A client who is positive for HIV presents with confusion, fever, headache, blurred vision, nausea, and vomiting. What does the nurse do first?
a. Assess the client's deep tendon reflexes.
b. Ask the client to place his chin on his chest.
c. Start an IV line with normal saline.
d. Assess the client's pupil reaction.
B
The client's symptoms are associated with cryptococcal meningitis, so the nurse should first ask the client to place the chin on his or her chest. The presence of nuchal rigidity (pain when flexing the chin to the chest) helps confirm the diagnosis. An IV line may be started after the neurologic assessment is completed.
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A medicine ordered q6h would be given how many times a day? _____
a. 4 c. 8 b. 6 d. 12
Injectable progestins (DMPA, Depo-Provera) are a good contraceptive choice for women who
a. Want menstrual regularity and predictability b. Have a history of thrombotic problems or breast cancer c. Have difficulty remembering to take oral contraceptives daily d. Are homeless or mobile and rarely receive health care
The hospital's strategic building plan calls for the nursing unit to double in size within the next year. How can planning for this increase best be accomplished?
1. A consultant who can gather ideas from all involved while avoiding the confrontations and clashes that would occur if all parties gathered to plan together. 2. The nursing manager, who then can offer direct feedback to team members regarding their active roles in the change process. 3. A well-coordinated team to represent all involved, to ensure that all difficult aspects of the change process are considered. 4. An open forum of all staff, so that no workplace teamwork issues go unaddressed.
A decrease in the size of the liver is directly associated with a(n):
A. decrease in the rate of drug metabolism. B. increase in the rate at which the drug is distributed through the body. C. decrease in the rate of drug excretion. D. increase in the rate of drug absorption.