Which laboratory test best evaluates HIV disease?
1. Platelets
2. Liver function studies
3. CD4 count
4. Complete blood count
3
Rationale 1: Platelets levels do not evaluate HIV disease.
Rationale 2: Liver function studies can be used but do not assess the progress.
Rationale 3: CD4 count best determines the progress of the disease.
Rationale 4: Complete blood count can be used but does not assess the progress.
Global Rationale: CD4 count best determines the progress of the disease. Platelets do not evaluate HIV disease. Liver function studies and complete blood counts can be useful in treatment but do not assess the progress.
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An infant admitted to the newborn nursery has generalized swelling of the scalp. The nurse should recognize this condition as:
a. caput succedaneum, which generally requires no treatment b. cephalhematoma, which will require aspiration of blood from the scalp c. an early sign of hydrocephalus, which requires no treatment d. an early sign of an intracranial hemorrhage
While a nurse is dressing a patient who has dementia as a result of Huntington disease, the patient states, "I don't want to wear clothes today" and begins to resist help putting on her clothes. What is the nurse's most appropriate action?
a. Tell the patient that she must wear clothes or she cannot see her family later. b. Get another nurse to help her force the patient to get dressed. c. Talk to the patient about her family com-ing this afternoon and continue to assist the patient gently with dressing. d. Let the patient go without clothes but make her stay in her room.
A breastfeeding woman develops engorged breasts at 3 days postpartum. Which of the following actions would help this woman achieve her goal of reducing the engorgement? The woman:
1. skips feedings to let her sore breasts rest. 2. avoids using a breast pump. 3. breastfeeds her infant every 2 hours. 4. reduces her fluid intake for 24 hours.
A patient tearfully says to a nurse, "I don't want to go on living now that my spouse has left me for someone else after 20 years. Our children are grown and don't need me. I just want to die.". Which response is the most therapeutic?
a. "You're young, and you will manage well. I know several people your age who've actually done better after divorcing their spouses.". b. "It always seems bleak when we lose someone we've loved. Don't worry, it will work out—we just need to think this through.". c. "So your spouse is off having a midlife crisis and you are here thinking of killing yourself. Let's focus on how to make you feel better.". d. "I am very concerned about you wanting to die because your spouse left. Rather than trying to solve all the problems immediately let's focus on your feelings of hopelessness right now.".