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Which clients are at risk for a pulmonary embolism (PE)? Select all that apply

The nurse is working with a client, who is HIV positive, at a public health clinic. The client says to the nurse, “The doctor said that my CD4+ count is 450 (Normal range 800-1000). Is that good?” What is the nurse’s best response?

The patient who had a PPD test (tuberculin skin test) has redness and a 9 mm induration at the injection site.  The nurse suspects which type of hypersensitivity reaction?

Which action by the nurse is most effective to prevent becoming exposed to the human immune deficiency virus?

A nurse caring for an individual with HIV receives a needle stick. The risk of contracting HIV is greater if: Select True or False

A client has a reduction in immune function.  What is the nurse’s priority action for this client?

A nurse triages clients arriving at the hospital after a mass casualty. Which clients are correctly classified? 1. A 35-year-old female with severe chest pain: red tag 2. An 88-year-old male with shortness of breath and chest bruises: green tag 3. A 33-year-old male unconscious with bilateral leg amputations: yellow tag 4. A 55-year-old female with a scalp laceration: black tag 5. A 42-year-old male with full-thickness body burns: green tag 6. A 60-year-old male with an open fracture with distal pulses: yellow tag

When a patient arrives at the emergency department following a burn, the nurse’s priorities of care include:

The intensive care nurse is educating the spouse of a client who is being treated with shock. The spouse states, “The doctor said she has shock. What is that?” What is the nurse’s best response?

A client with myocardial infarction is going into cardiogenic shock. Because of myocardial ischemia, a nurse would assess the client carefully for: