12.  The nurse is caring for a client with HIV who continues to decline physically and mentally. The nurse recalls that the progression of HIV infection to AIDS is based on which of the following CDC criterion?

30.  The nurse receives an order to administer Rocephin 1G IM X 1 now. The manufacturer’s instructions include reconstituting the powder with 1% lidocaine. Which of the following reasons would warrant the mixing of the medication this way?

29. Review the scenario below: Which of the following actions would the nurse anticipate: Orders Labs Nurse Note IV 0.9% NACL @ 100 mL/ HR Vancomycin 500 mg/250 mL every 6 hours IVPB Rocephin 1 gram IV piggy back every 12 hours ibuprofen 400 mg by mouth every 6 hours as needed for pain Vital Signs Q 4 hours Diet as tolerated Wound care to LLE twice daily-cleanse with wound cleanse, pat dry, cover with sterile 4x4s and secure with Tegaderm.  Foley to drainage bag Strict I&O Daily Weight Ambulate with assist Up in chair TID for meals   CBC:  WBC 15,700 RBC 3.7 Hgb 11.5 HCT 37.9 PLT 268,000 neutrophils 47% Lymphs 46% Monocytes  6% EOS 1% Basos 0 % CMP: BUN 24 mg/dL Creatinine 1.5 mg/dL Na+ 132 mmol/L K+ 3.3  mmol/L Chloride 96 mmol/L Calcium 8.9 mg/dL   0610: Client resting in bed, responds to verbal stimulus, alert and oriented to time, place and situation. IV site to LEFT forearm patent, infusing NS @ 100mL/hr via pump, without redness or edema at site. Denies complaints of tenderness.  Dressing to Left lower leg dry/intact. Skin warm and dry. Extremities with 3+ cap refill, dorsalis pedis pulses palp and equal bilat.  Abdomen soft, non-tender. Bowel sounds hyperactive x 4 quads. Last BM reported by patient this morning was watery, large amount with a foul odor. Complains of abdominal cramping and nausea. Oral cavity without redness/lesions.  Foley intact, patent and draining clear, pink tinged urine. . Bladder non distended.   requests antidiarrheal at this time. Will continue to monitor. 

A nurse is caring for a child who is allergic to penicillin. Which of the following medications should the nurse identify as contraindicated for the child? 

A nurse is preparing to administer immunizations to a child who has an allergy to eggs. The nurse should know that an allergy to eggs is a contraindication for which of the following immunizations?

45.  The nurse is planning an information session on immunity and immunizations with a group of seniors at the county senior center. The nurse recalls the following are effects on the normal aging system:  Select all that apply.

1.  Immediately after the nurse administers an intradermal injection of a suspected antigen during allergy testing, the patient complains of itching at the site, weakness, and dizziness. Which action by the nurse is most appropriate initially?

16.  A male patient is advised to receive HIV antibody testing because of his multiple sexual partners and injectable drug use. The nurse will include which of the following information to the patient to ensure understanding of testing process?

24. The home care nurse is collecting data from a client who has been diagnosed with an allergy to latex. In determining the client’s risk factors associated with the allergy, the nurse questions the client about an allergy to which food items? Select all that apply.

In a flowchart, you use a ____ to represent a processing symbol.