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 C

Explanation

"I need to carry the Epi-pen with me at all times": Individuals with severe allergies should always have an Epi-pen in case of exposure to allergens. No reinforcement needed.

"When my Epi-pen reaches its expiration date, I need to get a new one": Epi-pens have a limited shelf life, and using an expired pen may be ineffective. No reinforcement needed.

"Once I inject myself with my Epi-pen, I won't have to go to the hospital": Epinephrine provides temporary relief, but further medical evaluation is essential due to the risk of a biphasic reaction or persistent symptoms. Reinforcement needed.

"I need to avoid all foods that may have been exposed to peanuts": Strict avoidance of allergens is essential to prevent severe reactions. No reinforcement needed.

A. There is formation of antigen- antibody complexes leading to inflammation B. Production of immunoglobulin E antibodies occurs C. It is a chronic progressive inflammatory disease of the spine and large limb joints D. Autoantibodies lyse red blood cells

Correct Answer is C

Explanation

A. There is formation of antigen-antibody complexes leading to inflammation: This describes immune complex-mediated conditions like lupus.
B. Production of immunoglobulin E antibodies occurs: This is associated with Type I hypersensitivity reactions, such as allergies.
C. It is a chronic progressive inflammatory disease of the spine and large limb joints: Ankylosing spondylitis is an autoimmune disorder characterized by inflammation of the axial skeleton.
D. Autoantibodies lyse red blood cells: This describes autoimmune hemolytic anemia, not ankylosing spondylitis.

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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 is educating a patient concerning use of an Epi-pen for a severe allergic reaction to peanuts. Which of the following statements, made by the patient, allows the nurse to know that the education must be reinforced?

Correct Answer is C

Explanation

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

Correct Answer is C

Explanation

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