A nurse is performing an admission assessment on a patient with stage 3 HIV. After assessing the patient's gastrointestinal system and analyzing the data, what is most likely to be the priority nursing diagnosis?
A) Acute Abdominal Pain
B) Diarrhea
C) Bowel Incontinence
D) Constipation
Ans: B
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Diarrhea is a problem in 50% to 60% of all AIDS patients. As such, this nursing diagnosis is more likely than abdominal pain, incontinence, or constipation, though none of these diagnoses is guaranteed not to apply.
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A nurse collecting data on the reproductive system from a female patient is told that the patient has a vaginal discharge that is cottage cheese–like in appearance. What should the nurse recog-nize this as a common sign of?
a. Pelvic inflammatory disease (PID) b. Trichomonas vaginalis infection c. Atrophic vaginitis d. Candida albicans infection
The nurse is explaining the procedure of newborn screening to parents before discharge. Which statement by the parents indicates a need for further teaching?
a. "We understand the tests are performed at 24 to 48 hours." b. "We're glad all the tests can be done on one blood sample." c. "We wish the tests would screen for congenital hypothyroidism." d. "We know that if the tests are done before 24 hours, the tests will need to be repeated at 1 to 2 weeks."
Which of the following is the primary complication of otitis media?
a. conductive hearing loss c. septicemia b. abscess in adjacent tissues d. meningitis
The nurse provides instructions to a client who is beginning therapy with oral theophylline. The nurse recognizes that the client understands the instructions when the client states to limit consumption of which items?
A. Coffee, cola, and chocolate B. Oysters, lobster, and shrimp C. Apples, oranges, and pineapple D. Cottage cheese, cream cheese, and dairy creamers