While collecting admission data, the nurse suspects a patient with AIDS is experiencing an HIV-associated neurocognitive disorder. What observations did the nurse make to come to this conclusion? (Select all that apply.)
a. Audible bowel sounds
b. Inappropriate laughter
c. Inability to state home address
d. Knee buckling while walking
e. Asking if the bugs could be removed from the walls
ANS: B, C, D, E
Symptoms of an HIV-associated neurocognitive disorder include memory impairment, personality changes, hallucinations, and leg weakness. Inappropriate laughter could indicate personality changes. Inability to state the home address could indicate memory impairment. Knee buckling while walking could indicate leg weakness. Asking for the bugs to be removed from the walls could indicate hallucinations. A. Audible bowel sounds are not a manifestation of HIV associated neurocognitive disorder.
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The nurse is caring for a patient who needs to collect a 24-hour urine specimen at home. Which steps of specimen collection may be delegated to the assistant? (Select all that apply.)
a. Label the urine container and lab slips with the patient's name and information. b. Assess the patient's ability to collect the specimen as required. c. Explain the procedure to the patient. d. Obtain the urine container from the utility room or laboratory. e. Transport the specimen to the laboratory once it is collected. f. Ensure that the correct test is ordered and collected.
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a. Wash hands consistently. b. Use sharps disposal containers. c. Use adequate help or mechanical devices for lifting d. Demand mental health screening for all visitors and patients e. Reduce the need for working double shifts.