Which of the following patients is most at risk for tuberculosis (TB)?
a. The patient with lung cancer
b. The patient with chronic airflow limitation
c. The patient with acquired immunodeficiency syndrome
d. The patient with a history of alcohol abuse
ANS: C
Patients with immune dysfunction are most at risk for becoming ill with TB. Patients with cancer, airflow limitation, or alcohol abuse are only at risk if their immune function is compromised.
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Several nurses are discussing a patient and family in the cafeteria. The best response by one of the nurses to this discussion is
a. "Let's discuss this once we get back to the nurses' station." b. "Shh! The patient's family might be in the cafeteria now." c. "This is confidential information and shouldn't be discussed." d. "We should really keep our voices down so others can't hear us."
A client is prescribed apomorphine. The nurse prepares to administer this medication via what route?
a. oral c. intramuscular b. subcutaneous d. intravenous
A patient being treated for peritonitis from a ruptured appendix is concerned about developing a kidney infection. How should the nurse respond to this patient?
A. "Your kidneys are located outside the peritoneum, the sack that encloses the appendix." B. "Good thinking. Infections in the abdomen can spread to other organs." C. "We can check your urine daily to make sure the infection is not spreading." D. "You need to speak with your primary healthcare provider about your concern."
During the first antepartal visit, a client who is at 10 weeks' gestation learns of being HIV positive. Which client statement indicates an understanding of the plan of care both during the pregnancy and postpartally?
1. "I should not breastfeed my baby." 2. "When my baby is 2 months old, he or she will be tested for HIV." 3. "If I have a cesarean section, there is an increased risk that my HIV will be passed to my baby." 4. "I am supposed to take highly active antiretroviral therapy (HAART), but only during the first trimester."