20208 NCLEX MOD 3

The nurse is counseling an HIV positive woman on precautions to be followed. Which statement by the client indicates the need for further counseling?

"I will go for pelvic examination every 12 months."

A client is diagnosed with parathyroid dysfunction. Which serum calcium concentration in the client would support the diagnosis?

7.8 mg/dL

What is the priority nursing intervention for a client with stroke who is transitioned from ED to other settings

Assessing the level of consciousness

The nurse should monitor for which client complication of hyperparathyroidism?

Bone pain

The nurse is reviewing the laboratory reports of four clients. Which client is in the third stage of human immune virus (HIV) disease?

Client A

While caring for a client who sustained a severe head injury in a motor vehicle accident, the nurse observes that the client is constantly passing urine and is dehydrated. What does the nurse suspect as the cause for the client's condition?

Decreased secretion of antidiuretic hormone

A nurse is caring for a client with hypothyroidism. Which clinical manifestations should the nurse anticipate when assessing this client? Select all that apply.

Dry skin Brittle hair

A client is diagnosed with hyperthyroidism and is treated with 131I. Before discharge the nurse teaches the client to observe for signs and symptoms of therapy-induced hypothyroidism. Which signs and symptoms should be included in the teaching? Select all that apply.

Fatigue Dry skin Progressive weight gain

The nurse is planning discharge instructions for a client who had a thyroidectomy. What signs/symptoms will the client exhibit with surgically induced hypothyroidism? Select all that apply.

Fatigue Dry skin

A client has a history of a persistent cough, hemoptysis, unexplained weight loss, fatigue, night sweats, and fever. Which risk should be assessed?

Human immunodeficiency virus (HIV) infection

A nurse is caring for a client with Cushing syndrome. Which cardiovascular complication should the nurse assess for in this client?

Hypertension

What does the nurse explain to a client that a positive diagnosis for human immunodeficiency virus (HIV) infection is based on?

Positive enzyme-linked immunosorbent assay (ELISA) and Western blot tests

A client's laboratory report reveals a CD4+ T-cell count of 520 cells/mm 3. According to the Centers for Disease Control and Prevention (CDC), which stage of human immunodeficiency virus (HIV) disease is present in the client?

Stage 1

A nurse is caring for a client who had a thyroidectomy. Which client response should the nurse assess when concerned about an accidental removal of the parathyroid glands during surgery?

Tetany

A client who has had a subtotal thyroidectomy does not understand how hypothyroidism can develop when the problem was initially hyperthyroidism. On what fact should the nurse base her response?

There may not be enough thyroid tissue to supply adequate thyroid hormone.

A client has been taking levothyroxine for hypothyroidism for 3 months. The nurse suspects that a decrease in dosage is needed when the client exhibits which clinical manifestations? Select all that apply.

Tremors Heat intolerance

A nurse is caring for a client with a diagnosis of Cushing syndrome. Which clinical manifestations does the nurse expect to identify? Select all that apply.

Truncal obesity Sleep disturbance Thin arms and legs

Which statement indicates that a client understands the ways HIV is transmitted? Select all that apply.

"I can contract HIV by participating in oral sex." "HIV is contracted by using contaminated needles." "Babies can contract HIV because of contact with maternal blood during birth."

A 50-year-old male client has difficulty communicating because of expressive aphasia after a cerebrovascular accident (CVA, also known as a "brain attack"). When the nurse asks the client how he is feeling, his wife answers for him. How should the nurse address this behavior?

Acknowledge the wife but look at the client for a response.

A nurse is making a home visit to a young client manifesting chronic symptoms of acquired immune deficiency syndrome (AIDS). The nurse assesses the client for what signs of altered mental health function associated with AIDS? Select all that apply.

Delusions Memory loss Hopelessness Paranoid thinking

A nurse is caring for a client after a thyroidectomy. Which symptoms indicating thyroid storm should the nurse monitor the client for? Select all that apply.

Increased heart rate Increased temperature

What are the functions of antidiuretic hormone (ADH)? Select all that apply.

Increasing arteriole constriction Increasing tubular permeability to water

Which statement regarding calcitonin is correct?

Its actions are opposite to that of parathyroid hormone.

A nurse is caring for a client whose laboratory values indicate the presence of hyponatremia. Which factors does the nurse determine were the most likely cause of the hyponatremia? Select all that apply.

Profuse diaphoresis Rapid intravenous (IV) infusion of 5% dextrose in water

What determines if a client will develop AIDS from an HIV infection?

The number of CD4+ T-cells available