A nurse received an accidental needle stick while giving an IM injection. The greatest threat for the nurse is:
A) Hepatitis B (HBV)
B) Hepatitis C (HCV)
C) Human immunodeficiency virus (HIV)
D) Hepatitis A (HAV)
Ans: A
Feedback: The Centers for Disease Control and Prevention report that 1 in 6 contaminations stems from HBV, 1 in 20 contaminations stems from HCV, and 1 in 300 contaminations stems from HIV. HAV is contracted from eating contaminated food, not from needle sticks.
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The nurse plans care for an older female resident of a nursing home who has experienced a sudden deterioration in visual acuity. Which intervention should the nurse complete first?
a. Prevent behavioral and social decline. b. Tell her to hold rails during ambulation. c. Examine her mood and functional status. d. Use problem solving involving the resident.
When providing teaching to a client who reports tension headaches, which of the following instructions would be most beneficial to prevent onset of symptoms?
A) Apply cool or warm cloth to head or eyes. B) Eliminate use of bright lights when working. C) Avoid certain foods. D) Perform stretching exercises and frequent position change.
When reviewing a completed pedigree, the nurse notes the strong presence of a heritable trait and discusses the situation with the client and the physician. The client declines to notify relatives
Under what circumstances can the wishes of this client be disregarded? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Under no circumstances 2. When a relative is at risk for an untreatable disease 3. When harm is likely to occur if disclosure is not made 4. If the family member at risk can be determined by the information given 5. When there is no stigma related to the disorder
The depressed patient who has been taking amitriptyline (Elavil) for the past 2 weeks complains of still feeling depressed and wants to abandon the drug. The nurse's most helpful response would be:
a. "All drugs don't work for all people. I will talk to the physician about a new order for a different drug." b. "You probably should quit taking Elavil if it is not helping you." c. "Sometimes drinking a small glass of wine with meals helps." d. "These drugs take several weeks to be-come effective."