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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?

A.

Administering an IM injection.

B.

Completing a dressing change.

C.

Administering an intermittent IV bolus medication.

D.

Talking to the client at the bedside.

Answer and Explanation

The Correct Answer is B

Choice A rationale

 

Administering an IM injection does not typically require a gown as personal protective equipment unless there is a risk of exposure to blood or body fluids.

 

Choice B rationale

 

Completing a dressing change requires a gown to protect against potential exposure to blood or body fluids.

 

Choice C rationale

 

Administering an intermittent IV bolus medication does not typically require a gown unless there is a risk of exposure to blood or body fluids.

 

Choice D rationale

 

Talking to the client at the bedside does not require a gown as there is no risk of exposure to blood or body fluids.


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View Related questions

Correct Answer is A

Explanation

Choice A rationale

Multiple sexual partners increase the risk of human papillomavirus (HPV) infection, which is a significant risk factor for cervical cancer.

Choice B rationale

Multiple pregnancies are not a significant risk factor for cervical cancer.

Choice C rationale

Late onset of menarche is not a significant risk factor for cervical cancer.

Choice D rationale

Use of a diaphragm is not a significant risk factor for cervical cancer.

Correct Answer is C

Explanation

Choice A rationale

Auscultating for wheezing is important but not the first action. The priority is to administer epinephrine to counteract the severe allergic reaction.

Choice B rationale

Assessing the client’s level of consciousness is important but not the first action. Administering epinephrine takes precedence to stabilize the client’s condition.

Choice C rationale

Administering epinephrine is the first action. It is crucial to counteract the severe allergic reaction and prevent further complications.

Choice D rationale

Monitoring for hypotension is important but not the first action. Administering epinephrine is the priority to stabilize the client’s condition.

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