A nurse practitioner is teaching a health class in the local high school. The nurse practitioner informs the class about hepatitis B. What occupation does the nurse practitioner inform the class is at the greatest risk for contracting hepatitis B?
A) Flight attendants
B) Health care workers
C) Fire fighters
D) Educators
Ans: B
Feedback: People who are at high risk, including nurses and other health care personnel exposed to blood or blood products, should receive active immunization. Health care workers who have had frequent contact with blood are screened for anti-HBs to determine whether immunity is already present from previous exposure. Flight attendants, fire fighters and educators are not at high risk for hepatitis B.
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2. The nurse has started to infuse the first of two units of packed red blood cells (prbc) on her patient. What is the nurse's next best action?
a. Delegate to the NAP to take vital signs every 15 minutes for 1 hour. b. Infuse the blood at a rate of 100 mL/hr so it will infuse in 4 hours. c. Infuse an IV solution of lactated Ringer's with the blood. d. Remain with the patient for the first 15 minutes of the infusion.
The patient has just returned from a liver biopsy. The patient should be positioned on the
a. left side for 2 hours. b. right side for 2 hours. c. left side for 6 to 8 hours. d. right side for 6 to 8 hours.
When considering the kilocalories needed to meet a client's total energy expenditure, the nurse needs to consider: (Select all that apply.)
1. The basal metabolic rate. 2. The thermic effect of food. 3. The client's appetite. 4. The food source. 5. The patient's body weight.
Transfusion therapy is the intravenous (IV) administration of which of the following? (Select all that apply.)
a. Whole blood b. Plasma products c. Red blood cells (RBCs) d. Platelets