A client with acquired immune deficiency syndrome has been hospitalized with suspected cryptosporidiosis. What physical assessment would be most consistent with this condition?
a. Auscultating the lungs
b. Assessing mucous membranes
c. Listening to bowel sounds
d. Performing a neurologic examination
ANS: B
Cryptosporidiosis can cause extreme loss of fluids and electrolytes, up to 20 L/day. The nurse should assess signs of hydration/dehydration as the priority, including checking the client's mucous membranes for dryness. The nurse will perform the other assessments as part of a comprehensive assessment.
You might also like to view...
Alcohol or drug abuse
a. Is easily recognized in older adults b. Is a serious social problem c. Negatively affects the functional ability of older adults d. Is less dangerous and more socially accepted for older adults
When the nurse asks the client to describe her social supports, the client gives the following
information: she is divorced, has no siblings, her parents died last year, and she has contact with her former in-laws, who subtly blame her for the divorce. Regarding the relationship with her in-laws, the nurse can base plans on the knowledge that a. the in-laws offer the only opportunity to obtain social support for the client. b. low-quality support relationships often negatively affect coping in a crisis. c. her relationship with her in-laws can enhance the client's sense of control and competence. d. strong social support is of relatively little importance as a mediating factor.
As a home health care nurse, you are visiting a 70-year-old client who has just returned home from the hospital after being treated for coronary artery disease
The medical nutrition therapy or diet therapy developed for him by the hospital dietitian is a. primary treatment. b. primary prevention. c. secondary prevention. d. tertiary prevention.
The nurse notes that the client admitted with cirrhosis is more anxious than usual. The client has ascites and has had a poor appetite. The client states, "I can't breathe.". The nurse's most appropriate initial response is to:
1. Evaluate the respiratory status. 2. Contact the health care provider. 3. Assess the abdomen. 4. Give the client his medication.