While caring for a client, the nurse experiences a needle stick injury. Which of the following actions should the nurse cake first?
Complete an incident report.
Consent to postexposure treatment with antiretroviral medications
Request the risk manager obtain consent for HIV testing from the client.
Wash the site of injury with soap and water
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "I can change who I designate as my health care proxy at any time": This statement is correct. Clients have the right to change their designated health care proxy at any time as long as they are competent to do so. It's important for clients to know that they have flexibility in selecting their proxy based on their preferences and trust in the individual's ability to represent their wishes.
B. "I have to choose a family member as my health proxy": This statement requires clarification. While many clients may choose a family member as their health care proxy, it is not a requirement. Clients have the autonomy to choose any individual they trust to make medical decisions on their behalf, whether it's a family member, friend, or even a legal representative. It's crucial to ensure that the chosen proxy understands the client's wishes and is willing and able to advocate for them.
C. "If I become incapacitated, end-of-life choices will be made by my proxy": This statement is accurate. A health care proxy is designated to make medical decisions on behalf of the client if they become incapacitated and are unable to make decisions for themselves. The proxy is responsible for advocating for the client's wishes, including end-of-life preferences, if outlined in the advance directive or communicated to the proxy beforehand.
D. "The health care proxy does not go into effect until I am incapable of making decisions": This statement is generally correct. Health care proxies typically become active only when the client is deemed incapacitated and unable to make decisions for themselves, as determined by a healthcare provider. However, the specifics may vary depending on state laws and the language of the advance directive document. It's essential for clients to understand when the proxy's authority begins and how it transitions based on their capacity to make decisions.
Correct Answer is ["5.6"]
Explanation
Let's calculate the amount of amoxicillin suspension the nurse should administer.
Steps:
- 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
- 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
- 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
- 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
- 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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