Could Please Help Assignment Help: How to Answer This Question
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Use appropriate theories and support your answer with clear reasoning.
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Original Question
Could you please help me in identifying correct answers with rationale why and how they are correct and incorrect. What is a characteristic indicator that an individual is in the latent phase of a chronic viral infection such as human immunodeficiency? Lack of symptoms Mononucleosis-like symptoms Very high viral load Manifestations of opportunistic infections Rationales A B C HIV is characterized by peak viral load in acute infection D A client comes to the clinic reporting a productive cough, fever, and malaise for the past week. A diagnosis of bacterial pneumonia is established. Based on this diagnosis, the nurse knows which feature(s) of the immune system have been initiated? Select all that apply. Natural killer cells are activated Increased numbers of neutrophils are released Complement proteins are activated Antigens are formed from bacteria Rationales A B C D When a person rises from a lying to a standing position, heart rate increases. Which physiologic trigger results in this increase in heart rate. Decrease in the stretch of baroreceptors Increase in carbon dioxide production Vasoconstriction of the arteries in the lower extremities Stimulation of chemoreceptors in the carotid arteries Rationales A B C D The nurse will monitor the client for which possible respiratory manifestations of heart failure? Select all that apply. Exertional dyspnea Orthopnea Cheyne-Stokes respiration Hyperventilation Rationales A B C D An individual affected by a basal-ganglia associated movement disorder is affected by dyskinesias. Which assessment correlates with dyskinesia? Tremors of the hands Rapid initiation of controlled movements Stooped posturing Grimacing and lip pursing Rationales A B C D The emergency department nurse is caring for a client who fell and has a head injury. Which assessment would be noted during the early stage of increased intracranial pressure? Stable vital signs Vomiting Nonreactive pupils Hemiplegia Rationales A B C D The nurse is caring for a client with leukemia and a blast count of 100,000 cells/ul. What client reports should prompt the nurse to take immediate action? Select all that apply. New onset dyspnea Increased urine output Headache Lethargy Rationales A B C D A client who has just suffered an acute stroke has no cough reflex. What is the nurse’s priority intervention to prevent the client from developing pneumonia? Do not offer the client anything by mouth Reposition the client every 2 hours Auscultate the client’s lungs every 4 hours Ensure the head of the bed is maintained at 30 degrees Rationales A B C D A client with advanced chronic obstructive pulmonary disease (COPD) has been taught methods to maintain maximum functioning. Which client statement indicates accurate understanding of the instructions? “I will skip church during the flu season and wear a scarf when out in the cold.” “I will spend more time standing to increase my endurance.” “I will use my albuterol daily to reduce symptoms.” “I will eat smaller, more frequent meals and reduce fluids in the evenings.” Rationales A B C D When caring for the client with diabetes, the nurse emphasizes the risk of kidney disease. Which test does the nurse encourage the client to have performed annually for early detection of renal disease? Urine test for microalbuminuria Hemoglobin A1C Renal angiogram Lipid levels Rationales A B C D A patient who is receiving methotrexate is also receiving leucovorin. The nurse understands that this drug is being given for which reason? Counteract effects of methotrexate Synergistic effect on the cancer cells Relief of nausea and vomiting Reduction of renal toxicity risk Rationales A B C D A client has started aminoglycoside therapy. It is time for the client’s next dose of an aminoglycoside. What action should the nurse take when learning the client’s creatinine level is 3.9 mg/dL? Administer the medication and report the creatinine level to the provider Hold the dose until another creatinine level is assessed Administer the medication with 100 mL of fluids Hold the medication and assess the urine output Rationales A B C D The nurse is admitting a client with type I diabetes who has been prescribed Lisinopril for treatment of hypertension. The nurse knows this medication is used in clients with diabetes for what reason? It reduces fasting blood glucose It will prevent the development of blindness It reduces proteinuria It decreases peripheral tissue ischemia Rationales A B C D Beta blockers reduce both morbidity and mortality associated with heart failure. By what mechanism do they work in heart failure? They decrease the contractility of the heart They block the sympathetic response They increase the peripheral vascular resistance They lower the heart rate Rationales A B C D A client with liver cirrhosis and hepatitis C needs an antiepileptic drug. What drug would be the safest for this client? levetiracetam lamotrigine phenobarbarbital valproic acid Rationales A B C D The client is taking an anticholinergic medication. The nurse is teaching about the medication and adverse reactions. Which adverse reactions would be correct for the nurse to include? Select all that apply. Fever Bradycardia Dry mouth Blurred vision Rationales A B C D A client diagnosed with hypothyroidism admits to knowing the term “thyroid gland” but not knowing its function. The nurse should explain the fact that thyroid hormone is responsible for which action? Regulating the levels of most other hormones in the body Stimulating the brain and sex organs Controlling the rate of cell metabolism throughout the body Regulating levels of glucose in the blood and body tissues Rationales A B C D The nurse educates a client recently diagnosed with hypothyroidism about using the prescribed levothyroxine. The client has a history of diabetes. Which client statement establishes the need for further clarification? “I will take the drug 30 minutes before breakfast the same time each day.” “It doesn’t matter which brand of the drug I take, they are all the same.” “The levothyroxine can increase my glucose, so I need to report hyperglycemia.” “Thyroid replacement is lifelong; dosage changes must come from my provider.” Rationales A B C D The nurse is finished teaching a client how to use an inhaler to treat asthma. Which statement by the client suggest an understanding of the teaching? “I should take a deep breath, hold it while I administer the medication, and then exhale.” “I need to vigorously shake the inhaler for several minutes before taking the medication.” “I need to take three short, quick breaths to inhale the medication.” “I need to wait at least 30 minutes after the first inhalation before taking a second.” Rationales A B C D A client with asthma has been prescribed an anti-inflammatory medication. How does an anti-inflammatory drug reduce the client’s bronchoconstriction? Increasing ability to metabolize medication Decreases formation of mucus secretions Opening the alveoli in the lungs Decreasing airway hyperactivity to stimuli Rationales A B C D
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