One type of cancer that can affect a person who has AIDS is

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Basic Principles of Patient Care Questions

Question 1 of 5

One type of cancer that can affect a person who has AIDS is

Correct Answer: D

Rationale: The correct answer is D: Kaposi's sarcoma. This type of cancer is commonly associated with AIDS due to its link with Human Herpesvirus 8 and weakened immune system. Kaposi's sarcoma presents as skin lesions or tumors in various organs. Choices A, B, and C are incorrect as Pneumocystis pneumonia is a common opportunistic infection in AIDS, prostate cancer and liver cancer are not specifically linked to AIDS.

Question 2 of 5

One way for a nursing assistant to determine whether to perform a procedure or not is to

Correct Answer: D

Rationale: Rationale for Correct Answer (D): A nursing assistant should only perform procedures that are within their scope of practice to ensure patient safety and quality care. Scope of practice defines the tasks and responsibilities that a healthcare provider is trained and authorized to perform, ensuring competence and expertise in those specific areas. By following their scope of practice, nursing assistants can prevent potential harm to patients and maintain professional standards. Summary of Incorrect Choices: A (Perform all procedures even if he has no training): This choice is incorrect as performing procedures without proper training can pose significant risks to patients and is unethical. B (Perform a procedure if he has forgotten how to do it): This choice is incorrect as relying on memory alone may lead to errors and jeopardize patient safety. C (Perform a procedure not in job description but knows how to do it): This choice is incorrect as job descriptions are based on scope of practice, and performing tasks outside of it can result in legal and ethical issues.

Question 3 of 5

A nurse caring for an elderly postsurgical patient helps the patient perform leg exercises. Which age-related change makes these exercises even more important?

Correct Answer: B

Rationale: The correct answer is B) decreased peripheral circulation. In the elderly population, there is a natural decline in peripheral circulation due to factors such as decreased elasticity of blood vessels and reduced efficiency of the cardiovascular system. This age-related change makes leg exercises crucial for maintaining adequate blood flow to the extremities. Option A) reduced vital capacity is not directly related to the importance of leg exercises in elderly postsurgical patients. Vital capacity refers to the maximum amount of air a person can expel from the lungs after a maximum inhalation. Option C) decreased oxygenation of blood is not the primary reason why leg exercises are important for elderly patients. While exercise does promote oxygenation of blood, the key focus here is on improving circulation. Option D) decreased reaction time and coordination are not directly related to the importance of leg exercises in this scenario. While these factors are important considerations in elderly patient care, they are not the primary reason for recommending leg exercises in this context. In an educational context, it is essential for healthcare providers to understand the physiological changes that occur with aging and how these changes impact patient care. By promoting activities like leg exercises, nurses can help prevent complications such as deep vein thrombosis in elderly patients, ultimately contributing to better postoperative outcomes. This scenario underscores the importance of tailored interventions based on age-related changes in patient populations.

Question 4 of 5

Which of the following patients would be most at risk for alterations in oral health?

Correct Answer: B

Rationale: The correct answer is B) man with a nasogastric tube. Nasogastric (NG) tubes can significantly increase the risk of alterations in oral health for several reasons. Firstly, the presence of an NG tube can lead to dry mouth, which reduces the mouth's natural cleansing action of saliva, increasing the risk of bacterial overgrowth and oral infections. Secondly, the pressure and friction of the tube against the oral mucosa can cause irritation and potential damage to the tissues, leading to inflammation and potential infections. Additionally, if proper oral hygiene measures are not implemented, such as regular mouth care and hydration, the risk of oral health complications further escalates. Option A) infant who is breastfed is incorrect because breastfeeding, when done with proper oral care, does not inherently increase the risk of alterations in oral health. Breast milk contains natural antibodies that can actually help protect against infections. Option C) woman who is pregnant is not the most at risk for alterations in oral health compared to a patient with an NG tube. While hormonal changes during pregnancy can increase the risk of gingivitis and other oral health issues, the presence of an NG tube poses a more direct and immediate risk. Option D) healthy young adult is also not the most at risk for alterations in oral health in this scenario. Without specific factors like an NG tube or other medical conditions affecting oral health, a healthy young adult would not be as vulnerable to oral health alterations as a patient with an NG tube. Educationally, understanding the impact of medical interventions like NG tubes on oral health is vital for healthcare providers to provide holistic care. Proper oral care protocols for patients with NG tubes can mitigate these risks and improve overall patient outcomes. Healthcare professionals should be knowledgeable about these risks and implement evidence-based practices to prevent oral health complications in vulnerable patient populations.

Question 5 of 5

A nurse is assessing the activity level of a 5-month-old baby. What normal findings would be assessed?

Correct Answer: A

Rationale: In the context of assessing the activity level of a 5-month-old baby, the correct answer is A) ability to sit and head control. At 5 months of age, infants are typically able to hold their head steady when upright and have started to develop the ability to sit with support. This milestone is an important indicator of the baby's gross motor skills development at this age. Option B) ability to pick up small objects is not a typical developmental milestone for a 5-month-old baby. The ability to grasp and pick up objects usually develops around 6-9 months of age. Option C) progress toward running and jumping and Option D) progress toward unassisted walking are advanced motor skills that are not expected in a 5-month-old infant. Running, jumping, and unassisted walking are achieved at later stages of development, typically around 12-18 months and beyond. Educationally, it is crucial for healthcare professionals, especially nurses, to have a solid understanding of child development milestones to accurately assess and monitor the growth and development of infants. Recognizing typical developmental patterns helps in early identification of any potential delays or issues, leading to timely intervention and support for the child and their family. By knowing what to expect at each stage, healthcare providers can provide appropriate care and guidance to promote optimal growth and development in infants.

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