The nurse gave a client an injection and, when attempting to recap the needle, sustained a needlestick injury to the finger. What is the priority action by the nurse?
A) Report the injury or exposure to the supervisor.
B) Document the injury in writing.
C) Receive instructions on monitoring potential symptoms and medical follow-up.
D) Receive the most appropriate postexposure prophylaxis.
A
Feedback:
Should needlestick injury or other exposure to a potential blood-borne pathogen occur, healthcare workers are advised to follow postexposure recommendations; report the injury or exposure to one's supervisor immediately; document the injury in writing; identify the person or source of blood; obtain the HIV and HBV statuses of the source of blood, if it is legal to do so. Unless the client gives permission, testing and revealing HIV status are prohibited. Obtain counseling on the potential for infection. Receive the most appropriate postexposure prophylaxis; be tested for disease antibodies at appropriate intervals. Receive instructions on monitoring potential symptoms and medical follow-up.
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The health clinic nurse is interviewing a new patient. The nurse asks questions about the patient's self-care and about his healthcare providers. Which statement is likely to yield the most information from the patient regarding the use of CAM?
a. "Many people go to a medical provider and other healers, as well. Please tell me about the practitioners and healers you use." b. "Some people go to both medical and nonmedical providers for healthcare. Do you use both?" c. "Many people only go to a medical physician. Tell me about the practitioners you see for healthcare." d. "Some people go to different types of CAM healers. You don't use CAM, do you?"
A patient develops a paralytic ileus 3 days after undergoing abdominal surgery. The nurse anticipates the doctor may order which vitamin to treat the patient's paralytic ileus?
a. Vitamin A b. Vitamin B1 c. Vitamin K d. Vitamin B5
Which of the following is a correct statement describing asthma in older clients?
A) asthma is not diagnosed as a new condition in older clients B) asthma can be differentiated from chronic obstructive pulmonary disease (COP D) by changes seen on a series of chest x-rays C) asthma is treated with the same types of medications in older clients as in younger clients D) older clients are less likely to have side effects and drug interactions from asthma medications than younger clients
The home care nurse instructs a patient with peripheral atherosclerosis on foot care. Which observations indicate that teaching has been effective?
Select all that apply. 1. The patient uses a razor to cut the toenails. 2. The patient walks barefoot in the bedroom. 3. The patient washes feet and legs with warm water. 4. The patient applies powder to the feet after a shower. 5. The patient inspects feet and legs each day with a mirror.