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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

Applying the ointment in a thin line into the conjunctival sac ensures that the medication is properly distributed across the surface of the eye, allowing for effective treatment of the bacterial conjunctivitis.

Choice B rationale

Asking the child to look down before applying the ointment is not necessary and may make the application process more difficult. The focus should be on ensuring the ointment is applied correctly.

Choice C rationale

Using a sterile glove and applicator is not required for applying ophthalmic ointment. Clean hands and proper technique are sufficient to ensure safe and effective application.

Choice D rationale

Wiping from the outer to the inner canthus is incorrect. The correct technique is to wipe from the inner to the outer canthus to prevent the spread of infection.

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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