The client who has just been diagnosed as HIV-positive asks if he poses a health hazard to his co-workers in the secretarial pool. What is the nurse's best response?

A. "The only time you could make someone else sick is when you have Pneumocystis pneumonia."
B. "As long as you are taking your antiviral medications, you cannot transmit the virus to your co-workers."
C. "Unless your blood or other body fluids comes into contact with your co-workers, you are not a health risk to them."
D. "You should inform your co-workers of your HIV status so that they can take proper precautions to reduce their risk."


C
HIV transmission requires significant contact with contaminated body fluids. If his co-workers are immunocompetent, even the client's opportunistic infection will have no physical impact on these people.

Nursing

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The Health Information Technology for Economic and Clinical Health (HITECH) encouraged implementation of electronic health records (EHR) by what means?

a. Fining facilities that did not convert to EHRs by 2015 b. Mandating that all facilities implement EHRs within the year c. Providing incentive payments to facilities that converted to EHRs d. Restricting providers' access to traditional patient health records

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A patient's declining cardiac status has been attributed to decreased cardiac action potential. Interventions will be aimed at restoring what aspect of cardiac physiology?

A) The cycle of depolarization and repolarization B) The time it takes from the firing of the SA node to the contraction of the ventricles C) The time between the contraction of the atria and the contraction of the ventricles D) The cycle of the firing of the AV node and the contraction of the myocardium

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The nurse manager decides to use a mediator to help resolve the staff's conflict. A basic strategy for truly addressing this conflict is to:

a. Identify the conflicting facts. b. Be determined to resolve the conflict. c. Schedule a meeting time for resolution. d. Have a clear understanding of the differ-ences between the parties in conflict.

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A nurse is caring for a patient with an immunodeficiency. What is an important education parameter for this patient?

A) Signs and symptoms of secondary reactions B) Promoting good dental hygiene C) Signs and symptoms of primary reactions D) Promoting good hygiene

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