A nurse is preparing a client who has AIDS for discharge. Which of the following statements should the nurse include in the discharge instructions?
"Food preparation is not your responsibility.”.
"Disinfect equipment contaminated with blood or body fluids for twenty-four hours.”.
"Prevent the spread of infection with good household cleaning practices.”.
"Burn soiled dressings.”.
The Correct Answer is C
Choice A rationale:
While it’s important for someone with AIDS to avoid potential sources of infection, food preparation can be done safely with proper precautions.
Choice B rationale:
Disinfecting equipment for 24 hours is not a standard practice. Standard cleaning procedures with appropriate disinfectants are usually sufficient.
Choice C rationale:
Good household cleaning practices can help prevent the spread of infection, which is crucial for someone with AIDS due to their compromised immune system.
Choice D rationale:
Burning soiled dressings is not a recommended practice. Soiled dressings should be disposed of properly in a biohazard waste bag.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
A WBC count of 5,000/mm³ is within the normal range (4,500 to 11,000 cells/mm³) and is not a priority.
Choice B rationale:
A platelet count of 150,000/mm³ is within the normal range (150,000 to 450,000/mm³) and is not a priority.
Choice C rationale:
A positive Western blot test confirms HIV infection, but it is not a priority in this case.
Choice D rationale:
A CD4-T-cell count of 180 cells/mm³ is below the normal range (500 to 1,500 cells/mm³), indicating severe immune system damage in a client with HIV. This is the nurse’s priority.
Correct Answer is D
Explanation
Choice A rationale:
Aspirin is not typically recommended for gout due to its potential to elevate uric acid levels.
Choice B rationale:
A high-purine diet can exacerbate gout symptoms, so this statement is incorrect.
Choice C rationale:
Limiting fluid intake can lead to dehydration, which can trigger a gout attack.
Choice D rationale:
Alcohol, especially beer, can increase uric acid levels and trigger gout attacks, so limiting alcohol intake is recommended.
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