A nurse is educating a group of parents about tetanus prevention. Which statement made by a parent indicates a need for further teaching?
"My child should receive booster doses of tetanus vaccine every 10 years during adulthood.”
"Tetanus can be prevented by proper wound care and keeping the wound clean.”
"Tetanus is caused by a virus that can be transmitted through respiratory droplets.”
"In developing countries, tetanus is more common due to lower immunization rates.”
The Correct Answer is C
Choice A rationale:
The correct statement indicates the need for a tetanus booster every 10 years during adulthood. This aligns with current guidelines as the immunity from tetanus vaccination can wane over time, necessitating booster doses.
Choice B rationale:
The correct statement explains that tetanus can be prevented by proper wound care and keeping the wound clean. This is accurate because tetanus spores are commonly found in soil and can enter the body through contaminated wounds, making wound care crucial for prevention.
Choice C rationale:
The correct statement indicates a need for further teaching as it is incorrect. Tetanus is not transmitted through respiratory droplets. Tetanus is caused by the Clostridium tetani bacterium found in the environment, especially in soil, and it enters the body through wounds, not through respiratory secretions.
Choice D rationale:
The correct statement highlights that tetanus is more common in developing countries due to lower immunization rates. This is accurate since immunization plays a significant role in preventing tetanus, and lower vaccination rates in some regions contribute to higher disease incidence.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Administering human tetanus immune globulin (TIG) is the priority intervention for a client with generalized tetanus experiencing spasms triggered by stimuli. TIG provides passive immunity by neutralizing the tetanus toxin and preventing its further action. It is essential to administer TIG promptly to halt the progression of the disease and minimize its complications.
Choice B rationale:
While providing oxygen therapy and suctioning as needed are important nursing interventions, they are not the priority in this situation. These interventions are supportive measures that can help maintain respiratory function but do not directly address the underlying cause of tetanus.
Choice C rationale:
Educating the client about completing the vaccination schedule is important for future prevention, but it is not the priority at this moment. The client is already infected with tetanus, and immediate treatment with TIG takes precedence.
Choice D rationale:
Using non-pharmacological methods for pain management may be helpful, but it is not the priority intervention for a client with generalized tetanus experiencing spasms triggered by stimuli. The priority is to administer TIG to counteract the effects of the tetanus toxin.
Correct Answer is C
Explanation
Choice A rationale:
The statement "I should complete the full course of antibiotics as prescribed" is correct. Completing the full course of antibiotics is essential to ensure that all the bacteria causing the infection are eradicated. Stopping antibiotics prematurely may lead to antibiotic resistance and treatment failure.
Choice B rationale:
The statement "The antibiotics will kill the bacteria causing the disease" is correct. Antibiotics are prescribed to kill the bacteria responsible for causing the infection, including tetanus. This is essential in controlling the spread and severity of the disease.
Choice C rationale:
The statement "Antibiotics will help neutralize the toxin in my blood" is incorrect. Antibiotics are effective against bacteria but do not neutralize the toxin produced by the tetanus bacteria. To manage the symptoms of tetanus, other supportive treatments like tetanus antitoxin and muscle relaxants are used to counteract the toxin's effects.
Choice D rationale:
The statement "Penicillin G has a broader spectrum of activity than metronidazole" is irrelevant to the client's tetanus treatment. While it is true that different antibiotics have different spectrums of activity, this information is not relevant to the client's current condition or treatment.
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