Which information is most important to address when planning care for a patient taking ART?
When a nurse is evaluating the condition of a client with bu…
When a nurse is evaluating the condition of a client with burns of the upper body, an assessment finding that would indicate potential respiratory obstruction is:
A 28-year-old female is 6 months post-severe facial and neck…
A 28-year-old female is 6 months post-severe facial and neck burns. She is in the rehabilitation phase wearing pressure garments. She tells the nurse, I am sorry that I am still alive. My life will never be normal again. Which response by the nurse is most therapeutic?
The method of treatment for a client’s burns is the exposure…
The method of treatment for a client’s burns is the exposure method with mafenide (Sulfamylon) BID. When applying this medication, the nurse should plan to:
An 80-kg patient with burns over 30% TBSA is admitted. Using…
An 80-kg patient with burns over 30% TBSA is admitted. Using the Parkland formula (4 mL/kg/%TBSA), what is the IV infusion rate for the first 8 hours?
A 32-year-old male presents to the HIV clinic for a follow-u…
A 32-year-old male presents to the HIV clinic for a follow-up appointment. He was diagnosed with HIV 2 years ago and has been on ART with tenofovir AF/emtricitabine/bictegravir (Biktarvy). His current CD4+ count is 620 cells/uL and his viral load is undetectable. He tells the nurse, Since my viral load is undetectable, I think I can stop taking my medication. He also reports that he recently started taking St. John’s Wort for mild depression and asks if he still needs to use condoms with his partner. Which patient statement requires the most immediate nursing intervention?
The physician orders bed rest for a client with cellulitis o…
The physician orders bed rest for a client with cellulitis of the leg. The nurse understands that the primary purpose of bed rest is to:
A patient with Pneumocystis jiroveci pneumonia (PCP) and a C…
A patient with Pneumocystis jiroveci pneumonia (PCP) and a CD4+ count of less than 200 cells/uL. Which interpretation is correct?
When assessing a patient who spilled hot oil on the right le…
When assessing a patient who spilled hot oil on the right leg and foot, the nurse notes dry, pale, and hard skin. The patient states the burn is not painful. Which term would the nurse use to document the burn depth?
A patient with severe burns has 30,000 mL ordered using the…
A patient with severe burns has 30,000 mL ordered using the Parkland formula. The initial rate is 1875 mL/hr. After the first 8 hours, what rate would the nurse infuse?