Nursing Elites

1. What is the likely reason that a client with acquired immunodeficiency syndrome (AIDS) would succumb to pneumonia while a healthy person exposed to the same infection did not?

• A. The client with AIDS is a susceptible host
• B. The client with AIDS has greater immune defenses
• C. The client with AIDS was not as careful
• D. The client with AIDS has more portals of entry

Correct answer: A

Rationale:

2. A nurse is teaching a newly hired group of unlicensed assistive personnel about infection-control measures on the unit. What is the most effective way to prevent the spread of pathogens during client care?

• A. Properly dispose of contaminated equipment
• B. Perform hand hygiene
• C. Discard used syringes into appropriate containers
• D. Change soiled linens

Correct answer: B

Rationale:

3. The client with systemic sclerosis (Scleroderma) is experiencing Raynaud's phenomenon. What assessment finding does the nurse anticipate?

• A. Excessive heartburn
• B. Cyanosis of the lips
• C. Excess wrinkled skin
• D. Cold and purple nailbeds

Correct answer: D

Rationale:

4. What can the nurse NOT teach a client with acquired immunodeficiency syndrome (AIDS) to reduce the risk of infection?

• A. Share toothpaste with family members
• B. Avoid raw fruits and vegetables
• C. Avoid cleaning your toothbrush with bleach
• D. Wash your hands thoroughly

Correct answer: A

Rationale:

5. A client has a new arm cast. What is incorrect teaching by the nurse?

• A. Use a sling to alleviate fatigue
• B. Elevate the arm above the heart to reduce swelling
• C. Report ‘hot spots’ felt under the cast
• D. Sudden increase in drainage is expected

Correct answer: D

Rationale: Sudden increase in drainage is not expected and should be reported as it may indicate an infection or other complication.

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