The client with AIDS and a CD4+ count of 100 cells/mm3 is admitted with a compound fracture of the left leg. In addition, the client has a productive cough, fever, chills, and a his-tory of night sweats. The client's PPD test is negative
What is the nurse's best action? A. Use standard precautions alone because the client does not have tuberculosis.
B. Use airborne precautions alone because the client is taking appropriate therapy for HIV.
C. Use standard precautions and airborne precautions because the client has tuber-culosis.
D. Use standard precautions and airborne precautions until a chest x-ray shows the client does not have tuberculosis.
D
When clients have a CD4+ count below 200 cells/mm3, their PPD tests may be negative even when active tuberculosis is present, because they have too few cells to mount an immune re-sponse to the test. Therefore, airborne precautions should be used with any client who is HIV-positive with a low CD4+ count and who presents with clinical manifestations of tubercu-losis, until other tests rule out tuberculosis.
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a. Frontal b. Parietal c. Occipital d. Temporal
A client is admitted with acute pancreatitis. The orders are for "pancreatic rest." The nurse would implement which of the following? (Select all that apply.)
a. Administering pancreatic enzymes with meals b. Bed rest with appropriate positioning c. Immediate insertion of an NG tube d. Withholding foods and liquids
A nurse is teaching the client self-care for a hordeolum. (Select all that apply.)
A. Massage the area over the stye. B. Apply the prescribed antibiotic ointment. C. Place an eye patch over the affected eye. D. Apply warm compresses four times daily. E. Lance the stye using a sterile needle. F. Irrigate the eye with warm, sterile, normal saline.
Which type of syringes is calibrated in hundredths of cubic centimeters?
A. standard hypodermic B. oral medication syringe C. tuberculin D. insulin