Answer to Question 1
Answer: A
The nurse should educate the client on methods that will decrease the risk of transmitting the HIV. The client statement regarding the use of an oil-based lubricant requires further education. The client should use only water-based lubricants-not oil-based, such as petroleum jelly, which can result in condom damage. The other statements by the client indicate appropriate understanding of the information presented by the nurse.
Answer to Question 2
Answer: C
Older adult clients are susceptible to cellulitis, as their immune system and skin are compromised as they age. The best preventive measure to maintain skin integrity and a healthier immune system is good nutrition. Exercise is a good way to promote health, including walking. There is no data to support that the client needs assistance to ambulate. Cellulitis can occur on any part of the body, so preventing the client from using body parts, such as the legs, is not reasonable and does not prevent cellulitis. The nurse would instruct the family regarding signs and symptoms of developing cellulitis after a fall. It is not always necessary to bring the client to the doctor for a fall if no injuries were sustained.
The patient and his family meet with the nurse to discuss progress on the patient care plan.
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