Prioritization, Delegation, and Assignment: Practice Excercises for the NCLEX Exam (p. Assessing for high-risk behaviors, education, and community assessment are RN-level skills. Ans: 1 Supplying sterile injection supplies to patients who are at risk for HIV infection can be done by staff members with health assistant education. Assessing the community to determine which population groups to target for education Teaching high-risk community members about the use of condoms in preventing HIV infectionĤ. Interviewing patients about behaviors that indicate a need for annual HIV testingģ. Supplying injection drug users with sterile injection equipment such as needles and syringesĢ. Which nursing action will you delegate to health assistants working for the agency?ġ. As the nurse manager in a public health department, you are implementing a plan to reduce the incidence of infection with human immunodeficiency virus (HIV) in the community. IV access will take longer to establish and should not be the first intervention. Albuterol may also be administered to decrease airway narrowing but would not be the first therapy used for anaphylaxis. Oxygen use is also appropriate, but oxygen would be administered using a nonrebreather mask in order to achieve a fraction of inspired oxygen closer to 100%. Giving epinephrine rapidly at the onset of an anaphylactic reaction may prevent or reverse cardiovascular collapse as well as airway narrowing caused by bronchospasm and inflammation. Ans: 3 Epinephrine is the initial drug of choice for treatment of anaphylaxis. Administer 3 mL of nebulized albuterol (Proventil) 0.083%. Give epinephrine (Adrenalin) 0.3 mL intramuscularly.Ĥ. Obtain IV access with a large-bore IV catheter.ģ. Start oxygen at 4 L/ min using a nasal cannula.Ģ. Which action included in the emergency protocol should you take first?ġ. A few minutes after you have given an intradermal injection of an allergen to a patient who is undergoing skin testing for allergies, the patient reports feeling anxious, short of breath, and dizzy.

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