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 C
Explanation
A. Serum sickness is a systemic reaction and not characteristic of delayed hypersensitivity.
B. Bronchospasm is more indicative of immediate hypersensitivity reactions.
C. Tissue damage at the site occurs in delayed hypersensitivity reactions, such as those seen in contact dermatitis.
D. Excessive mucus secretion is also more typical of immediate reactions rather than delayed ones.
Correct Answer is D
Explanation
A. An increased WBC count is not expected; often, patients with AIDS have leukopenia due to immune system compromise.
B. Increased hemoglobin is not typical; anemia is more common in these patients.
C. Weight gain is unlikely; weight loss and wasting are more common in late-stage AIDS.
D. Night sweats are a classic symptom of AIDS due to opportunistic infections and other complications.
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