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Author Question: When assigned to a newly admitted patient with AIDS, the nurse says, I'm pregnant. It is not safe ... (Read 54 times)

Themember4

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When assigned to a newly admitted patient with AIDS, the nurse says, I'm pregnant. It is not safe for me or my baby if I am assigned to his case. Which is the most appropriate response by the charge nurse?
 
  a. This patient would not be a risk for your baby if you use standard precautions and avoid direct contact with blood or body fluids.
  b. You should ask for a transfer to another unit because contact with this patient would put you and your baby at risk for AIDS.
  c. Wear a mask, gown, and gloves every time you go into his room and use disposable trays, plates, and utensils to serve his meals.
  d. We should recommend that this patient be transferred to an isolation unit.

Question 2

List the sequence of a plasmapheresis procedure. (Separate letters by a comma and space as follows: A, B, C, D)
 
  a. Removal of whole blood in one arm
  b. Circulation of blood through cell separator
  c. Remainder of plasma returned through vein in opposite arm
  d. Separation of plasma and its cellular components
  e. Replacement of plasma with lactated Ringer
  f. Removal of undesirable components



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Heffejeff

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Answer to Question 1

ANS: A
HIV is transmitted from human to human through infected blood, semen, cervicovaginal secretions, and breast milk. The use of Standard Precautions by all staff members for all patients all the time simplifies this issue.

Answer to Question 2

ANS:
A, B, D, F, C, E

The whole blood is drawn out of one arm; circulated through a cell separator; plasma is separated with its cellular components; the undesirable components are removed; the remainder of plasma is returned through a vein in the opposite arm; and the lost plasma is replaced with lactated Ringer, normal saline, frozen plasma, or albumin.





 

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