An employee health nurse is teaching a newly hired nurse about the protocol for having hepatitis B vaccine available for administration to employees. Which of the following requires the availability of this vaccine for employees?
Health Insurance Portability and Accountability Act of 1996
Occupational Safety and Health Administration
Professional standards review organization
Emergency Medical Treatment and Active Labor
The Correct Answer is B
Rationale:
A. Health Insurance Portability and Accountability Act of 1996: HIPAA regulates the protection and confidentiality of patient health information. It does not address employee vaccination requirements or workplace safety related to infectious disease exposure.
B. Occupational Safety and Health Administration: OSHA requires employers to offer the hepatitis B vaccine to all employees who may be exposed to blood or other infectious materials. This is part of its Bloodborne Pathogens Standard to reduce occupational risk.
C. Professional standards review organization: These groups evaluate the quality and efficiency of care provided by healthcare institutions but are not regulatory bodies for workplace safety or immunization protocols.
D. Emergency Medical Treatment and Active Labor: EMTALA ensures public access to emergency services regardless of ability to pay. It is not related to employee vaccination or workplace infection control policies.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Obtain a urinalysis for the client every 3 days: Post-kidney transplant patients require frequent monitoring for signs of infection or rejection, especially in the first few days. Waiting 3 days between urinalyses may delay the detection of complications.
B. A urinary catheter will be in place for several weeks: Indwelling catheters are typically maintained for a few days postoperatively to monitor urine output, but prolonged use increases infection risk. Several weeks would be excessive unless complications arise.
C. Expect blood to be present in the urine after surgery: Hematuria is common immediately after kidney transplantation due to surgical manipulation and healing of the urinary tract. It usually resolves within a few days and is a normal early postoperative finding.
D. Clamp the client's urinary catheter for 20 min every 1 hr: Clamping the catheter can increase intravesical pressure and compromise graft function. Continuous urine drainage is preferred to allow for accurate monitoring and to reduce pressure on the new kidney.
Correct Answer is A
Explanation
Rationale:
A. Nonselective MAOIs: These are contraindicated with carbidopa/levodopa due to the risk of hypertensive crisis. When combined, excessive dopamine and norepinephrine accumulation can lead to dangerously high blood pressure. A minimum 2-week washout period is required if switching between these drugs.
B. Macrolides: While macrolides like erythromycin can affect the QT interval and interact with certain medications, they are not specifically contraindicated with carbidopa/levodopa. Caution is needed, but they do not cause the same critical interaction as MAOIs.
C. Fluoroquinolones: These antibiotics carry a risk for CNS effects, but they are not contraindicated with carbidopa/levodopa. Monitoring is advisable, especially in elderly patients, but co-administration is not inherently dangerous.
D. Statins: Statins may cause muscle pain or weakness, which could compound Parkinson’s symptoms, but they are not pharmacologically contraindicated with carbidopa/levodopa. They can be used concurrently with appropriate monitoring.
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