The client comes to the clinic to obtain the results from the test to determine if he is infected with HIV. The physician informs the client that he has a CD4 cell count of 300 cells/mm3 and a high viral load
What does the nurse anticipate the physician will discuss with the client? A) Retroviral therapy is not warranted at this time.
B) The initiation of antibiotic therapy to prevent the development of an opportunistic infection
C) The administration of an antifungal medication to prevent the development of an opportunistic fungal infection
D) The initiation of antiretroviral therapy
D
Feedback:
Based on randomized trials, nonrandomized trials, and observational studies, the current guideline is to initiate treatment if the client has a CD4 T-cell count less than 350 to 500 cells/mm3, whereas others will begin treatment with a CD4 cell count over 500 cells/mm3 based on expert opinions. Prophylactic antibiotic and antifungal drug therapy is not warranted at this time and can cause drug resistance strains to emerge.
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The nurse is caring for an Rh-negative mother on the postpartum unit. What scenario indicates the need to administer RhoGAM to this patient?
a. She has had one Rh-negative child and is pregnant with an Rh-negative child. b. She has had an Rh-positive infant and is pregnant with an Rh-positive fetus. c. She has had an O-negative child and is pregnant with a B-negative child. d. She is a primipara with an O-negative child.
The patient is on postoperative day 1 after having undergone a TURP procedure. He has continuous bladder irrigation (CBI)
Actual urine output during continuous bladder irrigation is calculated by: a. measuring and recording all fluid output in the drainage bag. b. measuring the total output and deducting the total of the irrigating and intravenous solutions. c. adding the total of the intravenous and irrigating solutions and then deducting the amount of output. d. measuring total output and deducting the amount of irrigating solution used.
A young woman attends a "Botox Party" and is injected with botulinum toxin type A to decrease "frown lines" between her eyebrows
Later that evening the patient is admitted to the emergency department and is hysterical, because she cannot move her eyebrows. The nurse explains that that toxin causes what? A) "The toxin causes muscle death, which smoothes wrinkles in the area." B) "The toxin causes muscle paralysis, preventing movement and relieving wrinkles." C) "The drug is a toxin to nerves in the area." D) "The drug is a permanent muscle relaxant and the muscles will never move again."
Through experience, a nurse has found that the judicious application of affective touch can benefit clients in certain circumstances
A) An elderly client who has just learned that her husband has been diagnosed with Alzheimer disease B) A man whose fractured tibia is being set by the cast team at the bedside C) A woman who is being extubated in the postanesthetic recovery unit after surgery D) A client in his early twenties who has a history of schizophrenia and who is experiencing delusions