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While caring for a client, the nurse experiences a needle stick injury. Which of the following actions should the nurse cake first?

A.

Complete an incident report.

B.

Consent to postexposure treatment with antiretroviral medications

C.

Request the risk manager obtain consent for HIV testing from the client.

D.

Wash the site of injury with soap and water

Answer and Explanation

The Correct Answer is D

A. Complete an incident report: While completing an incident report is important for documentation purposes, it should not be the first action taken after a needle stick injury. Immediate attention to the wound by washing it with soap and water takes precedence to minimize the risk of infection.
B. Consent to postexposure treatment with antiretroviral medications: Postexposure prophylaxis (PEP) with antiretroviral medications may be indicated after a needle stick injury, particularly if there is a risk of exposure to HIV or other bloodborne pathogens. However, obtaining consent for PEP should follow immediate wound care.
C. Request the risk manager obtain consent for HIV testing from the client: While HIV testing may be necessary for the client involved in the incident, it is not the nurse's responsibility to obtain consent for testing. The priority is to address the nurse's own immediate health and safety by cleaning the wound and seeking appropriate medical evaluation and treatment.
D. Wash the site of injury with soap and water: The first action the nurse should take after experiencing a needle stick injury is to immediately wash the site of the injury with soap and water. This helps reduce the risk of infection by removing any potentially infectious material from the wound.
 


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Related Questions

Correct Answer is C

Explanation

A. This statement reflects guilt or concern over potential harm to the child, which may be distressing but does not specifically indicate symptoms of PTSD related to combat exposure.
B. This statement describes nightmares or intrusive thoughts related to traumatic events, which are common symptoms of PTSD. The content of the dreams suggests re-experiencing of traumatic events, which is characteristic of PTSD.
C. This statement reflects hypervigilance and paranoia, common symptoms of PTSD. The client's behavior of checking rooms for potential threats indicates a heightened state of arousal and persistent fear related to past combat experiences.
D. While involvement in combat and actions such as killing enemy soldiers may contribute to the development of PTSD, this statement does not directly reflect symptoms of the disorder. Instead, it describes a specific event from the client's military experience. Symptoms of PTSD typically involve re-experiencing, avoidance, negative changes in mood and cognition, and hyperarousal.

Correct Answer is ["5.6"]

Explanation

Let's calculate the amount of amoxicillin suspension the nurse should administer.

Steps:

  1. Convert toddler's weight to kilograms (kg):
    • Weight (kg) = Weight (lb) / 2.2 lb/kg
    • Weight (kg) = 33 lb / 2.2 lb/kg
    • Weight (kg) ≈ 15 kg
  2. Calculate total daily dose of amoxicillin:
    • Total dose (mg/day) = Dose per kg/day x Weight (kg)
    • Total dose (mg/day) = 30 mg/kg/day x 15 kg
    • Total dose (mg/day) = 450 mg/day
  3. Calculate amoxicillin needed per dose (since it's given every 12 hours, we need half the daily dose):
    • Dose per administration (mg) = Total daily dose (mg/day) / Number of doses/day
    • Dose per administration (mg) = 450 mg/day / 2 doses/day
    • Dose per administration (mg) = 225 mg
  4. Calculate the volume (mL) of suspension based on the concentration:
    • Concentration (mg/mL) = Amount of amoxicillin (mg) / Volume (mL)
    • We need to rearrange the formula to find the volume (mL): Volume (mL) = Amount of amoxicillin (mg) / Concentration (mg/mL)
    • Known values:
      • Amount of amoxicillin (mg) = 225 mg (calculated in step 3)
      • Concentration (mg/mL) = 200 mg/5 mL (from available suspension)
    • Volume (mL) = 225 mg / (200 mg/5 mL)
    • To simplify the calculation, divide both numerator and denominator by 25: Volume (mL) = (225 mg / 25) / (200 mg/5 mL / 25) Volume (mL) = 9 mL / 4 mL/mL. Pay attention here, dividing by mL/mL is the same as multiplying by 1)
    • Volume (mL) = 9 mL
  5. Round the answer to the nearest tenth:
    • Volume (mL) ≈ 5.6 mL

Therefore, the nurse should administer approximately 5.6 mL of amoxicillin suspension per dose.

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