The nurse is collecting data for a patient with suspected exposure to HIV. Which of the following symptoms would be most concerning in this patient?
a. Urticaria, sneezing, pruritus
b. Fever, rash, joint pain
c. Abdominal pain, anorexia, and vomiting
d. Tremors, edema, coughing
ANS: B
Initially after HIV infection, there may be no symptoms or mononucleosis-like symptoms such as extreme fatigue, headache, fever, lymphadenopathy, diarrhea, or a sore throat.
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A nurse is evaluating levels and functions of trauma centers. Which function is appropriately paired with the level of the trauma center?
a. Level I - Located within remote areas and provides advanced life support within resource capabilities b. Level II - Located within community hospitals and provides care to most injured clients c. Level III - Located in rural communities and provides only basic care to clients d. Level IV - Located in large teaching hospitals and provides a full continuum of trauma care for all clients
The circulating nurse is in the operating room and sees the surgeon don gown and gloves using appropriate sterile procedure. The surgeon then folds the hands together and places them down below the hips. What action by the nurse is most appropriate?
a. Ask the surgeon to change the sterile gown. b. Do nothing; this is acceptable sterile procedure. c. Inform the surgeon that the sterile field has been broken. d. Obtain a new pair of sterile gloves for the surgeon to put on.
Which of the following individuals would be considered to be at risk for the development of edema? Select all that apply
A) An 81-year-old man with right-sided heart failure and hypothyroidism B) A 60-year-old obese female with a diagnosis of poorly controlled diabetes mellitus C) A 34-year-old industrial worker who has suffered extensive burns in a job-related accident D) A 77-year-old woman who has an active gastrointestinal bleed and consequent anemia E) A 22-year-old female with hypoalbuminemia secondary to malnutrition and anorexia nervosa
The nurse recognizes that infection may be present in her postpartum client when the client exhibits a temperature of:
a. 100.0° F during the first 36 hours postpartum. b. 100.8° F twice in the first 24 hours postpartum. c. 99.6° F on the first postpartum day and 100.4 on the second. d. 100.4° F on the second postpartum day and 100.8° F on the fourth.