Nurses are learning to administer the smallpox vaccine in the event of needed mass inoculation. When administering the vaccination, which nursing consideration is essential?
A) Site of administration
B) Skin preparation
C) Standard precautions following administration
D) Covering site following administration
B
Feedback:
The nursing consideration most essential is to avoid use of alcohol as a skin disinfectant because alcohol inactivates the virus. The site of administration is the deltoid. Standard precautions are used in contact with bodily fluids and infectious diseases. The site is covered with loose gauge following administration.
You might also like to view...
Which of the following statements is correct concerning endotracheal tube cuff management?
a. The cuff should be deflated every hour to minimize pressure on the trachea. b. A small leak should be heard on inspiration if the cuff has been inflated using the minimal leak technique. c. Cuff pressures should be kept between 40 to 50 mm Hg to ensure an adequate seal. d. Cuff pressure monitoring should be done once every 24 hours.
An elderly patient was recently discharged to home after treatment for chronic heart failure. The patient experiences a pulse rate increase from 80 beats per minute (bpm) to 102 bpm when walking from the kitchen to the utility room to do laundry
What is an appropriate nursing action for the home health nurse? 1. Encourage the patient to complete tasks such as laundry early in the morning before fatigue is an issue. 2. Recommend that the patient ignore the pulse rate and become more active to build stamina. 3. Encourage the patient to rest for 30 minutes between completing each load of laundry. 4. Encourage the patient to sit and rest in the utility room and whenever the patient feels the pulse rate increase.
A 32-year-old client suffers from dissociative identity disorder. The client has 22 known personalities. What should a nurse expect to find during the assessment of this client?
A) History of alcohol abuse B) History of physical, psychological, or sexual abuse C) Frequent backaches D) ECG abnormalities
A patient with Bell's palsy is experiencing symptoms. Which symptom should the nurse address first?
a. Changes in taste b. Speech difficulty c. Drooping of one side of the face d. Inability to close the affected eye