NCLEX Preparation Course - Level of Cognitive Ability ANSWERS (51-60) -->
51. A client with acquired immunodeficiency syndrome (AIDS) has been started on therapy with zidovudine (AZT, Retrovir). A nurse carefully assesses which of the following as toxic effect of the drug?
a) netropenia
b) pancreatitis
c) yellowish discoloration of the skin
d) oliguria
52. A pregnant human immunodeficiency virus (HIV) positive woman delivers a newborn infant. A nurse provides instructions to the mother regarding the newborn infant care. Which statement by the mother indicates a need for further instruction?
a) I will wash my hands frequently
b) I want my baby to be roomed-in with me
c) my infant will be on antiviral medications for the first six weeks after delivery
d) I will breastfeed for six months
53.The client with acquired immunodeficiency syndrome (AIDS) has oral candidiasis. Who among these clients can safely be roomed-in with the client?
a) the client with chronic renal failure who is undergoing hemodialysis
b) the client with hepatitis B (HBV) infection
c) the client who is human immunodeficiency virus (HIV) positive with streptococcal infection
d) the client with viral pneumonia
54. Who among the following clients has the highest risk to develop HIV?
a) the client who had multiple body piercing
b) the client who had kidney transplant one year ago
c) the client on chronic hemodialysis
d) the client with multiple gestation
55. A male patient is HIV positive and with hepatitis B. Who among these patients may roomed-in with him?
a) the patient with hypertension
b) the patient who had undergone appendectomy
c) the patient with pancreatitis
d) the patient with peptic ulcer disease
Situation: Miss Mila Ty, a victim of the Quezon City fire incident, sustained 2nd and 3rd degree burn.
56. What is your method of assessing the degree of burn?
a) count the presence of papule observed
b) observe presence of redness
c) check location of burn
d) rate and extent of burned area
57. Using the rule of nines, which has the largest percent of burns?
a) face and neck
b) right upper arm and penis
c) right thigh and penis
d) upper trunk
58. What would be your first aid measure?
a) place her in the tub filled with clean water
b) pour cool water over the burned area
c) apply topical antibiotics to prevent infection
d) run tomato juice around the affected area for cooling comfort
59. What is the minimum safe range for the hourly urine output from the indwelling catheter?
a) 25-30 ml
b) 90-120 ml
c) 60-90 ml
d) 30-60 ml
60. What should you provide for her burn on the lower extremity?
a) bandage
b) striker frame
c) cradle bed
d) circulo-electric bed
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