Exhibits
What order(s) should the nurse anticipate being prescribed after an update is reported to the healthcare providers?
Select all that apply.
Administer antiemetic
Monitor for adverse reaction to antibiotics
Increase IV fluids to 150 mL/hr
Initiate airborne isolation
Repeat CD4+ T-cell count STAT
Correct Answer : A,B,C
A. The client is noted to have emesis which contributes to total fluid loss predisposing the client to acute kidney injury. Antiemetics are important to reduce emesis.
B. Clients with PCP are typically treated with antibiotics, such as trimethoprim-sulfamethoxazole (TMP-SMX), as first-line therapy. Monitoring for adverse reactions to antibiotics, such as hypersensitivity reactions or renal toxicity, is essential for safe medication administration.
Increasing fluid intake prevents and manages acute kidney injury in the client.
C. Increasing intravenous hydration ensures the lost fluid is replaced to prevent acute renal injury that may occur due to hypoperfusion.
D. Pneumocystis pneumonia is caused by the fungus Pneumocystis jirovecii (formerly known as Pneumocystis carinii), and its transmission occurs through the inhalation of airborne fungal spores. However, it is not typically spread from person to person like airborne viral or bacterial infections.
E. Repeating CD4 count is not necessary as it is unlikely to alter the management of the client at this point. This should be after 2-3 weeks.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","G"]
Explanation
A. Shrimpisknown to be high in purines and is generally not recommended for a gout-friendly diet
B. Sardines are high in purines, which can increase uric acid levels in the body and contribute to gout flare-ups. Foods high in purines should generally be limited in the diet of someone with gout.
G. Liver is very high in purines and can significantly elevate uric acid levels. Consumption of liver and other organ meats should be minimized or avoided by individuals with gout to help prevent gout attacks.
Other foods are low in purine and hence not contraindicated in clients with gouty arthritis.
Correct Answer is C
Explanation
C. Cushing's syndrome often leads to central (truncal) obesity, characterized by fat accumulation around the abdomen and face, while the extremities may appear relatively thin due to muscle wasting. This distribution of fat and muscle wasting contributes to the characteristic "moon face" appearance seen in individuals with Cushing's syndrome.
A. Visible swelling of the neck with no pain is not typically associated with Cushing's syndrome. Swelling of the neck may be indicative of other conditions such as goiter or thyroid nodules.
B. Warm, soft, moist, salmon-colored skin is not typically associated with Cushing's syndrome. Instead, individuals with Cushing's syndrome may exhibit thin, fragile, and easily bruised skin due to the effects of cortisol on collagen synthesis and skin integrity.
D. Husky voice and hoarseness are not typically associated with Cushing's syndrome. These symptoms may be indicative of vocal cord dysfunction or other conditions affecting the larynx or vocal cords.
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