A client has come to the clinic for an annual physical and asks the nurse for an immunization against HIV. The best response by the nurse would be:
1. I'll ask the physician to write an order for the immunization.
2. Immunization against HIV is being investigated, but is not yet a reality.
3. Where did you hear about that?
4. Why do you think you need a shot for HIV?
Question 2A client who has had a bone marrow transplant is being evaluated by the nurse 2 months post-procedure. The nurse concludes that goals have not been met when:
1. the client reports no joint pain.
2. the client is sleeping well at night.
3. the client has lost 5 pounds.
4. the client has a rash on the palms.
Question 3The nurse is planning home care for a client who has had a successful kidney transplant. The nurse's priority teaching for this client and family should be:
1. dietary counseling.
2. managing the medication schedule.
3. wearing masks at all times when around the client.
4. signs and symptoms of organ rejection.
Question 4The nurse is teaching a group of older clients about the importance of obtaining an annual flu shot. The nurse should explain that the older client is at greater risk of complications from the flu due to:
1. inability to keep the house clean.
2. poor eating habits.
3. a diminished immune response.
4. polypharmacy.
Question 5The nurse is planning care for a 23-year-old client who has just been diagnosed with rheumatoid arthritis (RA). Which nursing diagnosis should the nurse identify as a priority for this patient's care?
1. Risk for aspiration
2. Disturbed body image
3. Bowel incontinence
4. Acute confusion
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