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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 C

Explanation

Choice A rationale

Dysphagia, or difficulty swallowing, is not a common manifestation of acoustic neuroma. It is more commonly associated with conditions affecting the throat or esophagus.

Choice B rationale

Apraxia, a motor disorder caused by damage to the brain, is not typically associated with acoustic neuroma. It affects the ability to perform coordinated movements.

Choice C rationale

Vertigo, or a sensation of spinning, is a common manifestation of acoustic neuroma. The tumor affects the vestibular nerve, which is responsible for balance and spatial orientation.

Choice D rationale

Diplopia, or double vision, is not a common symptom of acoustic neuroma. It is more often associated with conditions affecting the muscles or nerves controlling eye movement.

Correct Answer is C

Explanation

Choice A rationale

Applying cool compresses can help reduce swelling and discomfort, but it is not the primary instruction for a client scheduled for retinal detachment surgery.

Choice B rationale

Eye drops to constrict the pupils are not typically prescribed for retinal detachment surgery. The focus is on preventing further detachment and ensuring proper healing.

Choice C rationale

Restricting head movement is crucial to prevent further detachment of the retina and to promote proper healing after surgery. The client should be instructed to avoid sudden or excessive head movements.

Choice D rationale

Keeping both eyes patched is not necessary and may cause unnecessary discomfort and disorientation for the client.

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