Nursing Elites

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. The nurse is most concerned about which of these findings in a client with systemic lupus erythematous?

• A. The client reports chronic fatigue
• B. The client has a butterfly rash
• C. Blood pressure of 126/85 mm Hg
• D. Urine output of 20 mL/hour

Correct answer: D

Rationale:

3. Why is a client with osteoporosis prone to fractures?

• A. The client has bone spurs that lead to fractures
• B. The client has increased bone density
• C. The client has porous bones
• D. The client is not prone to fractures

Correct answer: C

Rationale: The correct answer is C. Osteoporosis is characterized by porous, weak bones due to decreased bone density. This porous nature of bones in osteoporosis makes them more prone to fractures. Choice A is incorrect because bone spurs do not lead to fractures in osteoporosis; they are bony outgrowths unrelated to osteoporosis. Choice B is incorrect as osteoporosis is associated with decreased, not increased, bone density. Choice D is incorrect as individuals with osteoporosis are indeed prone to fractures due to weakened bones.

4. Which of the following nonpharmacological methods cannot be used to manage the chronic pain of a client with rheumatoid arthritis?

• A. Adequate rest
• B. Heat for 20-30 minutes
• C. Hot showers
• D. Ice for 2 hours at a time

Correct answer: D

Rationale:

5. What is the nurse's priority action for a client with compromised immunity?

• A. Wash hands before entering the client's room
• B. Take the client's vital signs every 4 hours
• C. Determine whether it is temporary or permanent
• D. Teach the family members to receive the flu shot annually

Correct answer: A

Rationale:

Similar Questions