A guard at a prison brings an injured inmate to the facility clinic. The inmate is bleeding, and the guard asks the nurse about the inmate's HIV infection status. Which of the following actions by the nurse is appropriate?

Have the guard sign a release of information form.

Tell the guard to submit an inmate inquiry form to the warden.

Complete an incident report.

Instruct the guard to ask the inmate.

Answer and Explanation

The Correct Answer is C

A.   Having the guard sign a release of information form may not be appropriate in an emergency situation, and immediate action is needed to address the injury.
B.   Telling the guard to submit an inmate inquiry form to the warden may delay necessary medical intervention in an emergency.
C.   Completing an incident report is appropriate to document the situation and the care provided It is not necessary to disclose the inmate's HIV status in the report.

D.   Instructing the guard to ask the inmate is not a proper approach to handling a medical emergency. The nurse should focus on providing immediate care to the injured inmate.

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Correct Answer is C

Explanation

A. Providing the AP with a copy of the unit's policy may be done but is not the first step. Direct communication is important for immediate feedback.
B. Notifying the charge nurse is appropriate but may not be the first action when direct communication with the AP can address the issue.
C. Talking with the AP about the technique used is the first and immediate action to address the observed lapse in infection control practices.
D. Conducting an in-service on standard precautions is a broader intervention and may be considered after addressing the immediate concern with the AP.

A. Two-point B. Four-point C. Swing-through D. Three-point

Correct Answer is D

Explanation

A. The two-point gait requires partial weight-bearing on both legs, making it unsuitable for a client who can only bear weight on one leg.
B. The four-point gait also requires weight-bearing on both legs and provides maximum stability, but it is not appropriate for a client who can bear weight on only one leg.
C. The swing-through gait is generally used by clients with paralysis of the legs or for those who need to use both legs minimally while moving with crutches. It is not the most suitable option for a client with weight-bearing restrictions on one leg.
D. The three-point gait is the correct technique for a client who can bear weight on only one leg. In this gait, both crutches and the affected leg are moved forward together, followed by the weight-bearing leg. This method allows the client to ambulate safely while maintaining the non-weight-bearing leg off the ground.

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A guard at a prison brings an injured inmate to the facility clinic. The inmate is bleeding, and the guard asks the nurse about the inmate's HIV infection status. Which of the following actions by the nurse is appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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