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Question 1 of 5

A client with AIDS has a viral load of 200 copies per mL. The nurse should interpret this finding as:

Correct Answer: C

Rationale: A viral load of 200 copies per mL is very low indicating effective antiretroviral therapy and minimal circulating virus. It does not directly assess opportunistic disease risk communicability or T-cell count.

Question 2 of 5

The nurse is caring for a client with a colostomy. Which finding requires immediate intervention?

Correct Answer: D

Rationale: A significantly protruding stoma may indicate prolapse, a complication requiring immediate intervention to prevent ischemia or obstruction. Pink stoma, cramping, and liquid stool are normal or less urgent.

Question 3 of 5

A post-operative client has an order for Demerol (meperidine) 75 mg and Phenergan (promethazine) 25 mg IM every 3-4 hours as needed for pain. The combination of the two medications produces a/an:

Correct Answer: B

Rationale: Meperidine (opioid) and promethazine (antihistamine) together produce a synergistic effect, enhancing pain relief and sedation. Promethazine potentiates meperidine’s effects.

Question 4 of 5

A client with a history of peptic ulcer disease is admitted with complaints of hematemesis. The nurse should give priority to:

Correct Answer: B

Rationale: Hematemesis indicates possible gastrointestinal bleeding, so monitoring vital signs is critical to assess for hypovolemia and shock.

Question 5 of 5

The healthcare team determines that an elderly client has had progressive changes in memory over the last 2 years that have interfered with her personal, social, or occupational functioning. Her memory, learning, attention, and judgment have all been affected in some way. These symptoms describe which of the following conditions?

Correct Answer: A

Rationale: These changes are common characteristics of dementia.

Similar Questions

In discussing the plan of care for a child with chronic nephrosis with the mother, the nurse identifies that the purpose of weighing the child is to:
The nurse is assessing a client with suspected appendicitis. Which clinical manifestation would the nurse expect to find?
A 3-year-old child has had symptoms of influenza including fever, productive cough, nausea, vomiting, and sore throat for the past several days. In caring for a young child with symptoms of influenza, the mother must be cautioned about:
A client with hyperthyroidism is taking Eskalith (lithium carbonate) to inhibit thyroid hormone release. Which complaint by the client should alert the nurse to a problem with the client's medication?
A male client is admitted to the medical-surgical unit from the emergency room with a diagnosis of acute pancreatitis. The nurse performs the admission nursing assessment. He is NPO with IV fluids infusing at 100 mL/hour. He is experiencing excruciating abdominal pain. Based on an analysis of these data, which nursing diagnosis would receive the highest priority?

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