A community health nurse is caring for a client exposed to HIV 2 days ago. The client asks the nurse what she should do. Which response should the nurse
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a. "I will administer an HIV vaccine today, and it will need to be repeated in 3 months."
b. "I will administer an HIV test today, and you will need to return in 48hrs for me to read the results."
c. "You will need to have an HIV test every other week for 6 months."
d. "You will need to take prophylactic medications for 4 weeks." CORRECT ANSWER d. "You will need to take prophylactic medications for 4 weeks."
RATIONALE: The client will need to take prophylactic medications for 4 weeks to prevent the virus from replicating within the body.
A home health nurse and an assistive personnel are discussing care for a client. Which statement by the AP requires intervention by the nurse?
a. "I will change the PICC line dressing on my next visit."
b. "Bathing the client is something I can do without assistance."
c. "I assist the client in ambulating outdoors every time I visit."
d. "The next time I visit, I plan to clean up the clutter in the client's room." CORRECT ANSWER a. "I will change the PICC line dressing on my next visit."
RATIONALE: Changing IV dressings is not within the AP's scope of practice. The nurse should investigate this statement.
An occupational health nurse is providing teaching to a group of clients about the risks of the work environment. Which of the following actions is the nurse performing?
a. Case Management
b. Secondary Prevention
c. Tertiary Prevention
d. Primary Prevention CORRECT ANSWER d. Primary Prevention
RATIONALE: This nursing action is an example of primary prevention of accidents in the workplace. The goal of tertiary prevention is to limit disability caused by disease in a population. An example of tertiary prevention is working with members of the population who have diabetes to decrease the number of work days lost due to complications. The goal of secondary prevention is to detect levels of disease in a population and refer people for treatment. An example of secondary prevention is a he [Show Less]