which of the following statements by a client with human immunodeficiency virus hiv does not requires further teaching
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Nursing Elites

ATI RN

Multi Dimensional Care | Exam | Rasmusson

1. Which of the following statements by a client with human immunodeficiency virus (HIV) does NOT requires further teaching?

Correct answer: ‘I need to ensure that I place my needles in a proper needle disposal container.’

Rationale:

2. A nurse is planning care for a client with thrombocytopenia. Which action should the nurse include?

Correct answer: C

Rationale: The correct action the nurse should include for a client with thrombocytopenia is to provide a stool softener. Thrombocytopenia is a condition characterized by a low platelet count, which can lead to an increased risk of bleeding. Providing a stool softener helps prevent constipation, straining, and subsequent bleeding, which is crucial for clients with thrombocytopenia. Encouraging the client to floss daily (Choice A) is important for oral hygiene but not directly related to thrombocytopenia. Removing fresh flowers from the client's room (Choice B) is more related to infection control than managing thrombocytopenia. Avoiding serving raw vegetables (Choice D) is important for clients with compromised immune systems to reduce the risk of foodborne illnesses but is not directly related to thrombocytopenia management.

3. When injecting subcutaneous injection in an obese patient, It should be angled at around:

Correct answer: B

Rationale: Nursing interventions should be grounded in a deep understanding of the physiological processes involved, ensuring that care provided is both effective and efficient.

4. Dr. Wu observes children’s responses to bullying by watching them play in a park. This is an example of a(n) __________.

Correct answer: B

Rationale: Dr. Wu's observation of children's responses to bullying by watching them play in a park is an example of naturalistic observation. Naturalistic observation involves observing behavior in a natural setting without any manipulation or intervention. Dr. Wu is simply observing the children's behavior in a real-world setting to gain insights into how they respond to bullying, making it a naturalistic observation.

5. A nurse is assessing a client who has just returned from surgery and is experiencing acute pain. Which of the following findings should the nurse expect?

Correct answer: C

Rationale: The correct answer is C: Diaphoresis. Diaphoresis, which is excessive sweating, is a common response to acute pain due to increased sympathetic nervous system activity. Options A and B, Bradycardia and Hypotension, are unlikely findings in a client experiencing acute pain as pain usually triggers an increase in heart rate (tachycardia) and blood pressure. Option D, Hyperactive bowel sounds, is not typically associated with acute pain.

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