The nurse is caring for a client diagnosed with human immunodeficiency virus (HIV). Which of the following precautions is best in the care of the client?
1. Gloves and an N-95 mask
2. Gown, gloves, and mask if splashing with body fluids is likely
3. Gown, gloves, mask, and placement into a negative-pressure room
4. Only handwashing is needed
2
Standard precautions should be followed when handling any body fluids and blood. An N-95 mask and a negative-pressure room are not necessary. Handwashing is always recommended, but it should be accompanied by other precautions if contact with body fluids or blood is likely.
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A patient being treated for major depression is the CEO of her own business. She has shown significant improvement and is about to be discharged after completing a course of 15 electroconvulsive therapy sessions
She will continue on SSRI medications. The patient has been counseled not to make a major business decision for a month. The rationale for this is that: a. SSRIs may cause confusion in susceptible persons. b. ECT often causes temporary memory impairment. c. Lingering depression makes the patient incompetent. d. The patient needs months to readjust to work pressures.
The nurse is caring for a client with a new tracheostomy. Which of the following nursing diagnoses are priorities? Select all that apply
A) Ineffective Airway Clearance related to increased secretions B) Risk for Infection related to operative incision and tracheostomy tube placement C) Knowledge Deficit related to care of the tracheostomy tube and surrounding site D) Impaired Gas Exchange related to shallow breathing and anxiousness
Your client is complaining of severe dizziness and drowsiness. Upon assessment, you find the client has bradycardia and a bluish discoloration of the palms and fingernails. What do these signs and symptoms indicate?
A) Cinchonism B) Overdosage C) Hypokalemia D) Hypertension
All of the following may be reasons associated with an elevated PSA besides prostate cancer except
A. Prostatitis B. Urinary tract infection C. Perineal trauma D. Digital rectal exam