Maternal / Newborn Question #32

Question

The minor emergency clinic nurse receives a 9-year-old client by a father who states that the child was helping in the barn and stepped on a nail that pierced through the child’s boot. After cleansing the foot with soap and water and applying an antibiotic, which is the NEXT action performed by the nurse?

Answers

  1. Make a referral/transfer to the nearest hospital-based emergency room for toxin injections.
    • Rationale:
  2. Ask to see the child’s immunization and state that if not present, then boosters for diphtheria, mumps, and measles will be added to the tetanus booster.
    • Rationale:
  3. Prepare to administer a tetanus booster.
    • Rationale:
  4. Ask if the child has had any allergy to curcumin.
    • Rationale:

Overview

Explanation

The nurse should prepare to administer a tetanus booster (correct selection C) after cleansing the foot with soap, water, and applying an antibiotic. There is no need for a special toxin or hospital-based emergency room, or to administer other vaccines. There is no relationship between the booster and circumin.

Learning Outcomes

Test Taking Tip

Video Rationale