Nursing Elites

1. The client is at risk for impaired skin integrity related to the need for several weeks of bedrest. The nurse evaluates the client after 1 week and finds skin integrity is not impaired. In evaluating the plan of care, what is the nurse's best action?

• A. Remove the nursing diagnosis in the plan of care since it has not occurred
• B. Change the nursing diagnosis in plan of care to impaired mobility
• C. Modify the nursing diagnosis in plan of care to impaired skin integrity
• D. Keep the nursing diagnosis in the plan of care the same since the risk factors are still present

Correct answer: D

Rationale:

2. What is the priority nursing diagnosis for a client with immobility?

• A. Constipation related to immobility
• B. Ineffective breathing pattern related to inability to breathe deeply in a supine position
• C. Risk for impaired skin integrity as evidenced by pressure over bony prominences
• D. Risk for disuse syndrome as evidenced by immobility

Correct answer: C

Rationale: The correct priority nursing diagnosis for a client with immobility is 'Risk for impaired skin integrity as evidenced by pressure over bony prominences.' Immobility predisposes the client to the development of pressure ulcers due to prolonged pressure on bony areas. Monitoring and preventing impaired skin integrity is crucial to prevent complications. Choices A, B, and D are not the priority in this case. Constipation, ineffective breathing pattern, and disuse syndrome are important but secondary to the immediate risk of skin breakdown associated with immobility.

3. 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.

4. What statement by the client indicates a correct understanding of the timing of progression of human immunodefiency virus (HIV) to acquired immunodeficiency syndrome?

• A. "Sexually transmitted infections will not make AIDS develop faster"?
• B. "My diet does not influence the progression of HIV to AIDS"?
• C. "If I practice medication, I may develop AIDS faster."?
• D. "IF I am re-exposed to HIV, the progression to AIDS may be faster,"?

Correct answer: D

Rationale:

5. 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:

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