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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?

A.

Complete an incident report.

B.

Receive a hepatitis C immunization.

C.

Notify the health department.

D.

Start prophylactic antibiotic therapy

Answer and Explanation

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.


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Related Questions

Correct Answer is ["300"]

Explanation

To calculate the infusion rate (mL/hr), you can use the following formula:

Infusion Rate (mL/hr)=Total Volume (mL)/Total Time (hr)

In this case:

  • Infusion Rate=1,800 mL/6 hr
  • Infusion Rate=300mL/hr

Therefore, the nurse should ensure the IV pump is set to deliver 300 mL/hr for the 0.9% sodium chloride infusion over 6 hours, rounded to the nearest whole number.

Correct Answer is ["0.5"]

Explanation

To calculate the volume (mL) that the nurse should administer, you can use the following formula:

Volume (mL)=Dose (g)/Concentration (g/mL)

In this case:

  • Volume=0.175 g/375 mg/mL
  • First, convert the dose to grams:
  • 0.175g=175mg

Now calculate the volume:

  • Volume = 175mg/375 mg/mL
  • Volume=0.4667mL

Rounded to the nearest tenth, the nurse should administer approximately 0.5 mL of ampicillin/sulbactam for the 0.175 g IM dose.

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