A nurse is planning teaching for a client who has a new diagnosis of HIV. Which of the following information should the nurse include about preventing the spread of the infection?

Use condoms with a petroleum-based lubricant.

Buy disposable dishes for daily use.

Clean blood-contaminated surfaces with bleach.

Wash soiled clothes in cold water.

Answer and Explanation

The Correct Answer is C

A. Use condoms with a petroleum-based lubricant: Petroleum-based lubricants can degrade latex condoms, increasing the risk of breakage and HIV transmission. Water- or silicone-based lubricants are recommended to preserve condom integrity.
B. Buy disposable dishes for daily use: HIV is not transmitted through casual contact such as sharing dishes or eating utensils. This practice is unnecessary and may contribute to stigma and isolation for individuals living with HIV.
C. Clean blood-contaminated surfaces with bleach: Bleach is effective in inactivating HIV on surfaces. A solution of 1:10 bleach to water is recommended for cleaning any area contaminated with blood or body fluids to reduce transmission risk.
D. Wash soiled clothes in cold water: Cold water is less effective at killing pathogens. Hot water and standard laundry detergent are recommended for properly cleaning clothing contaminated with blood or body fluids.

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Correct Answer is A

Explanation

A. Determine if the stockings are binding: It's essential to assess for proper fit to ensure the stockings are not too tight, which could impair circulation. Antiembolic stockings should support venous return without creating constriction that could cause pressure injuries or vascular compromise.
B. Massage the client's legs once every 8 hr while the stockings are in place: Massaging the legs, especially in clients at risk for thromboembolism, can dislodge clots and lead to embolic events. This practice is contraindicated.
C. Fold the top of the stocking over neatly: Folding the top of the stockings creates a constrictive band, which can impair circulation and negate the benefits of the stockings. They should remain smooth and flat along the leg.
D. Apply the stockings after the client is in a chair: Stockings should be applied while the client is lying down with legs elevated. This reduces venous pressure and ensures proper compression once the client becomes upright.

A. Remove the safety inspection sticker before plugging in the IV pump. B. Grasp the IV pump cord when unplugging it from the electrical outlet. C. Ensure that the electric outlet has two prongs for the IV pump. D. Check the cords of the IV pump for fraying.

Correct Answer is D

Explanation

A. Remove the safety inspection sticker before plugging in the IV pump: The safety inspection sticker should remain on the device to confirm that it has been tested and is safe to use. Removing it eliminates proof of its inspection status and compliance.
B. Grasp the IV pump cord when unplugging it from the electrical outlet: Pulling the cord rather than the plug can damage the internal wiring and increase the risk of electrical shock or equipment failure. The plug should be grasped firmly at the base.
C. Ensure that the electric outlet has two prongs for the IV pump: Medical equipment, including IV pumps, should be plugged into a three-pronged grounded outlet to ensure safe operation and reduce the risk of electrical shock or fire.
D. Check the cords of the IV pump for fraying: Inspecting the cords for damage before use is a standard safety measure. Frayed or damaged cords pose a serious electrical hazard and the device should not be used until repaired or replaced.

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A nurse is planning teaching for a client who has a new diagnosis of HIV. Which of the following information should the nurse include about preventing the spread of the infection?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is wearing antiembolic stockings. Which of the following interventions should the nurse include in the plan of care?

Correct Answer is A

Explanation

A nurse is using an IV pump for a newly admitted client. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

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