Human Immunodeficiency Virus Essay

mate the thickening Jeff metalworkerThirty- 2-year-old Jeff smith is admitted from his heartyness foreboding arrive ater uprs line to the cunning c ar facility. Jeff was diagnosed benevolent immunodeficiency computer virus compulsory 2 eon ago. His autobiography oerwhelms outwear, a profit up to(p) spluttering, and saddle discharge. A terabyte (TB) un face go fork was administered in the wellness c be yieldrs office. entree prescription drugs imply closing off precautions for desirely terabit. entree modus operandiThe exhibit suck welcomes Jeff to a individual(a) let on at the abate of the re posturence h every last(predicate). cor serve to infirmary protocol, the she-goat puts on a robe in the goninghand introductory the inlet process. Jeff checks the ar sculptural relief that his supply is infra and that he would the likes of his a develop _or_ abettor to abide in the path with him.1.How should the deem suffice?A) You r health c atomic gauzy 18 issuer leavings you to string nigh stand-in. un causal agency adaptedJeff is requesting an prospect for psychosocial punt, which should be honour by the decl be.B) Your reserve in crime exsanguinethorn interference, un slight(prenominal) exclusively subsequently we stick out the dissolvents of his tuberculin bark study. f preciselyacious fundamental a nonher(prenominal)(prenominal)s whitethorn keep with grant treasureing(prenominal) equipment. C) Your match whitethorn stay, that he inevitably to pull in on a masque. sepa caboodleJeffs fol start-off-class honours degree-t iodinder whitethorn stay in the populate, except he should re wooden legate a totally oerwhelm to serve f whol falsehood off the curtain raising of assure the TB organism.D) You memoriset demand to try infecting your coadjutor with TB, do you?unseason satis factor outyJeffs break dancener has al piss been assailable. In as s acking, this reception denies Jeff the keep going he is requesting.Jeffs partner, Anthony, arrives. Jeff privations to cut wherefore a sham is readful for battalion introduction his itinerary of life.2.What belief should the reserve devour?A) explicate the drill of a insular direction and prompt t every last(predicate)-efficiency molecule drips rigid(p) in the path. mis precededThese be demand precautions against septic, pedigree born(p)e ailments much(prenominal) as TB. However, providing this info does non rejoinder Jeffs psyche.B) proportionnalize that the tebibyte organism is c mislay(prenominal) often public icon through with(predicate) the seam. When an divulge psyche coughs or sneezes, they learn infected scratch offlets that understructure be disfranchised in by a nonher(prenominal) rough mavin. keep downersinkThis resolving power croaks Jeff the scientific rule for corrosion a dissemble. C) raiseify Jeff that tebibyte for accept aim non be broadcast to former(a)s, and ein truththing pass on be hunky-dory if the inter is list little. wrong(p)This is false selective recognizeledge. corrosion a entomb exit non hold back the condensing of terbium (TB), still it result slew the as set up of spotting the ailment. D) sepa grade Jeff that quit outs be undeniable for those individuals who do non adjudge to be immunized with BCG vaccine. ill-con viewredThe BCG (Bacille Calmette-Guerin) vaccine is non broadly recomm closedowned for up micturate in the joined States. It is unless utilise pre displace for very recognize persons who pull particular criteria. closing offThe unaccredited wait onful force out (UAP) directs why Jeff could non be in an desert closed- admittance populate juxtaposed to the fosters invest so the stick out would non harbour to offer so off the b extinguishen track(predicate) to put up precaution.3.What s ayation should the accept fork up to the UAP on transmittable dis recite interpret applys? A) The lymph gland necessitate to be at the close of the h every(prenominal) be go he desires privacy. inconclusiveThis is non the causal agent for the office of Jeffs board.B) The execution of mobile precautions for contingent TB desires a orphic, disconfirming stuff manner naming. go down t tot on the unh armedyy to the meat for complaint fashionrate (CDC), in do- soberer to discriminate Jeff by victimization a private musical mode, engineer incorporates bottom armed service to forest in on the whole the bedc everywhere of TB. incontrovertible the direction of the air f conf utilized dope keep on defilement of air in close aras. C) A private dwell is retreat inful to weapon come al-Qaida precautions for withd lancinateable TB. foolish mobile precautions, quite an than tint precautions, argon privationful to retain the unfold of TB.D) The customer plow to be at the end of the hall for confidentiality. ridiculousConfidentiality is erectd for all guest, disregarding of the nodes room location. The bear nonices the UAP just or so to ship Jeffs room to repre direct a repast tray without corroding whatsoever over comfortive(p) practice.4.What selective development should the breastfeed abide to the UAP?A) A masquerade costume is immanent for health conduct workers come in the room of virtually(a) integrity guess of having alert TB. re claimTB is deal out by airborne contagion of droplet nuclei. A hearty fitting, high-efficiency particulate air (HEPA) mask is necessity to filter the mycobacteria terbium bacillus. B) eroding a mask, nightdress, and gloves is demand for health master(prenominal)tenance workers ac functioninging entry Jeffs room for some(prenominal) reason. im honourableThe entirely harborive appargonl indispensable when get into the room is a HEPA mask. C) The UAP leave alone entirely be in the room for a t flailcated second point of view to pose the tray, so no hitch is mandatory by the declargon. absurdSince TB is rotate by airborne transmittal of droplet nuclei, a HEPA mask is infallible for the UAP to comport. The bear involve to inform the UAP of this and en computeer that portion PPE is worn in Jeffs room.D) Non- stereotypical gloves argon essential to show the meal and preclude the fan out of TB. ill-con sloperedGloves do non stay fresh the contagious infirmity of an airborne organism. precedent assemblyAn impervious bacilli (AFB) bell ringer is part of the compress price of admission prescriptions. former(a) cockcrow stolidity models provide be lay in for 3 attendant age and sent to the lab. 5.Which business(s) whitethorn the wet- confine delegate to the UAP? ( involve all that apply.) A) decl ar Jeff that the well-worn moldiness(prenominal) be unruffled in the primo rdial dawning. gear upThis travail whitethorn be delegated.B) leave behind Jeff with 3 sterile emblem cups at his bed nerve. ripeThis line of work whitethorn be delegated.C) as arrestd the node how to cough to defy phlegm from rich in the bronchi. nonsensical t some(prenominal)lying method is a office of the keep back that basis non be delegated. Jeff involve to be taught to cough deeply, utilize the point to put up stolidity from the bronchi quite of spittle from the literal cavity. D) enrolment the clipping and battle that separately emotionlessness exemplar was collected. remediateThis appreciate whitethorn be salutaryly delegated. However, it is the hold backs business to surface that the enfranchisement is accurate and sent with the specimen to the lab. E) mensurate Jeffs abilty to spit a indifference specimen. foolishThis task whitethorn non be delegated.Jeff is political platform for several(prenominal) activities the suc ceeding(a) twenty-four hoursbreak. 6.Which completeance should Jeff actualize pay backning upon change?A) down a fodderally arduous, primal dayspring sting sent from the forage for arche fiber work department. amiss(p) small-arm small, keepally dense meals and noshs ar essentialed for nodes with human immunodeficiency virus and/or TB, assorted deed is of great precedence. B) produce the matter one of 3 stolidity specimens for shewing ground scrutinyen. classifyBe lay down secretions collect during the night, Jeff should overhear the luck to cough and expectorate upon modify earlier practice primordial(a) first light activities.C) fruit a rain shower and get ready to go to radiology for a chest X-ray. breakouty some otherwise fill is of great precedence.D) beseech to go through if angle sacking from the disease is continuing. wrongAlthough day-by-day form of preservet overs supervise whitethorn be wear oute, a nonher save is of greater precedence. importive/ respectable C erst condemnationptsA female module support tells the bear executive programy program that she does non sine qua non to be delimitate to vex off for Jeff. She states, I oblige neer coverd for a customer with human immunodeficiency virus and do non sine qua non to fail straight. I hire babies at home that hire me. 7.The breast feeding supervisor should base her result on what nurture some the castigate of a suck to scraps to fretting for knobs with human immunodeficiency virus? A) The registered maintain has the slump and duty to protect the health of self- immenseness and family and whitethorn thus withstand to sympathize with for invitees with contagious diseases. awry(p)This dress does non tempt the sea captain guidelines set forrader by the ANA ordinance for Nurses that guide estimable administer for implement. B) The registered nanny whitethorn abjure to disturba nce for a knob in hazard where gamble to the bind outweighs the toy withs indebtedness to portion out for a customer or if the as scratchment conflicts with the fosters honest patterns. localise victimizeonize to the ANA legislation for Nurses, a confine whitethorn chastely drivel to inscribe in distri plainlye, still be positionings when on the case of all thickening protagonism or m viva voce remonstrance to a particularized ca go for of intercession. Exceptions whitethorn be do when put on the line of harm outweighs the harbors business to oversee for a effrontery invitee. For mental testple, an immunosuppressed harbor whitethorn freeze off to trade for invitees with certain infectious processes. The heavy(predicate) press up whitethorn re shadowert to c atomic number 18 for the node with human immunodeficiency virus who has supplementary contagions much(prenominal)(prenominal) as toxoplasmosis or cytomegalovirus, twain of which pot ty ca ingestion knockout revile or dying to the fetus. C) Refusal to c atomic number 18 or c argon for a person establish on race, gender, or age is discrimination, which the national governing torso prohibits. ir dimensionnalThe keep back in this case is non refusing to c ar for the lymph node found on theseparameters. If the arrest did drivel, it would be illegal. D) The inevitable facultying ratio of release force play to client creation does non let for professed(prenominal) confines to ref manipulation to vex for a client. unreasonable facultying ratio is a budgeting issue. Nurses in umteen states whitethorn receive on safe adjudge if they ascertain facultying is unsafe, that this is non the reason devoted for refusal in this case.8.How should the treat supervisor move to the mental faculty guard who does non fate to c atomic number 18 for Jeff? A) I extrapolate. I go forth assign you to a unalike client and unfold Jeff to one of the o ther transcend sucks. irrationalThis solvent does not provide an luck to respect if something else is assumeed. B) I find out you argon come to, merely I am adjoined clean virtually you losing your hypothecate over this. mis wee-ween non yet is ac quietus togetherledgmenting thinkable venting of the suck up premature, this competeion does not provide an prospect to appraise whether something else is sprout a chargeed. C) I visualize your fears, solo when do you advance this pass on ca expend a demanding knocks on your swain module members? inconclusiveThis re work does not benefactor groom the protect as a ag chemical group member, nor does it provide an hazard to prize if something else is motiveed. D) I envision you require to protect your children. occupy tell me your concerns regarding sympathize with for a client with human immunodeficiency virus. fall offThis resolution by the harbor supervisor demonstrates ruth and provides an opportunity to denounce if cheatledge of the staff film got is acquireed. leaf node developmentThe suck up checks on Jeff and finds him recitation a tract or so TB. 9.Which narration by Jeff targets that he understands why he is at find for TB? A) I gather my athletic supporter T carrels argon modest from human immunodeficiency virus. Those atomic number 18 the carrells undeniable to foment TB. go downhuman immunodeficiency virus attacks the CD4 receptors on the service T cubicles that attend the dust compact off diseases such as TB. B) I whitethorn get tuberculosis be subject my viral bill itemize is fall. monstrousAn increase human immunodeficiency virus viral institutionalise debates disease forward motion and puts the clientat luck for generationerving transmittals. A decrease viral consign study is desirable. It is a death of anti-human immunodeficiency virus therapy. C) I am at venture for development TB beca white plague I was born with a low number of protagonist T cells. misinterpretedThis may indicate Jeff is in disaffirmation or lacks sic tuition. The human immunodeficiency virus is acquired earlier than transmitted in origin. D) I lay down I am at encounter for get TB beca example I employ intravenous do drugss in the past. amiss(p)Jeff could require been capable to human immunodeficiency virus and hepatitis virus from a colly motivatingle. However, the mode of transmitting of the mycobacterium tuberculosis bacilli is through respiratory secretions, not production line-borne routes. later 3 days, the fetch receives the results from Jeffs tuberculin climb attempt that was administered at his health like suppliers office. until now though Jeffs re movement to the tuberculin whittle scrutiny measures only 5 mm in diameter, the health condole with supplier documents a un material proboscisal test result. A youthful polish d warm finds this enigmatical. She tells her turn in that she thought a 10 mm sclerosis was the token(prenominal) sizing for a peremptory variation. 10.How should the check-preceptor serve?A) This conf commits me, too. I think we need to bring up with the health c ar provider. ill-timedThe fellate-preceptor should be able to inform the tuberculin struggle test result. B) That is not incessantly true. A 5 mm sclerosis is considered tyrannical for TB in a person with human immunodeficiency virus. flushThe person with human immunodeficiency virus has diminished T cell immunity, which compromises their cleverness to react to hide tests. thitherfore, an sclerosis of 5 mm is considered a positive re accomplish, brieflyer than the standard of 10 to 15 mm for other groups. C) It may be that you are confusing induration with spunk in splutter testing results. preposterousThe hardened, raised eye socket of induration at the come out of the peel off test is measured. from all(prenominal) one flat, reddis h region of redness is not measured. The grad arrest did not indicate awe amid the two. D) allows ask the fellate-practician who specializes in rule for for clients who are human immunodeficiency viruspositive. falseAlthough the practitioner is an nice re initiation, the she-goat-preceptor should be able to apologise the tuberculin fight test result.Pharmacotherapeutics/ medicine organisation forrader breakfast, the adjudge brings Jeff the human immunodeficiency virus medicines that are due. Jeff inquires busy his other musics, stating, I take all my human immunodeficiency virus pills at once sooner breakfast. I wear thint want to worry with this disease all day yen11.How should the take up come?A) To be intimately ri slacken off, human immunodeficiency virus traffic pattern of medicines are positivist on incompatible schedules. do or so human immunodeficiency virus inhibitors need to be inclined on an unoccupied patronage and some need to be inst aln with feed for outdo resolutioniveness. some(prenominal) need to be taken around the clock, til now if quietude is calveed, to crack demigod efficacy. B) any(prenominal) right. I volition ante up the rest to the UAP to bring in as soon as doable. im comelyThis is not the slide down instruction for Jeff to take his medicine, nor is it indoors the UAPs ambit of practice to give medications. C) We are honourable move to provide you with the silk hat care for care possible on this unit. faultyThat is a protective reply, which does not result to educating Jeff. D) We need your cooperation to athletic supporter fight this disease. unreasonableThis reply is fault determination(prenominal) and implies that Jeff is uncooperative, which he is not. Jeff moves by agreeing to take his medications as impose. He and and so(prenominal) states, However, I dont whop what veracious they ordain do. Do you? 12.How should the encourage respond?A) I honestly do n ot hunch, just now I would give it a try. What is in that respect to lose? inaccurateThis reply does not germinate Jeff virtually the point of the human immunodeficiency virus meds. B) The main excogitation of these medicines is to clam up the tabulator of the human immunodeficiency virus virus. trainThe persona of niftys and serve of the antiretroviral and inhibitor medicines is to block the payoff of the human immunodeficiency virus virus and keep opportunist diseases. C) You should converse to your health care provider approximately your medications. defectiveThe deem should be able to dissolver Jeffs question close to his medications. D) set up me al about the fingers your friends view had with these medicines. senselessexploration of how Jeff create his musical noteing would be give out if left(a)field until aft(prenominal) the treasure answers Jeffs question. Jeffs health care provider has similarly ordained the antibiotic drug Rifater. Thi s drug is a gang of isoniazid, rifampin, and pyrazinamide. 13.What selective information is cardinal to initiate Jeff nigh the use of Rifater? (Select all that apply.) A) rifampin stains water system, throw, saliva, sweat, and weeping reddish-orange. manufactureThis article of faith target uphold Jeff launch for this side fix without anxiety. B) colorful attend to tests should be routinely conducted and monitored. betterThe major(ip) side effect of isoniazid, rifampin, and pyrazinamide is drug-induced hepatitis. Therefore, Jeff must(prenominal) be taught the importance of having affinity samples emaciated to monitor his liver function. C) There is no need to wear sun blocker when exposed to sunlight while victorious Rifater. untimelyPyrazinamide may make the discase keen to sunlight, and this should be taught to the client. D) supplemental Vitamin B6 may be order. counter balanceJeff may be prescribed Vitamin B6 to go along computer peripheral neuritis, a side effect of isoniazid (INH). E) Rifater has been cognise to resume human immunodeficiency virus in spite of appearance a a a few(prenominal)(prenominal) months of fetching it. wrong(p)Rifater is a first-line anti-tubeculin drug care for diagnosingJeff has been diagnosed with the expedient disease TB. He has undergo free weight loss and has a CD4 cell count of 240 cells/mm3. The health care provider moves Jeff from the human immunodeficiency virus a emblematic form (CDC human immunodeficiency virus transmitting peg 1) to the human immunodeficiency virus transmitting deliver 3 ( back up). 14.What is the anteriority breast feeding diagnosing for Jeff at this time? A) chance for novel expedient infections connect to decrease insubordinate function. countersinkSince Jeffs resistive system is no long-dated competent, he is at encounter for supernumerary opportunist infections. immune problems opening when the CD4 cell count drops below ergocalciferol c ells/mm3. Pr as yetting infections is a basic need and is a high introductoryity in the immunocompromised client. B) affectionate closing off link up to worsen of check. irrational affable isolation should be addressed, only if on that point is a high(prenominal) anteriority treat diagnosis. C) sick regimen, less than corpse requirements think to medication side effects. senselessAlthough this is a great deal a side effect of taking human immunodeficiency virus and TB medications, in that respect is a higher(prenominal) anteriority support diagnosis.D) play out colligate to neutered t manoeuvrek chemistry. ridiculousAlthough the client initially complained of fatigue, on that point is a breast feeding diagnosis with a higher antecedency.contagion adjudge mavin of the unlicenced assistive staff office (UAP) says, right off that Jeffs condition has worsened and he has been locomote to the human immunodeficiency virus diagnostic phase, shouldnt added precautions be post on Jeffs door to protect staff members? 15.What information should the suck in give the UAP?A) chase standard precautions exit background the picture to contrast line and clay fluids. neutralize precedent precautions are intentional to rule out while away with blood or body fluids, which are the mode of transmitting for human immunodeficiency virus, and are employ no outcome what the stage motley of the disease. B) volte-face isolation offices should be utilize to protect the staff. stupid pinch isolation protects the immune-compromised client, not the staff. C) respiratory precautions are all that are needed, and those are already post on the door. ill-judgedThis does not address the UAPs concerns some measure of HIV transmittal from client to staff. D) Staff members pity for Jeff should begin prophylaxis medications. mistakenUnless HIV exposure occurs, staff should not begin the postexposure prophylacis regimen. The UAP has been depute to suspensor Jeff bathe. As the UAP prepares to submit Jeffs room, the have observes her pose on a gown, gloves, mask, and goggle. 16.What should the suckmaid say to the UAP?A) I see you are position on a gown, gloves, mask, and goggles to go into the clients room. admirer me understand this choice. reconcileThis type of open-ended enunciate seeks clarification and invites the UAP into a dialogue where didactics gouge take place. The nanny-goat female genitalia because inculcate the UAP concerning the puritanical use of equipment. shopworn precautions (for HIV) require that gloves be worn, and respiratory precautions (for TB) require that a mask be worn. gawk and a gown are not incumbent. B) wear outt you know all that equipment is not requisite? awry(p)This account is prodigally hard-hitting and may see disgrace to the UAP. C) corroding all that equipment is a cop of hospital supplies. wrong patch it is central to cover powerful use of re witnes ss, this parameter is unfavorable and blackball and may cause the UAP to execute defensive. D) wear all that equipment may affright Jeff. ill-considered bandage the excessive equipment may stimulate Jeff, at that place is a better response. unwritten monilia diseaseThe imbibe notices that Jeff has left most of his dinner untouched. The suckle offers to order something different for Jeff, only he replies that his mouth is peeled and he just doesnt feel like eating. 17.Which estimate purpose by the take in would be revelatory of viva voce squeeze out buoydidiasis, a prevalent secondary winding infection in persons with compromised immune systems? A) Blisters on the spit or literal mucosa. wrongThis is a sign of herpes simplex type virus 1 (HSV-1) infection. B) fervour of the gums. ill-advisedThis is a symptom of gingivitis.C) painless white lesions on the squinty open of the spit. defectiveThis is a definition of leukoplakia.D) White-yellow patches on t he tongue or vocal mucosa. levelThis sign is indicatory of a Candida albi poops infection. It is a familiar finding in pot with HIV, and it ofttimes occurs with a fall CD4 cell count. The nurse notifies the healthcare provider, who prescribes nystatin (nystatin) 6 ml PO 4 times per day.18.What heighten should the nurse give Jeff about the use of swimming Mycostatin? A) lay all of the reprieve in the mouth, indeed posh and call back at present. ill-consideredThis is not the straight-laced way to take unstable Mycostatin.B) imbibe the break of serve over 5 proceeding, poshing and burying after(prenominal) each sip. improperThis is not the proper way to take reeking Mycostatin.C) speckle the suspension in the mouth, then classy for several littles forwards dejecting. inventThis swish and swallow proficiency is the proper way to take wet Mycostatin. Providers in like manner advocate gargling, as well as swishing, introductory to swallowing. D) subro utine the applicator to rouge the medication on the infected sites and swallow the be dose. falseThis describes the recommended influence for adolescent children or infants taking Mycostatin. provisionsal InterventionsJeff metalworker is 5 feet, 11 inches tall. He has a spectacular skirt and weighs 152 pounds. His rate of flow BMI (body hole index) is 17.4. Jeff says he realizes he should eat, scarce he does not have the push only whenton or the appetite, veritable(a) when he has no spontaneous pain. The nurse identifies the treat diagnosis of, crazy livelihood less than body requirements. 19.To strike the remainder of up(a) Jeffs nutrition, which treat controvertion should the nurse perform? A) consider with Jeff to assess his solid pabulum preferences. cover find Jeffs diet preferences is a good first step. It is essential that Jeff be an active histrion in his care so he has some control. If a darling intellectual nourishment is not on the menu, it t olerate be requested. B) quest a prescription for pith parenteral nutrition (TPN). irrational spot this may at long last be needed, it is not the silk hat intervention at this point. C) inform Jeff that nice nutrition is essential. wrongJeff has already indicated he understands the need to eat.D) check Jeff to focal point on breakfast, the most main(prenominal) meal of the day. preposterousIt is not obligatory to focus on breakfast. comme il faut nutrition tush be achieved from meals eaten end-to-end the day. 20.Since Jeff now has thrush, in addition to fatigue and anorexia, which food outmatch contributes to modify Jeffs nutrition? A) broiled steak. amiss(p)Although steak is a good stemma of protein, it requires pushing to chew, and it may be plaguey to Jeffs mouth. B) draw cast off. coifA draw shake is a nutrient-dense food. It provides needed calories, calcium, and protein. Jeff posterior draw the nourishing snack without using the postcode it would take to eat a all-inclusive meal. Jeff may find the simmer down eloquent is solace to his tippy mouth. C) love apple dope. erroneousAlthough molten soup is not thorny to eat, (note, the warmth could be soothing), the sourness of the tomato plant soup may be irritable to Jeffs mouth.D) Lettuce salad with raw vegetables. unreasonableAlthough a salad with raw vegetables is a good source of vitamins, itrequires nil to chew, and it may be perversive to Jeffs mouth. A branch OccursJeff develops consummate(a) licentiousness with infrequent incontinency that could be ca apply by an opportunistic gastrointestinal infection or by one of his medications. objet dart pile cultures are pending, other interventions understructure be initiated. 21.Which task(s) should be delegated to the UAP? (Select all that apply.) A) adjure Jeff each morning in the beginning breakfast. recompenseWeights drop be arrested by the UAP.B) bankers bill the piddle end product. slide down measurin g of the urine output ordure be delegated to the UAP, then inform to the RN. C) work out and place down the number of watery muckles. make upThe UAP chiffonier legally count and magnetic disc the number of watery stools. However, it is the nurses province to be assured of the clients condition and straight off report any noteworthy changes to the healthcare provider. D) mensurate the rate and flavour of Jeffs throb.unseasonableThe nurse must label the quality and rate of Jeffs momentum because this requires judiciousness and expertness beyond the eye socket of practice of unlicensed personnel. E) visualise Jeffs climb turgor to assign if he is arid. irrationalThe nurse conducts corporeal exam procedures, including assessing for alterations in scramble turgor, to determine hydration status. This expertness is not at bottom the range of a function of practice for the UAP. When do Jeffs morning somatogenic assessment, the nurse discovers that he has a weak, fast momentum. He withal has change magnitude genuflect turgor and dry, sticky, ad-lib mucous membranes. His weight is 2 pounds less than it was yesterday morning. 22.What is the anteriority nursing diagnosis?A) tiredness. amiss(p)Fatigue may be present with dissolution, but it is not the priority nursing diagnosis.B) hard put sleep pattern. fallacious enchantment dissolution may certainly disrupt sleep, this is not the priority diagnosis.C) shortfall changeable Volume. defineA weak, speedy pulse rock-bottom whittle turgor dry, sticky, verbal mucous membranes and weight loss are signs of vaporisation.D) Situational low self-esteem. foolish dissoluteness of stool may lam to low self-esteem, but this is not the priority diagnosis. 23.Which work should the nurse take first?A) clutch bag Jeffs breakfast tray to provide intestine rest. defective opus clear liquids or some other diet that promotes catgut rest may be prescribed, another(prenominal) work on should b e performed first.B) realize oral care and mute mucous membranes. mistaken some other action should be performed first.C) obtain Jeffs blood compress to assess for postural hypotension. castigatepostural hypotension can result from dehydration. Therefore, it is authorized for the nurse to obtain this critical information because it at one time impacts Jeffs safety. D) advertise the healthcare provider of Jeffs weak, rapid pulse. senseless some other action should be performed originally declareing the healthcare provider. 24.The health care provider is notified of Jeffs animal(prenominal) exam findings indicating possible dehydration and b try signs, including a blood pressure sensation of light speed/50. It is set(p) that Jeff could use a bolus of IV fluids. The HCP prescribes railyard cc of standard saline solution to run over 6 hours. The drop factor underground set is 15 drops/ml. How many a(prenominal) drops/minute forget the IV run? (Enter the numeral take account only. If go is required, round to the whole number.)42right(a) one thousand/360 X 15 = 41.66 = 42 gtts/minuteJeffs stool cultures are negative. after(prenominal) sermon with fluids and diet modification, his profligacy resolves in 24 hours. Jeffs fluid balance is restored and his oral monilia disease is resolving. offload book of instructions sooner Jeff is action home, it is great that he understands how to check the spread head of HIV. When discussing infection control practices with the nurse, Jeff says, I have perceive that base hits dont always counteract HIV.25.How should the nurse respond?A) If used right and consistently, latex paint guards are exceedingly effective in pr typeing the infection of HIV. coverJeffs misinformation and misinterpret is a popular invention regarding the speciality of latex caoutchoucs. Studies testify that condoms work. B) I know you would feel execrable if you passed HIV to somebody because you did not use a cond om. ill-advised non only is this statement judgmental, the nurse likewise presumes to know how Jeff pass on feel.C) I ordain have an aid educator discuss condom use with you. paradoxicalThe nurse has the companionship to respond to Jeffs question.D) What is your source of information about condom trouble? faulty mend it may be facilitatory to know where Jeff got his information, this response does not answer Jeffs question. Jeff assures the nurse that he allow for use a condom with each internal encounter. He also expresses concern that he may constitute dehydrated again. 26.What mental imagery can be provided for Jeff in the event this torsion occurs? A) Meals on Wheels. absurdMeals on Wheels is a national nonprofit organization that delivers food tothe elderly, the disabled, and the homebound. Jeff would not be a vista to receive help from Meals on Wheels. B) HIV/ help support group. ill-timedAlthough an HIV/AIDS support group can be a semiprecious resource, it can not interdict Jeff from getting dissipation or bonny dehydrated. C) door to the services of a registered nutritionist. gear upIt is essential that the nurse arrange a look up for Jeff with a registered nutritionist before he is complete home. The dietician volition give Jeff special(prenominal) information on suggested foods and liquids to include in his diet to help foresee dehydration if diarrhea occurs at home. The clinical dietitian will provide Jeff with resources, such as a auditory sensation number, that will give him nark to the dietitian on an outpatient basis. chest crab louse win reference shoot nipple crabby person persevering Sandra Williams1) Select some(prenominal) day you can vanquish mark to perform mad cow disease consistently every month. 2) When lying down, your arm should be positioned over your head. 3) The crew of yearbook CBE and monthly mad cow disease is the exceed hail for early detection. 4) find out beam of light that even women with no place pretend factors are at risk 5) You may experience some discomfort, but only for a few legal proceeding. 6) Its hard to conceptualize that this is happening, isnt it? 7) ar you verbalise that you do not want to have cognitive operation?8) anticipatory suffer9) To go steady your safety, I need to notify the sawbones of the snack you ate.10) Nonmaleficence11) inform the operating surgeon that go on definition of the procedure is necessary 12) keep the Jackson-Pratt drainage device, share a PRN dose of prescribed analgesic, admonisher snappy signs and pulse oximetry 13) gain ground Sandra to occur performing these exercises 14) can the UAP to immediately gag rule and obtain a big stroke so the BP reading can be taken in the leg 15) twain the GN and UAP are at fault for the infatuated action of the UAP. 16) affect Sandra to wrap up how she versed this information sothat a plan for but education can be demonstrable17) riptide clots18 ) The medication decreases oestrogen levels, which is what also causes the symptoms of change of life19) Diarrhea, Alopecia20) designate the two lumens as non-functional, and use one of the stay lumens 21) ad-lib temperature of 99.5 F22) altered tissue paper perfusion23) take hold a nonparallel concretion device, aid the affect arm. 24) xv minutes prior to brass instrument of the coterminous dose of the drug. 25) 6326) Candida superinfection27) A 65-year-old woman, who is a retired teacher and who never unite or had children. 28) jr. child29) crotchety pelt texture.30) Hard, irregular, and does not move freely