A nurse is providing teaching for a client who has stage 3 HIV disease (AIDS). Which of the following statements by the client should indicate to the nurse an understanding of the teaching?
"I will rinse raw fruits with water before eating them"
“I will wear gloves while changing the kitty litter box"
"I will wear a N95 mask when around sick family members"
“I will cook vegetables before eating them"
The Correct Answer is B
A. While rinsing fruits is good practice, it may not fully eliminate the risk of pathogens, especially for someone with a compromised immune system.
B. This statement is the best indication of understanding how to prevent infections. Changing kitty litter can expose the client to Toxoplasma gondii, which is particularly risky for immunocompromised individuals. Wearing gloves is a direct and effective precaution.
C. Although wearing an N95 mask can be appropriate in certain situations, it may not be necessary for all interactions with sick family members. A standard surgical mask is often sufficient.
D. Cooking vegetables is a good practice for food safety, especially for immunocompromised individuals, but this statement is more general than specifically addressing a particular risk.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D","E"]
Explanation
A. Paper tape is gentler on fragile skin compared to standard adhesive tape. It reduces the risk of skin tears and bleeding, making it a safer option for patients with thrombocytopenia.
B. This option is not advisable. Mouthwash containing alcohol can irritate and dry out the mucous membranes in the mouth, potentially leading to ulcers or bleeding. Instead, an alcohol-free mouthwash should be used for oral care.
C. Aspirin is an antiplatelet agent that can increase the risk of bleeding. Patients on bleeding precautions should avoid aspirin and other non-steroidal anti-inflammatory drugs (NSAIDs) to minimize the risk of excessive bleeding.
D. A soft-bristle toothbrush or oral sponge is recommended for oral care to minimize trauma to the gums and mucous membranes. This helps reduce the risk of bleeding in patients with low platelet counts.
E. Using an electric shaver is safer than a traditional razor, as it reduces the risk of cuts and nicks that can lead to bleeding. This precaution is particularly important for patients with thrombocytopenia.
Correct Answer is B
Explanation
A. A positive ketone result indicates the presence of ketones in the urine, which can occur in conditions such as diabetes, fasting, or starvation. It is not indicative of a UTI.
B. A positive leukocyte esterase test indicates the presence of white blood cells (WBCs) in the urine, suggesting inflammation or infection, commonly associated with a UTI. This enzyme is released by WBCs, making it a key marker for infections.
C. The presence of crystals in the urine can indicate various conditions, including kidney stones or metabolic disorders, but it is not a specific marker for a UTI.
D. Hyaline casts may appear in the urine in response to dehydration or concentrated urine but are not specific to urinary tract infections. They can be seen in various renal conditions and do not indicate infection.
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