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After the first injection of the Hepatitis B Vaccine (HBV) series is administered to a group of healthcare workers, what advice should the nurse give to them?
- A. Suggest that they stay with someone for 10 hours post-injection.
- B. Advise them to bring a family member along for the final injection.
- C. Urge them to get all their family members vaccinated as soon as possible.
- D. Recommend annual blood tests to monitor their immunization levels.
Correct Answer: D
Rationale: Regular monitoring of immunization levels is important after receiving the HBV series. This is because healthcare workers are at a higher risk of exposure to Hepatitis B, and ensuring immunity is crucial for their safety.
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The nurse is conducting a suicide awareness session for adults in the community. What information should the nurse include in the session?
- A. Severe life stresses at any age can increase the risk of suicide.
- B. Suicides predominantly occur in lower socioeconomic groups.
- C. Robust social support systems can prevent suicide.
- D. Discussing suicide with individuals suffering from depression can be hazardous.
Correct Answer: A
Rationale: Severe life stresses at any age can indeed increase the risk of suicide. Stressful life events can overwhelm an individual's coping mechanisms and lead to feelings of hopelessness and despair, which are significant risk factors for suicide.
The occupational health nurse in a mobile clinic is formulating an exposure control plan for blood-borne pathogens. Which topics should the nurse incorporate into this plan? Select all that apply.
- A. Areas with negative-pressure airflow.
- B. Puncture-resistant sharps containers.
- C. Needleless medication delivery systems.
- D. Vaccination schedule for Hepatitis B.
- E. Personal protective equipment (PPE).
Correct Answer: B,C,D,E
Rationale: Puncture-resistant sharps containers, needleless medication delivery systems, vaccination schedule for Hepatitis B, and personal protective equipment (PPE) are all critical components of an exposure control plan for blood-borne pathogens. These measures directly reduce the risk of exposure and infection.
A client comes to the clinic for an annual physical exam. When asked about their influenza vaccine status, the client responds, “I never get the vaccine because I don't get the flu.â€. Which aspect of the Health Belief Model is the client demonstrating?
- A. Perceived barriers.
- B. Perceived susceptibility.
- C. Perceived severity.
- D. Perceived benefits.
Correct Answer: A
Rationale: The client's decision not to get the flu vaccine because they don't get the flu demonstrates perceived barriers, one aspect of the Health Belief Model. The client may perceive that the potential discomfort or inconvenience of getting the vaccine outweighs the benefits.
While conducting a head lice screening for third-grade students, the school nurse notices a brownish thickening on the neck of one child. What should be the nurse's response to this observation?
- A. Review the child's medical records for a list of allergies or sensitivities.
- B. Inspect the child's torso and arms for other signs of physical injury.
- C. Advise the parents to start treatment with permethrin.
- D. Recommend the parents to seek further medical evaluation for the child.
Correct Answer: D
Rationale: Given the observation of a brownish thickening on the neck of the child, it would be appropriate to recommend the parents to seek further medical evaluation for the child. This symptom could be indicative of various conditions, which would require further investigation.
During a community health screening fair for older adults, a nurse notices a client with pale, bluish feet and sores on both lower extremities that are healing poorly. What should be the nurse's intervention be?
- A. Instruct the client to apply antibiotic ointment to the sores.
- B. Create a list of foods that promote wound healing.
- C. Refer the client to a healthcare provider for a complete evaluation.
- D. Send the client to the emergency department for treatment.
Correct Answer: C
Rationale: The client's symptoms of pale, bluish feet and sores on both lower extremities that are healing poorly suggest a severe and untreated medical condition, possibly related to circulation or skin integrity. Therefore, the nurse should refer the client to a healthcare provider for a complete evaluation.