The nurse is changing linens for a postoperative patient and feels a prick in the left hand. A nonactivated safe needle is noted in the linens. For which condition is the nurse most at risk?

a. Diphtheria
b. Hepatitis B
c. Clostridium difficile
d. Methicillin-resistant Staphylococcus aureus


ANS: B
Bloodborne pathogens such as those associated with hepatitis B and C are most commonly transmitted by contaminated needles. Clostridium difficile and MRSA are spread by contact. Diphtheria is spread by droplets when one is within 3 feet of the patient.

Nursing

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A patient is suspected of having myasthenia gravis. A small dose of tubocurarine is administered, and the patient develops increased muscle weakness. The nurse would expect to immediately administer:

a. a calcium channel blocker. b. a dopamine agonist. c. a sympathetic stimulant. d. a cholinesterase inhibitor.

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Dexamethasone (Decadron) is often prescribed for the child who has sustained a severe head injury. Decadron is a(n)

A) diuretic. B) antihistamine. C) anticonvulsant. D) steroid.

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When prescribing a tetracycline or quinolone antibiotic it is critical to instruct the patient:

1. Not to take their regularly prescribed medications while on these antibiotics 2. Regarding the need for lots of acidic foods and juices, such as orange juice, to enhance absorption 3. Not to take antacids while on these medications, as the antacid decreases absorption 4. That there are no drug interactions with these antibiotics

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The nurse is teaching the parents of a child who had surgery for cryptorchidism. At what age would the nurse recommend that the child begin to perform monthly testicular self-exams?

a. 6 years c. at the time of puberty b. 9 years d. upon becoming sexually active

Nursing