A group of nurses are discussing risk factors for the transmission of human immunodeficiency virus (HIV) from clients. Which of the following individuals should the nurse identify as being at the greatest risk for contracting HIV?

A personal trainer who works with a client who has HIV.

An occupational therapist who works with a client who has HIV.

A phlebotomist who collects blood from clients who have HIV.

A nurse who works for an insurance company and collects urine samples from clients who have HIV.

Answer and Explanation

The Correct Answer is C

Choice A reason:
A personal trainer working with a client who has HIV is at low risk for contracting the virus. HIV is not transmitted through casual contact, sweat, or saliva. The risk would increase only if there were exposure to blood or other body fluids through an open wound or mucous membrane.

Choice B reason:
An occupational therapist working with a client who has HIV also has a low risk of contracting the virus. Similar to a personal trainer, unless there is direct exposure to blood or body fluids, the transmission risk is minimal.

Choice C reason:
A phlebotomist who collects blood from clients who have HIV is at the greatest risk among the listed individuals. Phlebotomists are healthcare professionals who are frequently exposed to blood, which is a bodily fluid that can transmit HIV if proper precautions are not taken.

Choice D reason:
A nurse who collects urine samples is at a lower risk compared to a phlebotomist. HIV is not typically transmitted through urine unless it contains blood. However, the risk is still present if there is exposure to blood-contaminated urine through cuts or mucous membranes.

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Correct Answer is B

Explanation

Choice A reason:

Asking questions about the information on her postoperative care pamphlet is a positive behavior indicating that the client is proactive in understanding her care and recovery process. It shows engagement and a desire to comply with medical advice, which is beneficial for recovery.

Choice B reason:

Refusing to look at the dressing or surgical incision may indicate psychological distress and difficulty in accepting the physical changes following a mastectomy. This behavior can be a sign of avoidance and a potential struggle with body image and the emotional impact of breast loss. It's important for healthcare providers to recognize this as a call for psychological support and possible referral to counseling services.

Choice C reason:

Performing arm exercises once or twice a day is typically recommended as part of the postoperative care after a mastectomy to prevent stiffness and improve mobility. This behavior suggests that the client is following postoperative instructions and actively participating in her recovery.

A. Informatics B. Quality improvement C. Safety D. Evidence-based practice

Correct Answer is C

Explanation

Choice A reason:
Informatics involves the use of information technology in healthcare, which is essential for managing patient data and improving communication. However, while informatics supports various aspects of patient care, it is not the primary concern during the perioperative period. The focus during this time is on ensuring the client's immediate well-being and preventing harm.

Choice B reason:
Quality improvement is a continuous process of identifying and implementing changes to improve patient care and outcomes. While it is a critical component of nursing practice, the priority in the perioperative period is the safety of the client, which is a more immediate concern.

Choice C reason:
Safety is the most critical QSEN competency during the perioperative period. This period involves significant risks due to anesthesia, surgical procedures, and potential complications. Ensuring the client's safety by preventing errors, reducing the risk of harm, and maintaining a sterile environment is paramount.

Choice D reason:
Evidence-based practice involves using the best current evidence to make informed decisions about patient care. While it is crucial for guiding clinical practice, the immediate priority in the perioperative period is ensuring the client's safety through vigilant monitoring and intervention.

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A group of nurses are discussing risk factors for the transmission of human immunodeficiency virus (HIV) from clients. Which of the following individuals should the nurse identify as being at the greatest risk for contracting HIV?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is 1 day postoperative following a left radical mastectomy. Which of the following behaviors should alert the nurse to the possibility that the client is having difficulty adjusting to the loss of her breast?

Correct Answer is B

Explanation

A nurse working in the perioperative area is reviewing the Quality and Safety Education in Nursing (QSEN) competencies. Which of the following competencies should the nurse identify as the priority when caring for a client during the perioperative period?

Correct Answer is C

Explanation

A nurse in a clinic is assessing a client who has AIDS and a significantly decreased CD4+ T-cell count. The nurse should recognize that the client is at risk for developing which of the following infectious oral conditions?

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A nurse is assessing a client who has a fluid volume deficit. The nurse should expect which of the following findings?

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