The nurse is instructing a client on the modes of transmitting the human immunodeficiency virus infection. Which of the following can transmit this infection? (Select all that apply.)
1. Blood
2. Breast milk
3. Emesis
4. Saliva
5. Semen
6. Sweat
1, 2, 5
HIV can be transmitted only under specific conditions that permit contact with infected body fluids. Common high-risk sources are infected blood via contaminated needlestick or sharp object, contact with infected breast milk, mucous secretions (vaginal, semen), and exposure to blood in the laboratory. HIV is not transmitted through tears, saliva, urine, emesis, sputum, feces, or sweat.
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The nurse is caring for a laboring client. A cervical exam indicates 8 cm dilation. The client is restless, frequently changing position in an attempt to get comfortable. Which nursing action is most important?
1. Leave the client alone so she can rest. 2. Ask the family to take a coffee-and-snack break. 3. Encourage the client to have an epidural for pain. 4. Reassure the client that she will not be left alone.
After taking chlorpromazine (Thorazine) for 1 month, a client presents to an ED with severe muscle rigidity, tachycardia, and a temperature of 105oF (40.5?C)
Which medical diagnosis and treatment should a nurse anticipate when planning care for this client? 1. Neuroleptic malignant syndrome treated by discontinuing Thorazine and administering dantrolene (Dantrium) 2. Neuroleptic malignant syndrome treated by increasing Thorazine dosage and administering an antianxiety medication 3. Dystonia treated by administering trihexyphenidyl (Artane) 4. Dystonia treated by administering bromocriptine (Parlodel)
When caring for a patient who is 34 years old and has rheumatoid arthritis, the nurse should remember that
a. exercise should be avoided to decrease pain. b. the patient should be discouraged from performing activities of daily living. c. rest and exercise are both important parts of therapy. d. pain is best controlled by use of narcotic analgesics.
An important part of the nurse's assessment of the patient with peptic ulcer disease is assessing the patient's level of anxiety. How is this accomplished?
A) Appropriate information is provided to the patient's family. B) Patient is encouraged to express fears openly. C) Some patients aren't anxious so this assessment isn't necessary. D) Information is given in written form.