The nurse is caring for a patient who has AIDS. Which of these outcomes should receive priority?
a. Remain free of infection.
b. Maintain baseline weight.
c. Report high self-esteem.
d. Remain socially active.
ANS: A
The immune system is damaged by HIV, and ability to combat infections may be severely compromised. A minor infection for most people may kill a person who has AIDS. The priority goal for patients with HIV is to remain free of infections.
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A patient is receiving education about his upcoming Billroth I procedure (gastroduodenostomy). This patient should be informed that he may experience which of the following adverse effects associated with this procedure?
A) Persistent feelings of hunger and thirst B) Constipation or bowel incontinence C) Diarrhea and feelings of fullness D) Gastric reflux and belching
The nurse is assessing a 78-year-old client. Which finding would be of concern to the nurse because it is NOT a normal finding in an aging person?
a. Client reports difficulty telling colors, especially pastels. b. Client reports blurred vision. c. Client uses large amounts of sugar and salt to make food taste good. d. Client has a decreased sense of smell.
__________ refers to blood supply to the lungs, through which the lungs receive nutrients and oxygen
Fill in the blank(s) with correct word
During a physical examination of a 74-year-old patient, the nurse palpates the point of maximal impulse (PMI) in the sixth intercostal space lateral to the left midclavicular line. The most appro-priate action for the nurse to take next will be to
a. ask the patient about risk factors for ath-erosclerosis. b. document that the PMI is in the normal anatomic location. c. auscultate both the carotid arteries for the presence of a bruit. d. assess the patient for symptoms of left ventricular hypertrophy.