A nurse who has recently completed orientation is beginning work in

the labor and delivery unit for the

first time. When making assignments,

which client should the charge nurse

assign to this new nurse?

A.A primigravida who is 8 cm dilated

after 14 hours of labor

B.A client scheduled for a repeat cesarean birth at 38 weeks' gestation

C.A client being induced for fetal

demise at 20 weeks' gestation

D.A multiparous client who is dilated

5 cm and 50?faced

2. A client with human immunodeficiency virus (HIV) infection has white lesions in the oral cavity that resemble milk curds. Nystatin (Mycostatin)

preparation is prescribed as a swish

and swallow. Which information is

most important for the nurse to provide the client?

A. Oral hygiene should be performed

before the medication. B.Antifungal

medications are available in tablet,

suppository, and liquid forms.

C.Candida albicans is the organism

that causes the white lesions in the

mouth.

D.The dietary intake of dairy and spicy

foods should be limited.

3.

D

The new nurse should be assigned

the least complicated client to gain

experience and confidence, as well

as protect client safety. Of the

clients available for assignment,

(D) is progressing well and is the

least complicated. (A, B and C)

have actual or potential complications and should be assigned to a

more experienced nurse.

A

HIV infection causes depression of

cell-mediated immunity that allows

an overgrowth of Candida albicans

(oral moniliasis), which appears as

white, cheesy plaque or lesions

that resemble milk curds.To ensure

effective contact of the medication

with the oral lesions, oral liquids

should be consumed and oral hygiene performed before swishing

the liquid Mycostatin (A). (B and

C) provide the client with additional

information about the pathogenesis

and treatment of opportunistic infections, but (A) allows the client to

participate in self-care of the oral

infection. Dietary restriction of spicy

foods reduces discomfort associated with stomatitis, but restriction of

dairy products is not indicated (D).