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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

Shutting off the intravenous infusion is the immediate action to take when a client reports difficulty swallowing during infliximab infusion. This could indicate an infusion reaction or anaphylaxis, which requires immediate cessation of the infusion to prevent further complications.

Choice B rationale

Notifying the primary health care provider is important, but the immediate action should be to stop the infusion to prevent further adverse reactions.

Choice C rationale

Having the client take deep breaths and try to relax is not appropriate in this situation, as it does not address the potential infusion reaction or anaphylaxis.

Choice D rationale

Obtaining a prescription for oral diphenhydramine may be part of the treatment for an infusion reaction, but the immediate action should be to stop the infusion. .

Correct Answer is D

Explanation

Choice A rationale

Diphenhydramine does not expand blood volume. It is an antihistamine used to prevent allergic reactions.

Choice B rationale

Diphenhydramine does not enhance clotting factors. It is used to manage allergic reactions.

Choice C rationale

While diphenhydramine can help manage fever and chills, its primary purpose before a blood transfusion is to prevent allergic reactions.

Choice D rationale

Administering diphenhydramine before a blood transfusion helps prevent urticaria and other allergic reactions by blocking histamine release. .

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