You are a community nurse caring for an HIV patient in his home. What should be included in the patient's plan of care?
A) Maintain mobility
B) Improve nutrition
C) Provide information to the patient/family about infection risk
D) Vaccinations yearly
Ans: C
Feedback: The nurse who cares for the patient with an infectious disease in the home should provide information about infection risk prevention to the patient, the family, and the caregiver. Many vaccines are not given yearly. Maintaining mobility and improving nutrition are not included in the patient's plan of care.
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Which of the following adverse reactions should a nurse monitor for in a client with breast cancer due to metastasis who is prescribed analgesics?
A) Excessive sedation, confusion, and weakness B) Malaise, diarrhea, and stomatitis C) Bone marrow depression, granulocytopenia, and anemia D) Central nervous system (CNS) depression, amenorrhea, and anemia
During a routine physical examination, a 66-year-old client reports feeling very tired throughout the day. Which of the following is the nurse's best initial action?
1. Assess the client's sleep patterns. 2. Encourage the client to begin to take a nap each day. 3. Encourage the client to alter the evening routine to reduce potential evening stressors. 4. Ask the healthcare provider to prescribe a medication designed to help the client sleep better.
A client has had Alzheimer's dementia for a period of time and continues to live at home with his spouse. What would be one of the gerontological nurse's responsibilities?
1. Make sure the client is being prescribed appropriate medication. 2. Provide support for the spouse. 3. Assess the client early to ensure proper care. 4. Find a suitable long-term care facility for the client.
What normal finding does a nurse expect to find when palpating a male patient's prostate gland?
a. Is approximately 4.5 cm in diameter and is highly mobile b. Feels smooth, firm, and slightly mobile c. Is deeply divided into three lobes, each approximately 2 cm in length d. Feels hard, asymmetrical, and has a palpable ridge that divides the gland into two lobes