Which situation should be reported to the nursing supervisor as an exposure for the nurse caring for a patient diagnosed with acquired immunodeficiency syndrome (AIDS)? The nurse

was touching the client on the shoulder without gloves.

was recapping a needle before medication administration.

was not wearing a mask while in the client's room.

had fluids splashing in their eyes while emptying a bedpan.

Answer and Explanation

The Correct Answer is D

A. Touching a patient’s shoulder does not pose a risk of HIV transmission, as it is not spread through casual skin contact.

B. While recapping needles is discouraged due to the risk of needlestick injury, it is not an exposure unless an actual needlestick occurs.

C. Not wearing a mask is typically not necessary in all interactions with HIV/AIDS patients unless there is an active infection requiring airborne precautions.

D. Exposure of bodily fluids to mucous membranes (such as the eyes) is a significant occupational exposure risk and should be reported. This requires immediate response and evaluation for potential infection.

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Correct Answer is ["16"]

Explanation

To calculate the dosage of Vancomycin, first convert the patient's weight from pounds to kilograms, knowing that 1 kg equals 2.2 lbs. The patient weighs 110 lbs, which is equivalent to 50 kg (110 lbs / 2.2). Next, multiply the patient's weight in kilograms by the prescribed dosage of 20 mg/kg, resulting in a total dosage of 1000 mg (50 kg * 20 mg/kg). Since the vials contain 500 mg per 8 mL, divide the total dosage required by the amount per vial to find out how many milliliters should be withdrawn. This results in 16 mL (1000 mg / (500 mg/8 mL)).

A. "I should discuss all over the counter drugs with my healthcare provider." B. "I cannot discontinue medication abruptly." C. "If I miss a dose, I can double up on the next dose." D. "I should take my medications exactly as ordered."

Correct Answer is C

Explanation

A. Discussing over-the-counter drugs with the healthcare provider is essential, as they can interact with antiepileptic medications.

B. Discontinuing antiepileptic medications abruptly can lead to rebound seizures and is unsafe, so this statement is correct.

C. Doubling up on doses can lead to toxicity and adverse effects; missed doses should not be made up by doubling the next dose. This response indicates the need for further teaching.

D. Taking medications exactly as prescribed is necessary to maintain therapeutic levels and manage seizure control effectively.

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Which situation should be reported to the nursing supervisor as an exposure for the nurse caring for a patient diagnosed with acquired immunodeficiency syndrome (AIDS)? The nurse

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Naxlex Comprehensive Predictor Exams

A physician prescribes Vancomycin 20 mg/kg intravenous (IV). The patient weighs 110 lbs. The medication is available in vials which contain 500 mg per 8 mL. What should the nurse withdraw from the vial? (round to the nearest whole number)

Correct Answer is ["16"]

Explanation

The nurse is caring for a patient diagnosed with epilepsy who is prescribed antiepileptic medications. The nurse would identify the need for further teaching when the patient states:

Correct Answer is C

Explanation

Which statement made by a patient who is diagnosed with human immunodeficiency virus (HIV) and is prescribed three antiretroviral medications, indicates the need for further teaching about the medication combination?

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