation

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