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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Remove the peripheral IV site: The IV site should be maintained with normal saline to keep access open for potential emergency medications or further treatment. Removing it too early may hinder urgent intervention.
B. Infuse 0.9% sodium chloride through the infusion set tubing: Normal saline should be infused after stopping the transfusion, but it must be done through new tubing to avoid continued exposure to the blood product.
C. Stop the transfusion of the blood: Itching and flushing are signs of a mild allergic transfusion reaction. The immediate priority is to stop the transfusion to prevent the reaction from progressing. This action helps prevent further antigen exposure.
D. Monitor the client's vital signs every 30 min: While vital sign monitoring is important, it is not the first or most urgent action. The priority is to stop the transfusion and address the reaction promptly.
Correct Answer is C
Explanation
A. “Remain on bed rest for 24 hours following the procedure.”: Prolonged bed rest increases the risk of venous stasis and deep vein thrombosis, so this instruction does not promote circulation and is not recommended.
B. “Place a pillow under your knees while in bed.”: Elevating the knees can impede venous return and increase the risk of blood clots, so this practice is discouraged for circulation promotion.
C. “Participate in range-of-motion exercises.”: Performing range-of-motion exercises helps stimulate blood flow, reduce venous stasis, and promote circulation, which is essential during the postoperative period to prevent complications.
D. “Use an incentive spirometer every 4 hours.”: Using an incentive spirometer improves lung expansion and oxygenation but does not directly promote circulation in the extremities.
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