The nurse caring for a client with human immunodeficiency virus (HIV) understands that a client is considered to have acquired immunodeficiency syndrome (AIDS) when which of the following occurs?
a. appearance of flulike symptoms
b. CD4 T cell count of less than 200 cells/mm3 and one defined clinical condition
c. enlarged lymph nodes for more than 3 months
d. one positive enzyme-linked immunosorbent assay (ELISA) test
B
Diagnosis of AIDS is made when the client's CD4 T cell count is of less than 200 cells/mm3 and there is one defined clinical condition. Flu-like symptoms appear with the acute phase of HIV. Enlarged lymph nodes for more than 3 months can be associated with opportunistic infections. The diagnosis of HIV requires two positive enzyme-linked immunosorbent assay (ELISA) tests and a confirmatory Western blot.
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When providing orientation to a group of students, the psychiatric–mental health nurse describes use of an eclectic clinical approach with newly admitted clients with a diagnosis of schizophrenia
Which of the following statements most accurately reflects the therapeutic value of an eclectic approach? 1. There is limited scientific evidence about treatment for schizophrenia, so a variety of medications and interventions must be tried over time. 2. Nurses do not need a philosophy of care to direct their practice. 3. It is difficult to determine a final plan of care for new clients with psychotic disorders. 4. Strategies from one or a combination of psychiatric theories are used to determine interventions and evaluation criteria for working with each client.
A 70-year-old client with chronic obstructive pulmonary disease (COPD) has a respiratory infection being treated with antibiotics. He is also taking oral corticosteroids to assist in decreasing the inflammation in the lungs. The client is prone to:
A) superinfection. B) respiratory distress. C) nausea and vomiting. D) purpura.
The positive psychological attributes are
a. Fixed parts of personality b. Fixed skills of leaders c. Developable behaviors d. Developable characteristics
A patient has returned to the medical-surgical unit after having a dialysis treatment. The nurse notes that the patient is also scheduled for an invasive procedure on the same day. What is the primary rationale for delaying the procedure for 4 to 6 hours?
a. The patient was heparinized during dialysis b. The patient will have cardiac dysrhythmias c. The patient will be incoherent and unable to give consent d. The patient needs routine medicine that were delayed