Which statement by a patient diagnosed with AIDS should lead a nurse to suspect an infection by CMV?
a. "I need to get glasses; I can't see as well as I did a few months ago."
b. "I need to drink more water. This diarrhea has really dehydrated me."
c. "I need to get smaller clothes. I have lost 10 lb in the past 6 weeks."
d. "I need to take some pep pills. I don't have any energy."
A
Visual changes indicate the presence of CMV retinitis, which will eventually lead to blindness. Diarrhea is indicative of a fungal infection, and decreases in weight and energy are expected ma-nifestations of AIDS.
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During PTCA, a patient who received a coronary artery stent is informed that she will need to take aspirin for the rest of her life. The nurse informs her that aspirin is prescribed to prevent:
A) Thrombus formation B) Dysrhythmias C) The onset of pain D) Hemorrhage at the stent site
The nurse understands that saline laxatives work by:
a. increasing the motility of the GI tract through irritation. b. softening the fecal mass. c. lubricating the intestinal lining, facilitating passage of the stool. d. increasing fluid in the stool by osmosis.
The nurse is preparing to apply a bandage to a client using the spiral reverse turn. For which body parts should the nurse use this technique when bandaging?
1. Finger 2. Forearm 3. Upper leg 4. Lower leg 5. Upper arm
The nurse is caring for a client who is prescribed phenytoin (Dilantin). To most effectively administer this agent, the nurse will:
1. hold the enteral feeding two hours before and two hours after giving phenytoin (Dilantin). 2. check the client's phenytoin (Dilantin) level before administering the dose. 3. request an alternate form and route to administer the phenytoin (Dilantin). 4. dilute the liquid form of phenytoin (Dilantin) with 100 mL of water.