While irrigating a client's abdominal wound, the irrigate splashes into the nurse's nose and eyes. What should the nurse do?
1. Flush the nose and eyes for 5 to 10 minutes with water or normal saline.
2. Begin HIV high-risk exposure prophylaxis within 24 hours.
3. Wash the areas with soap and water.
4. Have blood drawn for hepatitis B antibodies.
Correct Answer: 1
Rationale 1: After an exposure to the mucous membranes, the area should be flushed for 5 to 10 minutes with saline or water.
Rationale 2: The client was not identified as being HIV-positive.
Rationale 3: Washing the area with soap and water would be appropriate for a puncture or laceration.
Rationale 4: Being tested for hepatitis B would be appropriate after a puncture or laceration but not for a splash to the mucous membranes.
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The patient in the prenatal clinic tells the nurse that she is sure she is pregnant because she has not had a menstrual cycle for 3 months, and her breasts are getting bigger. What response by the nurse is best?
1. "Lack of menses and breast enlargement are presumptive signs of pregnancy.". 2. "The changes you are describing are definitely indicators that you are pregnant.". 3. "Lack of menses can be caused by many things. We need to do a pregnancy test.". 4. "You're probably not pregnant, but we can check it out if you like.".
The nurse is instructing a pregnant teenager during her first prenatal visit about the adverse effects of cigarette smoking during pregnancy. What information should be included?
a. "Smoking during pregnancy increases the likelihood that you will have difficulty during labor." b. "Infants born to smokers are on average the same size as those born to nonsmokers." c. "If you stop smoking early in your pregnancy, your baby will be unaffected." d. "Smoking puts your baby at risk of developing congenital abnormalities."
It is all right if your calculations indicate the amount to administer is a portion of an unscored tablet
Indicate whether the statement is true or false
The distribution of health care is affected largely by the way it is financed in the United States. The barriers to health care access include all of the following except
1. The lack of insurance 2. Being poor 3. Access to care 4. Chronic illness