The plan of care for a client who is HIV-positive calls for the nurse to observe the client for symptoms of AIDS dementia. For which symptoms should the nurse be alert?
1. Fever, night sweats, and nausea
2. Inability to concentrate, forgetfulness, and apathy
3. Elevated pulse, respirations, and blood pressure
4. Increased appetite and specific food and drink cravings
ANS: 2
Behavioral and cognitive symptoms of AIDS dementia are poor concentration, inability to prob-lem solve, apathy, social withdrawal, forgetfulness, slowness of thinking, and motor deficits. None of the other options would suggest the presence of AIDS dementia.
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In the event a critically ill patient being transferred is unstable, the transport team needs to
A) have back-up plans on how to handle a deteriorating patient. B) immediately stop in the emergency room before going to the ICU with the patient. C) transfer the patient to the ICU stat. as planned. D) stop en route, if necessary, to stabilize the client.
An OB nurse is caring for a young client who is in labor. The nurse learns the client is not married and is hesitant to name the father of the fetus. A male visitor has come to visit the client. The nurse questions the visitor and is concerned
Which of the following behaviors would cause concern? 1. The father is claiming paternity. 2. The client very anxious with the male present. 3. The visitor is very close and in the nurse?s personal space regarding the status of the client. 4. The visitor is inquiring about a medical-surgical client and is acting in an odd manner.
When examining an older adult client's sense of smell, which finding would the nurse anticipate?
1. Heightened sense of smell 2. Normal sense of smell 3. Diminished sense of smell 4. Development does not impact the sense of smell
A nurse is assessing a pregnant client and learns that the client is addicted to cocaine. The nurse informs the client about the risks of cocaine addiction for her fetus. Which of the following would the nurse include?
A) The child may be born with diabetes. B) The child may be born with hypertension. C) The child may be born with an addiction to drugs. D) The child may be born with CNS defects.