A nurse has sustained a needlestick injury from a needle he used to give an injection to a client who has hepatitis C. Which of the following actions should the nurse take?
Complete an incident report.
Receive a hepatitis C immunization.
Notify the health department.
Start prophylactic antibiotic therapy
The Correct Answer is A
A. Complete an incident report.
Reporting a needlestick injury through an incident report is crucial. It documents the details of the incident, which is important for the nurse's safety and for initiating appropriate follow-up actions.
B. Receive a hepatitis C immunization:
There is no specific hepatitis C vaccine available. While there are vaccines for hepatitis A and hepatitis B, there is currently no vaccine to prevent hepatitis C. Seeking post-exposure prophylaxis and follow-up is more relevant in this case.
C. Notify the health department:
Notifying the health department might be necessary in some cases, but the immediate action for the nurse is to report the incident through an incident report within the facility. This allows for prompt internal investigation and necessary measures.
D. Start prophylactic antibiotic therapy:
Prophylactic antibiotic therapy is not the standard protocol for preventing hepatitis C transmission after a needlestick injury. Antiviral medications might be considered in certain cases for post-exposure prophylaxis for hepatitis C, but this decision should be made after consulting with a healthcare provider or infectious disease specialist based on the specific circumstances of the exposure. Reporting the incident remains the immediate priority.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["80ml\/hr"]
Explanation
To calculate the infusion rate in mL/hr for the gentamicin IV bolus, you can use the following formula:
Infusion Rate (mL/hr) = Volume (mL)/Time (hr)
In this case:
Infusion Rate=100 mL/1.25 hr
Infusion Rate=80mL/hr
Therefore, the nurse should ensure the IV pump is set to deliver 80 mL/hr for the gentamicin IV bolus, rounded to the nearest whole number.
Correct Answer is A
Explanation
A. In team nursing, an RN assumes the role of a team leader or coordinator. The RN oversees and coordinates the care provided by other team members, which may include licensed practical nurses (LPNs), nursing assistants, and other healthcare professionals. The team collaborates to meet the needs of a group of clients.
B. Caring for the same clients throughout their hospitalization is more characteristic of primary nursing, where an RN takes primary responsibility for the care of a specific group of clients.
C. Linking community resources with clients to ensure quality care is more aligned with case management or community health nursing, where the focus is on coordinating services across healthcare settings and connecting clients with appropriate resources.
D. Providing every aspect of care for a group of clients during a shift is not consistent with team nursing. In team nursing, the workload is distributed among team members, and an RN typically coordinates and oversees the care provided by the team.
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