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
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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Related Questions
Correct Answer is ["A","B","C","E"]
Explanation
A. Encouraging frequent fluid intake helps to dilute the urine and promotes urination, which can help flush out bacteria.
B. Frequent voiding is essential to reduce the risk of bacterial growth in the bladder and to alleviate symptoms.
C. Wiping from front to back is important in preventing the spread of bacteria from the rectal area to the urethra, thereby reducing the risk of UTIs.
D. Wearing nylon underwear may trap moisture and create an environment conducive to bacterial growth; cotton underwear is preferred.
E. Completing the course of antibiotics is crucial for fully eradicating the infection and preventing recurrence.
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.
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