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 nurse is caring for a client who has acute osteomyelitis. Which of the following interventions is the nurse's priority?

A. Administer antibiotics to the client
B. Increase the client's protein intake
C. Teach relaxation breathing to reduce the client's pain
D. Provide the client with anti-pyretic therapy

Correct answer: A

Rationale:

3. The goal for a client with impaired mobility is to prevent atelectasis. What nursing intervention would best help the client meet this goal?

A. Assist the client to orthopneic position
B. Offer a protein-rich diet
C. Offer the client a bedpan for toileting
D. Turn the client every 4 hours

Correct answer: A

Rationale: Assisting the client to the orthopneic position is the best nursing intervention to help prevent atelectasis. This position improves lung expansion by allowing the chest to expand fully, aiding in the prevention of atelectasis. Offering a protein-rich diet (choice B) is important for overall nutrition but does not directly address preventing atelectasis. Offering a bedpan for toileting (choice C) and turning the client every 4 hours (choice D) are important for preventing pressure ulcers in immobile clients but do not directly prevent atelectasis.