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.
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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Related Questions
Correct Answer is D
Explanation
A. Administering an IM injection does not typically require a gown.
B. Administering an intermittent IV bolus medication also does not usually require gowning.
C. Talking to the client at the bedside does not pose a risk requiring gowning.
D. Completing a dressing change involves exposure to potentially infectious materials, necessitating the use of a gown.
Correct Answer is C
Explanation
A. Hirsutism is more commonly associated with Cushing's syndrome, not Addison's disease.
B. Purple striations are indicative of Cushing's syndrome due to skin changes from increased cortisol.
C. Hyperpigmentation is a classic sign of Addison's disease due to increased ACTH levels.
D. Intention tremors are not specifically linked to Addison's disease.
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