most adults with human immunodeficiency virus will exhibit which of the following laboratory values

ATI RN

Multi Dimensional Care | Exam | Rasmusson

1. Most adults with human immunodeficiency virus will exhibit which of the following laboratory values?

A. Higher than normal number of CD4+ T-cells and CD8+ T-cells are normal
B. Lower than normal number of CD4+ T-cells and higher than normal CD8+ T-cells
C. Higher than normal number of CD4+ T-cells and CD8+ T-cells are low
D. Lower than normal number of CD4+ T-cells and CD8+ T-cells are normal

Correct answer: D

Rationale:

2. The nurse is caring for a client with rheumatoid arthritis one day after shoulder surgery. What would prompt the nurse to call the provider immediately?

A. The client refused her pain medication this morning and is doing physical therapy.
B. The client reports a minor headache and states she takes an over-the-counter pain pill at home.
C. The client reports intermittent flatus and minor abdominal discomfort.
D. The client has paresthesia in her fingers and intense increasing pain in her shoulder.

Correct answer: D

Rationale: In a client with rheumatoid arthritis one day after shoulder surgery, paresthesia in the fingers and intense increasing pain in the shoulder could indicate nerve compression or damage, which are serious post-operative complications. This situation requires immediate attention from the provider to prevent further complications and ensure appropriate management. The other options, such as refusing pain medication, reporting a minor headache, or experiencing minor abdominal discomfort, are important but not as urgent or indicative of potential serious complications as paresthesia in the fingers and intense increasing pain in the shoulder.

3. Which assessment is NOT a nonverbal sing of pain?

A. Decreased attention span
B. Grimacing
C. Increase in heart rate
D. Reported pain of 5/10

Correct answer: D

Rationale:

4. What statement by the client with plantar fasciitis indicates a need for further teaching?

A. I will use warm packs on my feet.
B. I will use nonsteroidal anti-inflammatory drugs (NSAIDS) for comfort.
C. I will rest and stretch my feet.
D. I will wear supportive shoes.

Correct answer: A

Rationale: The correct answer is A. Using warm packs can exacerbate inflammation in plantar fasciitis. Choices B, C, and D are all appropriate interventions for managing plantar fasciitis. Nonsteroidal anti-inflammatory drugs (NSAIDs) can help reduce pain and inflammation. Resting and stretching the feet can promote healing and reduce symptoms. Wearing supportive shoes can provide stability and reduce strain on the plantar fascia. Therefore, the client's statement about using warm packs indicates a need for further teaching as it can worsen the condition.