A nurse is caring for a client who is HIV-positive and is 1 day postoperative following an appendectomy. Which of the following actions requires the nurse to wear a gown as personal protective equipment (PPE)?

A. Planning should be initiated upon admission: Planning is a key step in the nursing process that begins after data collection during admission. It involves setting goals, identifying interventions, and creating a plan tailored to the client’s needs, preferences, and priorities.

B. Recognizing cues occurs during the evaluation process: Recognizing cues is part of the assessment and analysis phase, not evaluation. Evaluation occurs after interventions are implemented to determine if desired outcomes have been achieved.

C. Prioritizing hypothesis allows the nurse to determine immediate care needs: After collecting and analyzing data, prioritizing nursing diagnoses or hypotheses helps the nurse focus on the client’s most urgent needs first. This ensures safe, effective, and timely care.

D. Nursing interventions require a prescription prior to taking action: Many nursing interventions, such as education, repositioning, or monitoring, are independent and do not require a provider prescription. Only dependent interventions, like medication administration, require a prescription.

E. Determining the client's knowledge regarding relapse prevention is part of collection: Assessing the client’s understanding of relapse prevention is part of the assessment phase. Gathering this information helps the nurse develop an individualized plan that addresses educational needs and supports recovery.

A. Obtain information about the client's recent sexual partners: Contact tracing and partner notification are essential steps in the management of gonorrhea. Identifying and treating recent sexual partners helps prevent reinfection and limits the spread of the infection within the community.

B. Check for the presence of a primary lesion or chancre: A chancre is characteristic of primary syphilis, not gonorrhea. Gonorrhea typically presents with purulent discharge and dysuria rather than painless genital ulcers.

C. Instruct the client about preventing reinfection by using a diaphragm: Diaphragms do not provide protection against sexually transmitted infections. Barrier methods such as condoms are effective for STI prevention, whereas diaphragms are primarily a contraceptive device.

D. Remind the client that gonorrhea is a virus, therefore it cannot be cured: Gonorrhea is caused by the bacterium Neisseria gonorrhoeae, not a virus. It can be effectively treated with appropriate antibiotics, making this statement incorrect and misleading.