evolve

Which reason should the nurse request that the healthcare provider increase the intravenous fluid infusion for an older client with an infection? Pruritus Erythema Acute confusion General malaise

Acute confusion

A client undergoes liver transplant surgery and is later discharged. During a follow-up visit, the laboratory reports reveal a decrease in hemoglobin and thrombocytes. Which drug may be the cause of the client's condition? Tacrolimus Basiliximab Daclizumab Azathioprine

Azathioprine

Which medication will the nurse administer that prevents cellular infection with human immunodeficiency virus (HIV)? Maraviroc Nelfinavir Delavirdine Emtricitabine

Maraviroc

A nurse is developing a health teaching plan for clients with pacemakers. Which activity should the nurse teach these clients to avoid? Having a computed tomography (CT) scan Standing near a microwave Swimming in saltwater Touring a power plant

Touring a power plant

What should the nurse expect to assess in a client with a type IV delayed hypersensitivity reaction? Select all that apply. Edema Bruising Ischemia Induration Tissue damage

Edema Ischemia Induration Tissue damage

A nurse is preparing a teaching plan for a client with syphilis. In which stage is syphilis not considered contagious? Tertiary stage Primary stage Secondary stage Incubation stage

Tertiary stage

A client reports nasal discharge, sneezing, lacrimation, and itching all over the body. During an assessment, the client reports that he or she was exposed to dust and molds. The nurse observes swelling and a pink color at the itching site. Which class of drugs is best used to treat this condition in the client? Antihistamines Antipruritic drugs Mast cell-stabilizing drugs Leukotriene receptor antagonists

Antihistamines

A client is admitted to the emergency department with joint pain and swelling. Upon assessment the nurse suspects rheumatoid arthritis. Which findings support the nurse's conclusion? Select all that apply. Obesity Antinuclear antibodies Inflammatory disease pattern Disease in the bilateral symmetric joints Disease in the distal intrapharyngeal joints Disease in the weight-bearing joints and hands

Antinuclear antibodies Inflammatory disease pattern Disease in the bilateral symmetric joints

How does the human body conserve heat? Select all that apply. By decreasing muscle activity in the body Through peripheral vasodilation in the body Through peripheral vasoconstriction in body By shunting blood to superficial body tissues By shunting blood away from the skin surface

By decreasing muscle activity in the body Through peripheral vasoconstriction in body By shunting blood away from the skin surface

Which anatomic changes result in thermodysregulation in elderly people? Select all that apply. Increased metabolic rate Increased shivering response Decreased circulation of blood Decreased number of sweat glands Decreased vasoconstrictive response

Decreased circulation of blood Decreased number of sweat glands Decreased vasoconstrictive response

The nurse is caring for a client with tuberculosis. Which suggestions from the nurse will be beneficial for the client? Select all that apply. "Take the daily dose during daytime." "Avoid exposure to any inhalation irritants." "Eat foods that are rich in protein, vitamins C and B." "Cover the mouth and nose with a tissue when coughing or sneezing." "Avoid sputum specimens for 2 to 4 weeks once drug therapy is initiated."

"Avoid exposure to any inhalation irritants." "Eat foods that are rich in protein, vitamins C and B." "Cover the mouth and nose with a tissue when coughing or sneezing."

A nurse is preparing medications. Which client's health problem motivates the nurse to question a prescription for a beta blocker? Coronary artery disease Essential hypertension Acute heart failure Sinus tachycardia

Acute heart failure

A client diagnosed with syphilis reports malaise, fever, sore throat, headaches, fatigue, arthralgia, and headache. Which other symptoms are likely to be present at this stage? Select all that apply. Ataxia Alopecia Weight loss Gummas on the skin Mucous patches in the mouth

Alopecia Weight loss Mucous patches in the mouth

A client's laboratory report shows the presence of bone marrow suppression, reflected by a decreased number of thrombocytes. After reviewing the client's medical history, the practical nurse finds that the client has been undergoing therapy with an antiproliferative immunosuppressant drug. Which medication may have caused the client's condition? Citalopram Daclizumab Methyldopa Azathioprine

Azathioprine

Which information indicates the nurse has a good understanding about the mechanism of action for maraviroc? Inhibits the insertion of viral DNA into the host cell's human DNA Prevents protease enzyme from cutting human immunodeficiency virus (HIV) into the proper length Blocks the C-C chemokine receptor type 5 (CCR5) receptor on CD4+ T cells Binds directly to the HIV-1 enzyme reverse transcriptase

Blocks the C-C chemokine receptor type 5 (CCR5) receptor on CD4+ T cells

A client who had abdominal surgery 24 hours ago reports pain in the left calf. Assessment reveals redness and swelling at the site of discomfort. What should the nurse do first? Elevate both legs. Keep both legs dependent. Administer the prescribed analgesic. Administer the prescribed antipyretic.

Elevate both legs.

A client is diagnosed with a human immune deficiency-2 (HIV-2) infection and is on rilpivirine therapy. What drug does the nurse anticipate that the primary healthcare provider will prescribe to the client? Etravirine Efavirenz Delavirdine Emtricitabine

Emtricitabine

The nursing staff has a team conference on acquired immunodeficiency syndrome (AIDS) and discusses the routes of transmission and risk of exposure to human immunodeficiency virus (HIV). Which action poses no risk of exposure to HIV to an uninfected individual? Has intercourse with just the spouse Makes a donation of a pint of whole blood Uses a condom each time there is sexual intercourse Limits sexual contact to those without HIV antibodies

Makes a donation of a pint of whole blood

What is the most essential nursing care for a client who just had a cardiac catheterization? Maintain the semi-Fowler position. Monitor the apical pulse and blood pressure. Take the temperature hourly until it stabilizes. Encourage frequent coughing and deep breathing.

Monitor the apical pulse and blood pressure.

A client had a ventricular demand pacemaker inserted. What is the priority nursing intervention immediately after the procedure? Encourage fluids. Assess the implant site. Monitor the heart rate and rhythm. Encourage turning and deep breathing.

Monitor the heart rate and rhythm.

Which nursing actions should be effective for a client with rheumatoid arthritis who is receiving anakinra therapy? Select all that apply. Monitoring the injection site Monitoring the blood pressure Teaching the client to report chest pain Monitoring the while blood cell (WBC) count Teaching the client to report difficulty in breathing

Monitoring the injection site Monitoring the while blood cell (WBC) count Teaching the client to report difficulty in breathing

What should an older client be instructed to do to ensure antibody-mediated immunity? Select all that apply. Obtain a shingles vaccination Receive a tetanus booster injection Obtain the pneumococcal vaccination Receive annual testing for tuberculosis Receive an annual influenza vaccination

Obtain a shingles vaccination Receive a tetanus booster injection Obtain the pneumococcal vaccination Receive an annual influenza vaccination

A nurse identifies that a client may be dehydrated. Which clinical manifestations would the client exhibit? Select all that apply. Oliguria Dyspnea Hypotension Pulmonary crackles Tenting tissue turgor

Oliguria Hypotension Tenting tissue turgor

A client reports dry mouth, difficulty swallowing, vomiting, and blurred vision. During an assessment, the client reveals that he or she usually eats contaminated food. The nurse observes that the client has drooping eyelids. The client's laboratory reports indicate the presence of an infection. Which findings are expected in the client in the later stage of the disease indicated by these symptoms? Select all that apply. Paralysis Vesicular lesions Bronchopneumonia Painful lymphadenopathy Bilateral cranial nerve impairment

Paralysis Bilateral cranial nerve impairment

A nurse is teaching a client about the use of antiembolism stockings. What instruction should the nurse include? Keep the stockings on 2 hours and off 2 hours. Wear the stockings only at bedtime when activity decreases. Put the stockings on before rising in the morning. Leave the stockings in place until the primary healthcare provider advises otherwise.

Put the stockings on before rising in the morning.

After a long history of recurrent thrombophlebitis with extensive varicose veins of the lower extremities, surgical intervention is suggested to the client. When asked about the procedure, what should the nurse explain that this surgery involves? Removing the dilated superficial veins Bypassing the varicosities with artificial veins Stripping the cholesterol deposits from the veins Creating fistulas between superficial and deep veins

Removing the dilated superficial veins

A client with liver dysfunction reports bleeding gums. In addition, the nurse observes small facial hemorrhagic lesions. What should the nurse conclude that the client needs? Vitamin C Folic acid Vitamin A Vitamin K

Vitamin K

What should be included in an organization's policy for hand hygiene? Select all that apply. Wash hands before applying sterile gloves Wash hands before touching a client's personal items Wash with either soap and water or alcohol-based hand rub (ABHR) before client contact Wash with soap and water when hands visibly soiled with blood Wash with alcohol-based hand rub (ABHR) if hands are not visibly soiled

Wash hands before applying sterile gloves Wash with either soap and water or alcohol-based hand rub (ABHR) before client contact Wash with soap and water when hands visibly soiled with blood Wash with alcohol-based hand rub (ABHR) if hands are not visibly soiled