Medsurg3

A patient gives the admitting nurse health information before scheduled intravenous pyelogram ( IVP ) . Which item requires the nurse to intervene before the procedure ?

The patient lists allergies to shellfish and penicillin .

Which medication taken by a patient with decreased renal function will be of most concern to the nurse ?

ibuprofen ( Motrin )

A patient who is diagnosed with acquired immunodeficiency syndrome ( AIDS ) tells the nurse , " I feel obsessed with morbid thoughts about dying . " Which response by the nurse is appropriate ?

" Can you tell me more about the thoughts that you are having ? "

A patient who uses injectable illegal drugs asks the nurse how to prevent acquired immunodeficiency syndrome ( AIDS ) . Which response by the nurse would be most useful in preventing human immunodeficiency virus ( HIV ) infection ?

" Consider a needle and syringe exchange program . "

Which question would the nurse ask to assess a patient's dysuria ?

" Do you have pain when you urinate ? "

Nursing The nurse teaches a patient about the transmission of pulmonary tuberculosis ( TB ) . Which statement by the patient indicates that teaching effective ?

" My spouse will sleep in another room . "

A patient who has a positive test for human immunodeficiency virus ( HIV antibodies is admitted to the hospital with Pneumocystis jiroveci pneumonia ( PCP ) and a CD4 * count of less than 200 cells / mL . Based on diagnostic criteria established by the Centers for Disease Control and Prevention ( CDC ) , which interpretation is correct ?

" The patient has developed acquired immunodeficiency syndrome ( AIDS ) . "

The nurse is advising a patient who was exposed 4 days ago to human immunodeficiency virus ( HIV ) through unprotected sexual intercourse . The patient's antigen - antibody test has just been reported as negative for HIV . Which information would the nurse give to this patient ?

" You will need to be retested in 2 weeks . "

A patient hospitalized with chronic obstructive pulmonary disease ( COPD ) is being discharged home on O₂ therapy . Which instruction would the nurse include in the discharge teaching ?

O₂ use can improve the patient's quality of life .

Eight years after seroconversion , a patient with human immunodeficiency virus infection has a CD4 * cell count of 800 / μL and an undetectable viral load . Which intervention would the nurse include in the plan of care ?

Encourage adequate nutrition , exercise , and sleep .

Which action by the nurse would support ventilation for a patient with chronic obstructive pulmonary disease ( COPD ) . ?

Encourage the patient to sit upright and lean forward .

A patient with bacterial pneumonia has coarse crackles and thick sputum . Which action would the nurse plan to promote airway clearance ?

Help the patient to splint the chest when coughing .

Which patient who has arrived at the human immunodeficiency virus ( HIV ) clinic would the nurse assess first ?

Patient who has had 10 liquid stools in the last 24 hours .

A patient is diagnosed with both human immunodeficiency virus ( HIV ) and active tuberculosis ( TB ) disease . Which information obtained by the nurse is most important to communicate to the health care provider ?

The patient is being treated with antiretrovirals for HIV infection .

Which finding by the nurse most specifically indicates that a patient is not able to effectively clear the airway ?

Weak cough effort