a client with acquired immunodeficiency syndrome aids has pneumocystis carinii pcp what is the nurses priority assessment for this client

ATI RN

Multi Dimensional Care | Exam | Rasmusson

1. A client with acquired immunodeficiency syndrome (AIDS) has pneumocystis carinii (PCP). What is the nurse's priority assessment for this client?

A. Skin turgor
B. Lung sounds
C. Radial pulses
D. Capillary refill

Correct answer: B

Rationale:

2. How many mg is 5000 mcg? (Type answer as numeric only)

A. 5
B. 6
C. 4
D. 3

Correct answer: A

Rationale: 5000 mcg is equal to 5 mg.

3. The medical record for a client states that the client has hemiplegia. What does this mean?

A. The client can use his right arm, left leg, and left arm.
B. The client has paralysis of all four extremities.
C. The client has decreased vision in one eye.
D. The client has paralysis on one side of the body.

Correct answer: D

Rationale: Hemiplegia refers to paralysis on one side of the body, affecting either the right or left side. Choice A is incorrect because it describes selective paralysis of specific limbs, not one side of the body. Choice B is incorrect as hemiplegia does not involve paralysis of all four extremities. Choice C is also incorrect as decreased vision in one eye is not indicative of hemiplegia.

4. A nurse is caring for an intubated and sedated geriatric client. What intervention is most appropriate for reducing the risk for a friction and shear injury?

A. Use a mechanical lift to reposition the client every 2 hours
B. Elevate the client's head of the bed to 45 degrees
C. Postpone daily bed bath
D. Caregiver independently slides the client up in the bed

Correct answer: A

Rationale:

5. What is one of the earliest signs of fat embolism syndrome?

A. Paresthesia
B. Severe pain in the affected limb unrelieved by medication
C. Edema
D. Hypoxemia

Correct answer: D

Rationale: Hypoxemia is one of the earliest signs of fat embolism syndrome. In fat embolism syndrome, fat globules enter the bloodstream and can obstruct blood flow in the lungs, leading to hypoxemia. Paresthesia, severe pain unrelieved by medication, and edema are not typically among the earliest signs of fat embolism syndrome.