Which process will be required after exposure of a nurse to blood by a cut from a used scalpel in the operative area?

Testing the patient and offering treatment to the nurse

Removing sterile gloves and disposing of in kick bucket

Providing a medical evaluation of the nurse to the manager

Placing the scalpel in a needle safe container

Answer and Explanation

The Correct Answer is A

A. After a nurse is exposed to blood from a cut by a used scalpel, it is crucial to test the patient for bloodborne pathogens (e.g., HIV, hepatitis B, hepatitis C) and to offer post-exposure prophylaxis or treatment to the nurse if indicated.
B. While removing gloves and disposing of them properly is part of standard infection control practices, it is not the primary process required after an exposure incident.
C. Although the nurse should report the incident, providing a medical evaluation should follow the protocols established by the facility, not just the manager's assessment.
D. Properly disposing of the scalpel in a sharps container is necessary for safety but does not directly address the required process for managing exposure to blood.

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Correct Answer is B

Explanation

A. While anxiety relief is important, holistic care encompasses the patient's overall well-being and not just the alleviation of symptoms.
B. Understanding how anxiety impacts the patient's daily functioning allows for a more comprehensive approach to care, addressing both psychological and practical concerns.
C. It is inappropriate to suggest to the patient that there is little hope for relief, as this can negatively affect their mental health.
D. Focusing solely on quick fixes does not address the underlying issues of chronic anxiety and may not lead to long-term improvements.

A. Weak quadriceps muscles B. Decreased deep tendon reflexes C. Tingling of extremities with possible tetany D. Light-headedness when standing up

Correct Answer is C

Explanation

A. Weak quadriceps muscles can occur with electrolyte imbalances, but the provided values do not indicate hypokalemia or other issues causing muscle weakness.
B. Decreased deep tendon reflexes are generally associated with elevated calcium levels or other electrolyte disturbances but are not specifically indicated by the given lab values.
C. A calcium level of 4.5 mg/dL is significantly low (normal range is typically around 8.5-10.5 mg/dL), which can lead to hypocalcemia symptoms such as tingling of the extremities and tetany due to increased neuromuscular excitability.
D. Light-headedness when standing up (orthostatic hypotension) is more related to fluid volume status or dehydration rather than directly related to the given electrolyte levels.

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Which process will be required after exposure of a nurse to blood by a cut from a used scalpel in the operative area?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The patient is admitted with a diagnosis of chronic anxiety. Which action is most appropriate for the nurse to take when providing holistic care?

Correct Answer is B

Explanation

Which assessment finding will the nurse expect for a patient with the following laboratory values: sodium 145 mEq/L, potassium 4.5 mEq/L, calcium 4.5 mg/dL?

Correct Answer is C

Explanation

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