When is a needle stick injury most likely to occur when using an implanted port VAD?

A. During placement of the port
B. During skin preparation before accessing the port
C. When accessing the port with a Huber needle
D. When removing the Huber needle from the septum of the port


D
The septum of the port is dense and holds tightly to the needle. The nurse must exert some force to remove the needle and a "rebound" can occur when it is pulled out, often leading to a needle stick injury.

Nursing

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Which of the following patients is at greatest risk for hypothermia during the intraoperative period?

A) A 72-year-old woman B) A 17-year-old boy C) A 45-year-old woman D) A 12-year-old girl

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As part of her prenatal care, a pregnant woman and her partner are being taught by a community health nurse. Which of the following points about the teratogenic effects of different substances should the nurse include in his teaching?

A) "Your developing baby is most vulnerable during the first 2 months of your pregnancy." B) "You need to be very careful with vitamin D and its derivatives." C) "Keep in mind that a high percentage of genetic abnormalities are attributable to drug origins." D) "Your best option is to avoid using any drugs during your pregnancy."

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The nurse is caring for a couple who have just learned that their infant has a genetic disorder. Which of the following would be least appropriate for the nurse to do at this time?

A) Actively listening to the parents' concerns B) Teaching the parents about the child's medical needs C) Providing time for the parents to ask questions D) Offering suggestions for support services

Nursing

Dexamethasone (Decadron) is often prescribed for the child who has sustained a severe head injury. Decadron is a(n)

A) diuretic. B) antihistamine. C) anticonvulsant. D) steroid.

Nursing