MC When providing care for an AIDS client, a gown should be worn when you
A. Enter the room to provide direct client care.
B. Administer IV medications.
C. Complete a dressing change.
D. Potentially come in contact with blood or body fluids.
C
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A patient, age 54, is on postoperative day 2 after undergoing an open cholecystectomy. Immediately after the surgery, she vomited and may have aspirated some emesis. The nurse is concerned that the patient will develop pneumonia
In planning for her care, the nurse suspects the patient may have a. bacterial pneumonia. b. aspiration pneumonia. c. viral pneumonia. d. atypical pneumonia.
A 42-year-old client has a rectal temperature reading of 39.2°C (102.6°F). Her blood pressure has decreased from 124/76 to 118/70 since taken 4 hours earlier. Her pulse rate has increased from 68 to 78. The nurse's initial best action is to:
a. Document the vital signs and continue with her assessment b. Contact the provider immediately due to the alarming changes in the vital signs c. Obtain a pulmonary artery temperature reading before initiating any type of treatment d. Ask the NAP to obtain another set of vital signs in 4 hours
A young man is brought to the emergency department after having a seizure at home. Assessment reveals a blood pressure of mm Hg, a respiratory rate of 6 breaths/min, and cardiac dysrhythmias
The most appropriate question the nurse should ask the client's friend is a. "Does he take amphetamines or uppers?" b. "Has he ever used LSD?" c. "Have you two been out of the country in the last 2 days?" d. "Is he using any opioids such as heroin?"
What is a possible complication if S.R.'s stone is not removed?
a. Nephrosclerosis b. Hydronephrosis c. Trabeculation d. Nephrotic syndrome