This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A client with human immune deficiency virus is admitted to the hospital with fever, night sweats, ... (Read 77 times)

dejastew

  • Hero Member
  • *****
  • Posts: 562
on: Jun 25, 2018
A client with human immune deficiency virus is admitted to the hospital with fever, night sweats, and severe cough. Laboratory results include a CD4+ cell count of 180/mm3 and a negative tuberculosis (TB) skin test 4 days ago. What action should the nurse
 
  a. Initiate Droplet Precautions for the client.
  b. Notify the provider about the CD4+ results.
  c. Place the client under Airborne Precautions.
  d. Use Standard Precautions to provide care.

Question 2

The nurse providing direct client care uses specific practices to reduce the chance of acquiring infection with human immune deficiency virus (HIV) from clients. Which practice is most effective?
 
  a. Consistent use of Standard Precautions
  b. Double-gloving before body fluid exposure
  c. Labeling charts and armbands HIV+
  d. Wearing a mask within 3 feet of the client


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Mholman93

  • Sr. Member
  • ****
  • Posts: 328
Reply #1 on: Jun 25, 2018
Answer to Question 1

ANS: C
Since this client's CD4+ cell count is low, he or she may have anergy, or the inability to mount an immune response to the TB test. The nurse should first place the client on Airborne Precautions to prevent the spread of TB if it is present. Next the nurse notifies the provider about the low CD4+ count and requests alterative testing for TB. Droplet Precautions are not used for TB. Standard Precautions are not adequate in this case.

Answer to Question 2

ANS: A
According to The Joint Commission, the most effective preventative measure to avoid HIV exposure is consistent use of Standard Precautions. Double-gloving is not necessary. Labeling charts and armbands in this fashion is a violation of the Health Information Portability and Accountability Act (HIPAA). Wearing a mask within 3 feet of the client is part of Airborne Precautions and is not necessary with every client contact.


dejastew

  • Member
  • Posts: 562
Reply 2 on: Jun 25, 2018
Great answer, keep it coming :)

amcvicar

  • Member
  • Posts: 341
Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

« previous next »
 

Did you know?

The first-known contraceptive was crocodile dung, used in Egypt in 2000 BC. Condoms were also reportedly used, made of animal bladders or intestines.

Did you know?

Adult head lice are gray, about ? inch long, and often have a tiny dot on their backs. A female can lay between 50 and 150 eggs within the several weeks that she is alive. They feed on human blood.

Did you know?

Illness; diuretics; laxative abuse; hot weather; exercise; sweating; caffeine; alcoholic beverages; starvation diets; inadequate carbohydrate consumption; and diets high in protein, salt, or fiber can cause people to become dehydrated.

Did you know?

Patients should never assume they are being given the appropriate drugs. They should make sure they know which drugs are being prescribed, and always double-check that the drugs received match the prescription.

Did you know?

Pregnant women usually experience a heightened sense of smell beginning late in the first trimester. Some experts call this the body's way of protecting a pregnant woman from foods that are unsafe for the fetus.

The human birth process as an example of positive feedback. The human birth process as an example of positive feedback.
In the summer of 1793, a yellow fever epidemic struck Philadelphia, killing nearly 4,000. Tens of th In the summer of 1793, a yellow fever epidemic struck Philadelphia, killing nearly 4,000. Tens of th
The anterior and posterior human skeleton. The anterior and posterior human skeleton.
Use face cradle covers to prevent the client’s skin from touching the face cradle upholstery. Use face cradle covers to prevent the client’s skin from touching the face cradle upholstery.
Geese continued to follow a human around assuming their actual mothers Geese continued to follow a human around assuming their actual mothers
An example of a cell-mediated immune response targeting virus-infected cells. An example of a cell-mediated immune response targeting virus-infected cells.
Video: Neural regulation of mechanical digestion- CNS voluntary, ANS & ENS controlled involuntary movements

For a complete list of videos, visit our video library