A nurse is contributing to the plan of care for a client who has HIV.

Which of the following interventions should the nurse plan to include?

Encourage fluids with meals.

Offer small, frequent meals.

Suggest fresh fruits and vegetables.

Provide a diet of pureed foods.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Encouraging fluids with meals is not the best choice for a client who has HIV. While hydration is important, drinking fluids with meals can fill the stomach and decrease the client’s appetite, potentially leading to inadequate nutrient intake.

Choice B rationale

Offering small, frequent meals is a recommended intervention for a client who has HIV. This approach can help to maximize nutrient intake and manage symptoms such as nausea and early satiety. This is the correct choice.

Choice C rationale

While fresh fruits and vegetables are generally part of a healthy diet, they may not be appropriate for all clients with HIV. Some individuals may have difficulty digesting these foods, and others may be at risk of infection from uncooked produce.

Choice D rationale

Providing a diet of pureed foods is not a standard intervention for clients with HIV. This approach may be necessary for individuals with certain conditions or symptoms, but it is not applicable to all clients with HIV23.

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Correct Answer is A

Explanation

Choice A rationale

Oxybutynin works by relaxing the muscles in the bladder. This helps decrease muscle spasms and improve the ability to control urination, thereby reducing the frequency of urination.

Therefore, this choice is correct.

Choice B rationale

Oxybutynin does not block the nervous system impulse to produce urine. It works primarily by relaxing the bladder muscles. Therefore, this choice is incorrect.

Choice C rationale

Oxybutynin does not reduce the rate at which the kidneys filter waste. Its primary action is on the bladder muscles. Therefore, this choice is incorrect.

Choice D rationale

Oxybutynin does not decrease the sensitivity of the urethral sphincter. Its main effect is to relax the bladder muscles. Therefore, this choice is incorrect.

A. Prick the central tip of the patient’s finger. B. Apply the first drop of blood to the test strip. C. Hold the patient’s finger in a dependent position. D. Clean the patient’s finger with hexachlorophene.

Correct Answer is C

Explanation

A. Prick the central tip of the patient’s finger: The central tip of the finger has more nerve endings, making it more painful.Instead, the side of the fingertip should be used because it has fewer nerve endings and promotes better blood flow.

B. Apply the first drop of blood to the test strip: The first drop of blood may contain interstitial fluid or contaminants (e.g., alcohol residue), leading to inaccurate readings.Instead, the first drop should be wiped away, and the second drop should be used for testing.

C. Hold the patient’s finger in a dependent position:Holding the finger in a dependent position (below heart level) helps increase blood flow to the fingertip, making it easier to obtain an adequate blood sample without excessive squeezing, which could dilute the sample with tissue fluid.

D. Clean the patient’s finger with hexachlorophene: Hexachlorophene is not recommended for skin antisepsis before blood glucose testing.Instead, alcohol wipes or soap and water should be used. The finger should be fully dried before pricking to avoid dilution of the blood sample.

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A nurse is contributing to the plan of care for a client who has HIV. Which of the following interventions should the nurse plan to include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a provider’s office is talking with a patient who takes oxybutynin. The patient asks why he does not urinate as often.Which of the following information should the nurse include about the action of oxybutynin?

Correct Answer is A

Explanation

A nurse is preparing to measure a post-meal blood glucose level in a patient with diabetes mellitus. What steps should the nurse take?

Correct Answer is C

Explanation

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A nurse is providing education to a patient who is scheduled to have a colonoscopy. Which of the following information should the nurse include in the teaching?

A nurse is contributing to the plan of care for a client who has HIV. Which of the following interventions should the nurse plan to include?

Exhibits The nurse is reviewing the client’s findings. The client is at the highest risk for developing dropdown due to dropdown/p>

A nurse is providing discharge instructions to a patient about self-administration of regular insulin. Which of the following instructions should be included by the nurse?

A nurse is contributing to the plan of care for a client who has HIV.

Which of the following interventions should the nurse plan to include?