The nurse is planning care for an adolescent with acquired immunodeficiency syndrome. The priority nursing goal is to:
a. Prevent infection. c. Restore immunologic defenses.
b. Prevent secondary cancers. d. Identify source of infection.
ANS: A
As a result of the immunocompromise that is associated with human immunodeficiency virus infection, the prevention of infection is paramount. Although certain precautions are justified in limiting exposure to infection, these must be balanced with the concern for the child's normal developmental needs. Restoring immunologic defenses is not currently possible. Current drug therapy is affecting the disease progression; although not a cure, these drugs can suppress viral replication, preventing further deterioration. Case finding is not a priority nursing goal.
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Which individual in the emergency department should be considered at the highest risk for completing suicide?
a. An adolescent Asian-American girl with superior athletic and academic skills who has asthma b. A 38-year-old single African-American female church member with fibrocystic breast disease c. A 60-year-old married Hispanic man with 12 grandchildren who has type 2 diabetes d. A 79-year-old single white man with cancer of the prostate gland
Documentation is
A) an important responsibility. B) not required in home care. C) completed only by a licensed nurse. D) completed once a week in home care.
The statement "the results of this study are statistically significant" means which of the following regarding the findings?
A) Passed a Chi test B) Are clinically important C) Are the strength of the study D) Are probably true and replicable
The nurse is using a tool to assess the quality of life of a hospice patient. The nurse addresses the appropriate areas of concern when asking which of the following questions? (Select all that ap-ply.)
a. "Are you able to bathe yourself?" b. "Did your grandson get the grass cut like he planned?" c. "How would you rate your pain on a scale of 1 to 10?" d. "Do you still have concerns about your will?" e. "Can we talk about why you never remar-ried?"