The nurse is exposed to the client's blood and body fluids via an ...

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The nurse is exposed to the client's blood and body fluids via an accidental used needlestick. Which would be appropriate nursing documentation of the event?
 
  1. Document Nurse stuck by used needle in the client's medical record.
  2. Document Accidental exposure of nurse to blood and body fluid in the client's medical record.
  3. There is no need to document the exposure as long as the nurse takes the proper actions and notifies the charge nurse.
  4. Completion of an incident report.

Question 2

The nurse is reviewing a client's vital signs from birth to age 10. Which changes would the nurse expect to find?
 
  1. Reduction in temperature, increase in heart rate, decrease in respiratory rate, and increase in blood pressure
  2. Reduction in oxygen saturation, decreased heart and respiratory rate, and decreased blood pressure
  3. Reduced heart and respiratory rate and increased blood pressure
  4. Decreased temperature, reduced heart and respiratory rate, and increased blood pressure

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Answer to Question 1

Correct Answer: 4
When an incident occurs that does not involve the client directly (no harm is done or potentially done to the client), there is no need to document it in the client's medical record. The nurse would complete an incident report and notify the nursing supervisor or charge nurse.

Answer to Question 2

Correct Answer: 3

The nurse would expect to see a reduced heart and respiratory rate, and an increase in blood pressure from birth through childhood. Oxygen saturation and temperature will not normally change throughout childhood.

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