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. Elevating the affected part is correct and helps reduce swelling and bleeding.

B. Resting the affected area is appropriate and will help minimize movement and further bleeding.

C. Applying heat is not recommended for bleeding episodes as it can increase blood flow and exacerbate bleeding; ice is generally recommended.

D. Compressing the site is appropriate as it helps control bleeding and provides pressure to the affected area.

A. Position for comfort B. Restrict fluid intake C. Avoid strain on painful joints D. Apply nasal oxygen at 2 L/minute

Correct Answer is B

Explanation

A. Positioning for comfort is a common intervention during a vaso-occlusive crisis to alleviate pain.

B. Restricting fluid intake is contraindicated in vaso-occlusive crisis; hydration is crucial to help reduce sickling and improve circulation.

C. Avoiding strain on painful joints is appropriate to prevent exacerbating pain and potential damage.

D. Applying nasal oxygen at 2 liters may be indicated to ensure adequate oxygenation, especially if the child is experiencing any respiratory distress.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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