The licensed practical nurse/licensed vocational nurse (LPN/LVN) is watching a nursing student administer medications to a patient with HIV. Which action by the student requires correction by the nurse?

The student wears gloves when administering the medication

The student washes her hands before and after administering the medication.

The student recaps the needle and places it in the sharps container.

The student uses a needleless system to administer the medication.

Answer and Explanation

The Correct Answer is A

A.   The student wears gloves when administering the medication: Wearing gloves is part of standard precautions for administering medications.
B.   The student washes her hands before and after administering the medication: Hand hygiene is essential before and after care for all patients, including those with HIV.
C.   The student recaps the needle and places it in the sharps container: Requires correction; recapping needles increases the risk of accidental needle sticks and is not recommended. The correct practice is to dispose of needles directly in a sharps container without recapping.
D.   The student uses a needleless system to administer the medication: Needleless systems reduce the risk of needle-stick injuries.

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Correct Answer is ["A","D","E"]

Explanation

A. Hypotension: A rapid drop in blood pressure is a hallmark symptom of anaphylaxis.
B. Bradycardia: Bradycardia is not a common finding in anaphylaxis. Tachycardia (rapid heart rate) is more typical due to compensatory mechanisms.
C. Hypertension: Anaphylaxis usually causes hypotension due to vascular leakage and vasodilation.
D. Tachycardia: Tachycardia is commonly seen in anaphylaxis as the heart attempts to compensate for the drop in blood pressure.
E. Wheezing: Wheezing is a sign of bronchospasm and respiratory distress, which is a common feature of anaphylaxis.

A. Iritis B. Spinal deformity C. Facial rash D. Thickened skin

Correct Answer is C

Explanation

Iritis: This is associated more with autoimmune conditions like ankylosing spondylitis rather than SLE.
Spinal deformity is not a typical feature of SLE. Spinal deformities are more commonly seen in conditions like rheumatoid arthritis.
Facial rash: The characteristic "butterfly" rash over the cheeks and nose is a hallmark finding in SLE.
Thickened skin: SLE typically presents with skin lesions or rashes rather than skin thickening.

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The licensed practical nurse/licensed vocational nurse (LPN/LVN) is watching a nursing student administer medications to a patient with HIV. Which action by the student requires correction by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse knows the following are symptoms of anaphylaxis and they need to intervene quickly. (Select All that Apply.)

Correct Answer is ["A","D","E"]

Explanation

A nurse is collecting data from a client who has systemic lupus erythematosus (SLE). Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

Serum sickness, which is a Type III Hypersensitivity Reaction, may occur in patients that have received which of the following medications?

. A nurse is reinforcing discharge teaching with a client who has systemic lupus erythematosus (SLE). Which of the following instructions should the nurse include in the teaching?

The nurse is caring for a patient who asks what ankylosing spondylitis is. Which of the following responses from the nurse is most appropriate?

The nurse suspects the patient is having a blood transfusion reaction. What is the FIRST action the nurse should do?

A nurse is caring for a client who is immunocompromised. Which of the following actions should the nurse take first?

A nurse is assigned care of a client who has HIV. Which of the following infection control precautions should the nurse plan to use while caring for this client?

The nurse knows that Type IV Hypersensitivity Reaction involves which of the following?