A patient with HIV complains to the home health nurse that he has been having watery diarrhea for the past 10 days. The nurse suspects toxoplasmosis. What is the most significant question for the nurse to ask?
a. "Have you stopped taking your antiviral medication?"
b. "Have you been drinking alcohol?"
c. "Have you been eating aged cheese or or-gan meats?"
d. "Do you have a cat?"
D
Cat litter boxes and undercooked meats are the major sources of toxoplasmosis, which causes a persistent watery diarrhea.
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While performing a physical assessment on an adult client, the nurse identifies an unfamiliar heart sound. The nurse suspects that this is a murmur. Which nursing action is most appropriate?
1. Informing the client of "the abnormality." 2. Stopping the assessment and referring the client to the healthcare provider immediately. 3. Bring in another examiner to assess the finding. 4. Documenting the finding and reassessing at the client's next visit.
A 79-year-old male resident of a long-term care facility has contracted Clostridium difficile and is experiencing consequent diarrhea Auscultation of the man's abdomen indicates hyperactive bowel sounds. What process in the man's small intestine is most likely accompanying his current status?
A) Pathogenic microorganisms are causing dilation of his small intestine, increasing motility. B) Segmentation waves have become more frequent as a result of his infection. C) Intestinal stasis brought on by infection is preventing his small intestine from sufficiently slowing the rate of motility. D) Inflammation is accompanied by an increase in peristaltic movements of his small intestine.
A nurse who is caring for an older patient with bipolar disorder knows that the patient needs ad-ditional education when the patient states:
a. "Bipolar disorder often results in ‘a level-ing out' of symptoms as one ages." b. "Relapses in bipolar disorder tend to be precipitated by medical problems." c. "Older adults with bipolar disorder tend to be ‘rapid cyclers'." d. "Bipolar disorder is the most commonly diagnosed psychiatric disorder in older adults."
Your state allows nursing assistants to give tube feedings. The procedure is in your job descrip-tion. Before giving a tube feeding, you must always do which of the following?
a. Check and inspect the feeding tube and label with a co-worker. b. Make sure you check for tube placement. c. Make sure the feeding is the correct dose. d. Trace the feeding tube back to the inser-tion site.