The nurse is caring for a young woman at the primary health care clinic. Which assessment finding leads the nurse to question the client about risk factors for HIV?
a. Six vaginal yeast infections in the last 12 months
b. Unable to become pregnant for the last 2 years
c. Severe cramping and irregular periods
d. Very heavy periods and breakthrough bleeding
A
Persistent or recurrent vaginal candidiasis may be the first symptom of HIV in women. De-creased immune function allows overgrowth of this fungus. Infertility, heavy periods, and cramping are not generally indicative of HIV.
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A client has been admitted to the emergency department following a motorcycle accident and is experiencing major physiological and psychological stressors during this period
What sign or symptom may be attributable to the parasympathetic effects of stress? A) Increased muscle tone B) Increased perspiration C) Increased bronchoconstriction D) Increased heart rate
A nurse is checking on his patients. He enters the room of a patient who takes an antipsychotic agent. The patient is confused, has a sudden fever, and develops "lead-pipe" rigidity
The nurse recognizes these symptoms as which of the following? a. Tardive dyskinesia b. Acute dystonia c. Neuroleptic malignant syndrome d. Parkinsonism
A patient who is employed as a waitress in a new restaurant says, "The restaurant plays loud rock music all the time
Do you think my hearing is in danger?" What information should the nurse provide? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. "If you have to shout to ask customers for their orders, the noise level is probably toxic.". 2. "If your ears ring or buzz when you leave work, you are at risk for hearing loss.". 3. "Be alert for ear pain during or after work.". 4. "As long as your work shifts are shorter than 8 hours, you should not be in danger of hearing loss.". 5. "Most hearing loss is caused by a single very loud noise accompanied by pressure changes on the eardrum.".
To engage the older adults who frequently attend a senior citizens' center in primary disease prevention, the nurse
a. immunizes those attending a weekly lun-cheon against the H1N1 virus. b. arranges for a colorectal cancer screening at the center. c. schedules a speaker to discuss cooking for diabetic patients. d. surveys the members to identify health issues of interest to them.