The nurse documents pneumonia in a client who is HIV-positive. Which of the following T-cell counts represents the level at which the first opportunistic infections may appear?
A) 150/mm3
B) 250/mm3
C) 500/mm3
D) 750/mm3
B
Feedback:
When an HIV-positive person's T-cell count falls between 200 and 400/mm3, the first opportunistic infections may appear. Initial infections of the skin and mucous membranes, such as oral thrush, shingles, and severe athlete's foot, may develop. As immunity diminishes further, more life-threatening infections are likely to occur.
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The nurse is teaching a parenting class for pregnant couples that will deliver soon. Which statement best indicates that additional information is needed?
1. "Baby girls sometimes have a little bloody mucus in their diapers as a reaction to the high estrogen level in the mother." 2. "Genitals of babies look swollen and enlarged at birth as a result of the hormones in the mother's circulation." 3. "We can call the nurse help line any time of day or night if we have questions about our baby after we get home." 4. "Car seats are installed the same way in different models of cars. Our friends can show us how to install it."
The nurse is writing the care plan for a cerebrovascular accident (CVA) patient who has partial left-sided paralysis and is experiencing ataxia. Which intervention will be beneficial for this pa-tient?
a. Encourage the patient to ambulate as much as possible when she feels the energy to do so. b. Ensure the patient receives pureed foods and thickened liquids. c. Place the patient's call light on the right side of the patient and remind her to call for assistance before getting up. d. Encourage the patient to use a communi-cation board.
A nurse is attempting to position a newborn with a myelomeningocele in the lower lumbar region. The best position for the newborn would be:
1. Prone. 2. Laying the newborn on his/her side with support provided to the myelomeningocele. 3. Supine. 4. Any position is acceptable for a neonate with a myelomeningocele.
After an older adult has had irrigation for removing impacted cerumen, which of the following interventions would be helpful for preventing a recurrence? (Select all that apply.)
A) Ceruminolytic drops as indicated B) Cotton-tipped swabs daily C) Ear candling monthly D) Home oral jet irrigator bimonthly E) Examination by the health care provider every 6 to 12 months