The nurse is planning care for a 23-year-old client who has just ...

[MirandaLo]

The nurse is planning care for a 23-year-old client who has just been diagnosed with rheumatoid arthritis (RA). Which nursing diagnosis should the nurse identify as a priority for this patient's care?
 
  1. Risk for aspiration
  2. Disturbed body image
  3. Bowel incontinence
  4. Acute confusion

Question 2

A client diagnosed with HIV has been placed on an antiviral medication to decrease the viral load in the body. The nurse should teach the client the importance of:
 
  1. taking the drug as ordered.
  2. getting plenty of exposure to sunlight.
  3. reporting severe side effects only.
  4. taking acetaminophen for a respiratory infection.

[memslove]

Answer to Question 1

Answer: 2

1. The client with RA does not have a particular risk for aspiration.
2. RA causes joint pain and disfigurement, which would be very important to the young adult with RA.
3. Bowel incontinence is not a manifestation of RA.
4. The client with RA is not at particular risk for acute confusion.

Answer to Question 2

Answer: 1

1. The antivirals are only effective if serum blood levels of the drug remain constant. The client should be taught to take the medication as ordered.
2. Some of the antivirals cause skin irritation, so the nurse should caution the client against spending time in the sun.
3. The client should be instructed to report any side effects.
4. The client must notify the primary care physician of any kind of infection and must not treat the infection at home.

[MirandaLo]

Excellent

[Liddy]

TYSM