A thirty-seven-year-old female in room 307 has a diagnosis of acquired immune deficiency syndrome (AIDS). Which of the following situations requires nurse intervention?
Answer(s): C
Patient confidentiality should be observed, especially in public places.The nurse should tell the nursing student do not discuss confidential information in public.
A nurse working in a pediatric clinic observes bruises on the body of a four-year-old boy. The parents report the boy fell riding his bike. The bruises are located on his posterior chest wall and gluteal region.The nurse should ______________.
The patient’s safety should have the highest priority.
A central venous pressure reading of 11 cmH2O of an IV of normal saline is determined by the nurse caring for the patient. The patient has a diagnosis of pericarditis.Which of the following is the most applicable?
>10 cmH2O may indicate a condition of pericarditis
A nurse doing a home health visit consults with a male patient that has a diagnosis of CAD and COPD. The patient is currently taking Ventolin, Azmacort, Aspirin, and Theophylline. The patient complains of upset stomach, nausea and feeling uncomfortable.The nurse should ______________.
Answer(s): A
Consult the physician immediately, due to the fact that theophylline toxicity may be occurring.
A nurse is assessing a patient’s right lower extremity. The extremity is warm to touch, red and swollen. The patient is also running a low fever.Which of the following conditions would be the most likely cause of the patient’s condition?
Answer(s): D
Inflammation of cellular tissue associated with a fever most likely indicates cellulitis.
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