Hesi compass B exit proctored exam
The nurse assigns an unlicensed assistive personnel (UAP) to take the vital signs of a client who is positive for HIV. Which personal protective equipment (PPE) should the nurse direct the UAP to use when obtaining this client's vital signs?
Explanation & Rationale
A. Gloves only are required when there is a potential for contact with blood, body fluids, mucous membranes, or nonintact skin, which aligns with standard precautions for a client with HIV. B. Gloves and mask are unnecessary unless there is a risk of splashing or airborne transmission, which does not occur with HIV during vital sign measurement. C. Gown, gloves, and mask are excessive for this procedure and not indicated for routine vital signs in an HIV-positive client. D. No PPE would violate standard precautions, as gloves should always be used when there is any potential contact with body fluids.
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