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. A goal for a client with impaired mobility is to prevent skin breakdown. What nursing intervention would best help the client meet this goal?

A. Assist the client to orthopneic position
B. Offer the client a bedpan for toileting
C. Offer a protein-rich diet
D. Turn the client every 2 hours

Correct answer: D

Rationale:

3. What should be done immediately after an ankle injury?

A. Immobilize, heat, compress, and elevate the ankle
B. Rest, ice, compress, and lower the ankle
C. Rest, ice, compress, and elevate the ankle
D. Rest, incubate, confine, and lower the ankle

Correct answer: C

Rationale: The correct answer is C: Rest, ice, compress, and elevate the ankle. After an ankle injury, it is essential to follow the RICE method (Rest, Ice, Compression, Elevation) for immediate treatment. Resting the injured ankle helps prevent further damage, applying ice reduces swelling and pain, compression with a bandage provides support and helps control swelling, and elevating the ankle above heart level reduces swelling by allowing fluid to drain away from the injury site. Choices A, B, and D are incorrect because heating, incubating, or confining the ankle can worsen the injury by increasing swelling and inflammation instead of reducing them.