A nurse is caring for a client who is HIV positive and is one day postoperative following an appendectomy. The nurse should wear a gown as personal protective equipment when taking which of the following actions?

Administering an intermittent IV bolus medication

Talking to the client at the bedside

Administering an IM injection

Completing a dressing change

Answer and Explanation

The Correct Answer is D

A. Administering an IV bolus medication does not typically require gowning unless there is a risk of exposure to bodily fluids.

B. Talking to the client does not necessitate wearing a gown, as it does not pose a risk of exposure.

C. Administering an IM injection may require gloves but not necessarily a gown unless there is a risk of splashing.

D. Completing a dressing change involves potential exposure to bodily fluids, so wearing a gown is appropriate for infection control.

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Correct Answer is C

Explanation

A. Administering Benadryl may help with allergic reactions but is not the immediate priority when the patient is showing signs of severe hypotension and respiratory distress.

B. Applying ice to the site may help with local swelling but does not address the systemic reaction the child is experiencing.

C. Giving epinephrine is the priority action as it counteracts the anaphylactic reaction, improves blood pressure, and alleviates respiratory distress.

D. Determining if the sting is in situ is less critical than addressing the child's life-threatening symptoms.

A. I will remind my child to wash their hands well and frequently B. I will remind my child not to touch their face while the rash is present C. I will give my child a separate towel from other family members D. I will fill a prescription for antiviral ointment to apply to the rash

Correct Answer is D

Explanation

A. Encouraging handwashing is important to prevent spreading infection and shows understanding of hygiene practices.

B. Advising the child not to touch their face is important to prevent secondary infections and spread of the rash.

C. Providing a separate towel helps prevent the spread of infection, demonstrating good understanding of precautions.

D. Filling a prescription for antiviral ointment is inappropriate in this case; the honey-crusted plaques suggest impetigo, which is typically treated with topical or oral antibiotics, not antiviral ointment.

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A nurse is caring for a client who is HIV positive and is one day postoperative following an appendectomy. The nurse should wear a gown as personal protective equipment when taking which of the following actions?

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Naxlex Comprehensive Predictor Exams

A 9-year-old client presents to the emergency department after a bee sting and experiencing bouts of nausea and vomiting. The nurse notes the client's blood pressure is 68/40 mm Hg, pulse is 148 beats/minute. 02 saturation is 86%, and the child is dyspneic. Which action is the nurse's priority?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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