A nurse is setting goals for a client who has AIDS and is at the end of life. Which of the following are realistic goals?

The client will receive medication to minimize episodes of breakthrough pain.

The client will verbalize an understanding of the mode of disease transmission.

The client will increase attendance at community social activities.

The client will experience a weight gain of one to two pounds per week.

Answer and Explanation

The Correct Answer is A

A.   Receiving medication to minimize episodes of breakthrough pain is a realistic and important goal for comfort.
B.   Verbalizing an understanding of disease transmission may not be feasible at this stage.
C.   Increasing attendance at community activities may not be practical for a client nearing end of life.
D.   Experiencing weight gain may not be realistic given the client's condition.

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Correct Answer is A

Explanation

A. Weakness is a hallmark symptom of myasthenia gravis, resulting from the impaired transmission of nerve impulses to muscles. Monitoring for weakness is crucial to assess the progression of the disease.
B. Confusion is not typically a direct manifestation of myasthenia gravis; it may occur due to other factors but is not a primary concern.
C. Increased intracranial pressure is not associated with myasthenia gravis. The condition primarily affects muscle strength.
D. Increased urinary output is not relevant to myasthenia gravis and does not indicate a manifestation of the disease.

A. Administer warfarin. B. Administer furosemide. C. Measure the client's abdominal girth. D. Encourage weight lifting during physical therapy. E. Implement a low-sodium diet.

Correct Answer is ["B","C","E"]

Explanation

A. Administering warfarin is contraindicated due to liver impairment affecting coagulation.
B. Administering furosemide helps manage fluid retention in cirrhosis.
C. Measuring abdominal girth is important to assess for ascites and fluid retention.
D. Encouraging weight lifting is not appropriate due to the risk of increased abdominal pressure.
E. Implementing a low-sodium diet is important to manage fluid retention.

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A nurse is setting goals for a client who has AIDS and is at the end of life. Which of the following are realistic goals?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a new diagnosis of myasthenia gravis. For which of the following manifestations should the nurse monitor?

Correct Answer is A

Explanation

A nurse is planning care for a client who has cirrhosis of the liver. Which of the following actions should the nurse include in the plan? (Select all that apply.)

Correct Answer is ["B","C","E"]

Explanation

A nurse is assessing clients in a health clinic for risk factors for contracting hepatitis. Which of the following clients is at risk for developing hepatitis C?

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