The occupational health nurse in a mobile clinic is formulating an exposure control plan for blood-borne pathogens. Which topics should the nurse incorporate into this plan? Select all that apply.

Answer and explanation

The correct answer is Choice D.

Choice A rationale

Being teased by friends for being overweight can indeed be a concern as it might affect the child’s mental health. However, this is not an immediate health risk. The nurse could address this issue by discussing coping strategies and the importance of self-esteem with the patient.

Choice B rationale

Preferring solitary play situations is not necessarily a problem. Some children are more introverted and enjoy time alone. It could become a concern if the child shows signs of excessive isolation or withdrawal.

Choice C rationale

Living in subsidized housing in an inner city setting does not directly warrant a follow-up unless there are specific health risks associated with the living conditions that need to be addressed.

Choice D rationale

The patient reporting that they become easily short of breath is a significant concern. Shortness of breath could indicate a number of health issues, including asthma, heart conditions, or other respiratory problems. This warrants immediate follow-up.

Answer and explanation

The correct answer is Choice B.

Choice A rationale

Rechecking the client’s vital signs in 30 minutes may not be the most appropriate action in this situation. The client is showing signs of possible complications such as infection (elevated

temperature, malaise) and referred pain in the shoulder, which could indicate diaphragmatic irritation. These symptoms, along with the client’s recent surgery, suggest that immediate medical attention may be necessary.

Choice B rationale

Having the client transported via ambulance to the hospital is the most appropriate action. The client’s symptoms suggest possible complications that require immediate medical attention.

Abdominal tenderness and shoulder pain could indicate a serious condition such as a perforation or infection. The elevated heart rate and low blood pressure could suggest sepsis or shock. Immediate medical evaluation and treatment are necessary.

Choice C rationale

Determining the client’s current oxygen saturation rate is important, but it is not the most immediate need. While this information could provide additional data about the client’s condition, it does not address the potential seriousness of the client’s symptoms. The client needs immediate medical attention.

Choice D rationale

Instructing the client to drive to the hospital for admission is not the best choice. Given the client’s symptoms and recent surgery, it would be safer for the client to be transported by ambulance. This would ensure that the client receives immediate medical attention and that the client’s condition can be monitored during transport.