A client has come to the clinic for an annual physical and asks ...

[anshika]

A client has come to the clinic for an annual physical and asks the nurse for an immunization against HIV. The best response by the nurse would be:
 
  1. I'll ask the physician to write an order for the immunization.
  2. Immunization against HIV is being investigated, but is not yet a reality.
  3. Where did you hear about that?
  4. Why do you think you need a shot for HIV?

Question 2

A client who has had a bone marrow transplant is being evaluated by the nurse 2 months post-procedure. The nurse concludes that goals have not been met when:
 
  1. the client reports no joint pain.
  2. the client is sleeping well at night.
  3. the client has lost 5 pounds.
  4. the client has a rash on the palms.

[ErinKing]

Answer to Question 1

Answer: 2

1. An immunization for HIV has not yet been developed.
2. Vaccines against HIV infection are being investigated, but to date, none have been successfully developed. Education, counseling, and behavior modification are the key elements for HIV prevention.
3. Asking the client where she heard about a vaccine is confrontational and can destroy the trust the client might have in the nurse and health care system.
4. Asking the client why she needs the injection is confrontational and might be seen by the client as prejudicial.

Answer to Question 2

Answer: 4

1. Abdominal pain, nausea, and bloody diarrhea would be a sign of graft-versus-host disease (GVH).
2. Sleeping habits are not a sign of rejection.
3. Unless the client loses a great deal of weight, weight loss is not an early sign of GVH.
4. An early sign of GVH is a rash that begins on the soles of the feet and palms.

[anshika]

Gracias!

[matt95]

Great answer, keep it coming