An HIV-positive client is admitted to the hospital with Toxoplasma gondii infection. Which action by the nurse is most appropriate?
a. Initiate Contact Precautions.
b. Place the client on Airborne Precautions.
c. Place the client on Droplet Precautions.
d. Use Standard Precautions consistently.
ANS: D
Toxoplasma gondii infection is an opportunistic infection that poses no threat to immunocompetent health care workers. Use of Standard Precautions is sufficient to care for this client.
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A nurse cares for a client who is prescribed vasopressin (DDAVP) for diabetes insipidus. Which assessment findings indicate a therapeutic response to this therapy? (Select all that apply.)
a. Urine output is increased. b. Urine output is decreased. c. Specific gravity is increased. d. Specific gravity is decreased. e. Urine osmolality is increased. f. Urine osmolality is decreased.
Lung scans need the use of radioisotopes and a scanning machine. Before the perfusion scan, nurses must assess the client for which of the following?
A) Bleeding B) Iodine allergy C) Dysrhythmias D) Inflammation
A nurse holds the client's relaxed arm with elbow flexed at a 90-degree angle, places a thumb over the appropriate tendon in the antecubital fossa, and strikes the thumb with the pointed end of the reflex hammer
What is the normal response for this deep tendon reflex? a. Flexion of the left elbow b. Pronation of the left forearm c. Supination of the left arm d. Extension of the left elbow
An appropriate angle for injection in an average-size client who is receiving an intramuscular medication is:
A. 15 degrees B. 45 degrees C. 60 degrees D. 90 degrees