The licensed practical nurse/licensed vocational nurse (LPN/LVN) is watching a nursing student administer medications to a patient with HIV. Which action by the student requires correction by the nurse?
The student wears gloves when administering the medication
The student washes her hands before and after administering the medication.
The student recaps the needle and places it in the sharps container.
The student uses a needleless system to administer the medication.
The Correct Answer is A
A. The student wears gloves when administering the medication: Wearing gloves is part of standard precautions for administering medications.
B. The student washes her hands before and after administering the medication: Hand hygiene is essential before and after care for all patients, including those with HIV.
C. The student recaps the needle and places it in the sharps container: Requires correction; recapping needles increases the risk of accidental needle sticks and is not recommended. The correct practice is to dispose of needles directly in a sharps container without recapping.
D. The student uses a needleless system to administer the medication: Needleless systems reduce the risk of needle-stick injuries.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Stop the transfusion: The immediate priority is to halt the infusion to prevent further exposure to the offending blood product.
B. Call the blood bank to report the reaction: This is done after the transfusion is stopped and the patient is stabilized.
C. Administer oxygen: Oxygen administration may be required if the patient shows signs of respiratory distress but is not the immediate first action.
D. Call the physician: Notifying the physician is important but only after stopping the transfusion and assessing the client.
Correct Answer is B
Explanation
A. A CD4 count 300/μL: Although this may indicate immunosuppression, it is not consistent with AIDS, which requires a CD4 count below 200/μL.
B. A CD4 count 100/μL: This count is indicative of advanced AIDS, where patients are highly susceptible to opportunistic infections.
C. A CD4 count of 800/μL: This is within the normal range for a healthy individual.
D. A CD4 count of 600/μL: This is still within the normal range and does not indicate AIDS.
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