A patient tells the nurse that he does not want to ever receive a blood transfusion because he does not want to get HIV. With which of the following should the nurse respond to this patient?
1. Transmission of HIV through blood products is so rare today because of blood testing being done.
2. That is a valid concern.
3. There is no way to avoid the transmission of HIV.
4. HIV only is transmitted through high risk behavior such as using contaminated needles.
1
Rationale: The nurse should explain that because of sophisticated blood screening done in the United States today, the transmission of HIV through blood products is rare. The nurse should not support the patient by stating he has a valid concern. HIV can be avoided. HIV is not only transmitted through high risk behavior but also sexual contact, administration of contaminated blood products, and mother-to-fetus.
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The nurse admits a client in the afternoon who has significant body odor. What is the initial action by the nurse?
1. Bathe the client. 2. Delegate the bath to the unlicensed assistive personnel. 3. Provide hygiene supplies and instruct the client to bathe. 4. Assess the client, including culture, history, and personal hygiene preferences.
A client has been told that a biopsy report is positive for cancer. Which of these statements by a nurse would illustrate a barrier to communication in this situation?
a. "You have a right to be concerned." b. "You are upset?" c. "Don't worry. Everything will be fine." d. "How can I help you?"
A diabetic client visits the clinic and asks the nurse to take his blood pressure (BP). The measurements are 150/90 mm Hg. Which of the following should the nurse recommend to normalize his BP?
A) Smoking cessation programs C) Daily exercise B) Low-fat diet D) Drug therapy
A client who has been unable to conceive asks the nurse if it is her fault or her husband's fault that they have not been able to become pregnant. What is the nurse's best response?
1. "The male infertility factors are more common than female." 2. "Female infertility issues are more common than male issues." 3. "The testing the doctor will order will determine who is at fault." 4. "We will know more about what is causing your infertility after some tests are done."