A nurse is aware that family members of a client diagnosed with tuberculosis may have been exposed to the disease. The nurse explains that a tuberculin skin test should be performed on each family member and may indicate:

Family members report exhaustion and difficulty taking care of a dependent family member. What is the most appropriate action by the nurse?

Which nursing diagnosis describes a clinical judgment that an individual, family, or community is more vulnerable to developing a certain problem than others in the same or similar situation are?

A client tells his nurse that his tuberculosis medications are so expensive that he can’t afford to take them. What is the most appropriate intervention by the nurse?

A client with tuberculosis (TB) is being treated with isoniazid (INH). The nurse anticipates that the client will also be placed on which treatment?

A client is diagnosed with tuberculosis (TB). In addition to recommending skin testing of the family members, the public health nurse is aware that cases of TB should be reported to which of the following?

A client has copious secretions. X-ray results indicate tuberculosis (TB). The nurse anticipates that the client will most likely have which procedure ordered?

The nurse is caring for an intubated client who has copious, brown-tinged secretions. What is the most appropriate intervention by the nurse?

A client’s significant other is tearful over the client’s condition and lack of improvement. He says he feels powerless and unable to help his significant other. What is the most appropriate response by the nurse?

A nurse caring for a client with acquired immunodeficiency syndrome is working with a nursing student. She notes that the student doesn’t attempt to suction or assist with care of the client. What is the most appropriate action by the nurse?

A client is receiving pentamidine isethionate (Pentam). What is the most important assessment by the nurse?

A client with acquired immunodeficiency syndrome has developed Pneumocystis carinii pneumonia and has begun treatment with pentamidine isethionate (Pentam). Based on the diagnosis and treatment, the nurse determines that treatment is appropriate when the physician’s order includes which medication?

The nurse is caring for a client experiencing cardiac tamponade. The nurse is aware that the client is at highest risk for developing which type of shock?

A nurse asks a nursing assistant to help admit an elderly client diagnosed with pneumonia. Delegation by the nurse is considered appropriate when the nursing assistant:

A client is experiencing cardiac tamponade. The nurse reviews the physician’s orders and determines further intervention is not required when the orders include which intervention?

A client tells the nurse that he is stressed by his job but enjoys the challenge. What is the most appropriate response by the nurse?

A client with acquired immunodeficiency syndrome has developed a protozoa infection. Which opportunistic infection will the client most likely develop as a result of the protozoa infection?

A nurse is teaching a client with glaucoma the proper technique for instilling eye drops. The nurse would instruct the client to instill the drops:

The nurse is instructing a client regarding transmission of human immunodeficiency virus (HIV). The nurse instructs the client that the most likely route of virus transmission is:

A client is ordered to receive 1,000 ml of 0.45% normal saline with 20 mEq of potassium chloride (KCl) over 6 hours. The infusion set administers 15 gtt/ml. At how many gtt/minute should the nurse set the flow rate?

An X-ray shows an endotracheal (ET) tube is 2 cm above the carina, and there are nodular lesions and patchy infiltrates in the upper lobe. How does the nurse interpret this X-ray result?

The nurse is caring for an intubated client diagnosed with acquired immunodeficiency syndrome. What is the most important intervention by the nurse?

A nurse is teaching a client with tuberculosis (TB) about his medication treatment. The client asks the nurse how long medication will be necessary. What is the best response by the nurse?

The nurse is assessing a 30-year-old primigravida in her second trimester who has a history of rheumatic fever. The client tells the nurse that her fingers feel tight and sometimes she feels as though her heart skips a beat. The nurse is most concerned when the client has which assessment finding?

A 31-year-old client is admitted to the hospital with respiratory failure. He is intubated in the emergency department, placed on 100% FIO2 , and is coughing up copious secretions. What is the most appropriate action by the nurse?

The nurse is assessing a 43-year-old client who sustained blunt chest trauma from a motor vehicle collision. The assessment data include sinus tachycardia, hypotension, and muffled heart sounds. There are no obvious signs of bleeding. The nurse interprets this information as indicating which condition?

A nurse is teaching a 50-year-old client how to decrease risk factors for coronary artery disease. He’s an executive who smokes, has a type A personality, and is hypertensive. The nurse identifies which of the following as the client’s nonmodifiable risk factor?

A 62-year-old client is admitted to the hospital with pneumonia. He has a history of Parkinson’s disease, which his family says is progressively worsening. Which symptom will the nurse most likely observe when assessing the client?

A nurse is teaching a client with tuberculosis about the disease process and the importance of medication compliance. The client asks the nurse how long he is considered to be infectious after the medication is started. What is the best response by the nurse?

The nurse is caring for an 82-year-old male client with Parkinson’s disease who is frequently incontinent of urine. What is the most appropriate intervention by the nurse?