A nurse is completing discharge teaching with a client who has a new diagnosis of AIDS. Which of the following statements by the client indicates an understanding of the teaching?

"I will increase the amount of fresh fruits and vegetables I consume."

"I will be sure to wear gloves and wash my hands when I change my cat's litter box."

"I will need to take my clothes to the dry cleaners to sterilize them."

"I will wipe up areas soiled with body fluids with alcohol and immediately dispose of the trash."

Answer and Explanation

The Correct Answer is B

Choice A reason : While eating fresh fruits and vegetables is generally healthy, it does not specifically indicate an understanding of AIDS-related teaching. Some fruits and vegetables need to be carefully handled to avoid potential infections.

Choice B reason : Wearing gloves and washing hands after changing a cat's litter box is correct as it helps prevent the transmission of infections, such as toxoplasmosis, which can be particularly harmful to individuals with AIDS.

Choice C reason : Taking clothes to the dry cleaners for sterilization is unnecessary and does not reflect an understanding of AIDS-related precautions.

Choice D reason : Wiping up areas soiled with body fluids with alcohol and disposing of the trash is a good practice for infection control, but it is not as directly related to the client's understanding of AIDS-specific precautions as choice b.

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Correct Answer is A

Explanation

Choice A reason : Uric acid levels are expected to be increased in a client with acute gout. Gout is associated with hyperuricemia, where serum or plasma urate concentrations exceed 6.8 mg/dL. This elevation in uric acid can lead to the formation of monosodium urate crystals in joints, causing the characteristic painful inflammation of gout.

Choice B reason : Intrinsic factor is not related to gout. It is a protein produced by the stomach that is necessary for the absorption of vitamin B12.

Choice C reason : Chloride levels are typically not affected in acute gout and are not a specific indicator for this condition.

Choice D reason : Creatinine kinase is an enzyme found in the heart, brain, skeletal muscle, and other tissues. Elevated levels may indicate muscle damage but are not a specific marker for gout.

A. Administer prescribed corticosteroids. B. Slow the infusion rate and contact the provider. C. Lower the head of the bed to semi-Fowler's position. D. Change the infusion to lactated Ringer's and maintain the rate.

Correct Answer is B

Explanation

Choice A reason: Administering prescribed corticosteroids is not the appropriate action for dyspnea associated with fluid overload from IV infusion. Corticosteroids are typically used to manage inflammatory conditions and are not indicated for this scenario.

Choice B reason: Slowing the infusion rate is the correct action when signs of fluid overload are present, such as dyspnea and hypertension. This helps to prevent further fluid accumulation. Contacting the provider is essential for further evaluation and management, which may include adjusting the fluid regimen or prescribing diuretics to manage the fluid overload.

Choice C reason: Lowering the head of the bed to a semi-Fowler's position may provide temporary relief for dyspnea but does not address the underlying issue of fluid overload. It is a supportive measure but should be accompanied by other interventions to manage the client's condition.

Choice D reason: Changing the infusion to lactated Ringer's would not address the issue of fluid overload and could potentially exacerbate the situation if the rate is maintained. The type of IV fluid is less important than the volume and rate of administration in the case of fluid overload.

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A nurse is completing discharge teaching with a client who has a new diagnosis of AIDS. Which of the following statements by the client indicates an understanding of the teaching?

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Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medical record of a client who has acute gout. The nurse should expect an increase in which of the following laboratory results?

Correct Answer is A

Explanation

A nurse is caring for a client who is receiving a 0.9% sodium chloride via IV infusion. The client has become dyspneic with a blood pressure of 140/100 mm Hg, a fluid intake of 960 mL, and an output of 300 mL in the past 12 hours. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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