An HIV-infected patient asks, "Why do you have to wear gloves to dress the wound on my foot? I thought blood was the only thing you had to be careful with." What will the nurse tell the patient?
1. "I don't know, I just put them on."
2. "Everyone wears gloves in the hospital."
3. "Your wound is draining clear fluid."
4. "I don't know, the wound is dry."
3
It is necessary to avoid exposure to lesions or body fluids.
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A client in the outpatient clinic is scheduled to have blood drawn for an iron level. Recognizing that certain medications will affect the results, the nurse should determine whether the client is taking:
1. Acetaminophen. 2. Oral contraceptives. 3. Antihypertensives. 4. Antidepressants.
A school-aged child has a bee-sting allergy. When the child is stung by a bee during a school recess, assuming that all of the following interventions are covered by school protocol, which initial intervention by the school nurse would be most
appropriate? A) Immediately transport the child to the local hospital. B) Administer epinephrine immediately. C) Notify the child's mother. D) Apply a warm compress to the site of the bee sting.
A child with an upper respiratory infection caused by B. pertussis is receiving erythromycin ethylsuccinate. After 2 days of treatment, the parent asks the nurse why the child's symptoms have not improved. Which response by the nurse is correct?
a. "Erythromycin eliminates the bacteria that causes the infection, but not the toxin that causes the symptoms." b. "We may need to add penicillin or another antibiotic to increase the antimicrobial spectrum." c. "We will need to review the culture sensitivity information to see whether a different antibiotic is indicated." d. "Your child may have developed a suprainfection that we need to culture and treat."
The home care nurse is caring for an Amish client. Integrating the family and church community into the client's care, with the client's permission, is an example of which modality for providing culturally congruent care?
A) Cultural care preservation B) Cultural care accommodation C) Cultural care restructuring D) Cultural care negotiation