The nurse is reinforcing teaching to a person being tested for HIV in a clinic. Which of these tests would the nurse explain is done first in HIV testing?
a. ELISA test
b. Rheumatoid factor test
c. Western blot test
d. Viral load studies
ANS: A
Antibodies in the patient's blood are tested for HIV antigen test plates. Positive ELISA results may indicate HIV infection, but results must be confirmed by another test.
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The nurse is working with a client who has a history of impulsive and self-harming behavior. The nurse will need to assess for which of the following?
A) Safety needs B) Boundary setting C) Appropriate self-disclosure D) Confidentiality
Which of the following clinical situations provides an example of transference?
A) A nurse implements the same interventions with multiple clients despite their personal differences. B) A nurse asks for clarification from a colleague when explaining a coping strategy to a client. C) A client mirrors the nursing student's nervousness and hesitancy during assessment. D) A female client with a history of sexual abuse exhibits a profound mistrust of male caregivers.
A nurse is teaching a new diabetic child and family about sick-day management. What information does the nurse plan to include? (Select all that apply.)
A. Check blood sugars every 4 hours. B. Hold insulin if the child is vomiting. C. Provide plenty of rest and sleep. D. Offer calorie-containing liquids. E. Try to follow the usual meal plan.
When making morning rounds, a client with acute leukemia reports having nosebleeds off and on throughout the night. Which action should be taken by the nurse?
1. Check the client's blood pressure and pulse. 2. Determine whether client has pain anywhere. 3. Report the findings to the physician. 4. Apply a water-soluble lubricant to the nares.