A nurse is implementing a plan of care for a client who has AIDS with recurring pneumonia.
Which of the following actions should the nurse take?
Obtain a sputum culture.
Position head of bed at 10 degrees.
Cough and deep breathe every 8 hr.
Encourage fluid intake of 1500 mL/day.
The Correct Answer is A
Choice A rationale:
Obtaining a sputum culture helps identify the causative organism and guide treatment.
Choice B rationale:
Positioning the head of bed at 10 degrees is not beneficial for pneumonia patients.
Choice C rationale:
Coughing and deep breathing every 8 hours is not frequent enough for pneumonia patients.
Choice D rationale:
Encouraging fluid intake of 1500 mL/day is not sufficient for pneumonia patients.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Halitosis (bad breath) is not typically associated with a decreased CD4-T-cell count.
Choice B rationale:
Gingivitis (gum inflammation) is not directly related to a decreased CD4-T-cell count.
Choice C rationale:
Candidiasis (a fungal infection) is common in individuals with AIDS due to their weakened immune system.
Choice D rationale:
Xerostomia (dry mouth) is not typically associated with a decreased CD4-T-cell count.
Correct Answer is B
Explanation
Choice A rationale:
Difficulty reading is not typically associated with right hemisphere strokes.
Choice B rationale:
Aphasia, or difficulty with language, is a common symptom of right hemisphere strokes.
Choice C rationale:
Inability to recognize family members is not typically a symptom of right hemisphere strokes.
Choice D rationale:
Right hemiparesis, or weakness on the right side of the body, is typically associated with left hemisphere strokes, not right.
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