A patient walks into a community clinic complaining of severe ...

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A patient walks into a community clinic complaining of severe intestinal cramps and diarrhea. Which of the following actions can be taken to protect the staff at the clinic?
 
  a. Refuse to see anyone that sick as clinics have a different mission than secondary and tertiary care of the obviously ill
  b. Send the patient immediately to the closest hospital emergency department
  c. Treat the patient with broad-spectrum antibiotics and lots of fluids
  d. Use universal precautions with all patients regardless of the situation

Question 2

The nurse could not find a vaccine in the refrigerator. The unopened vaccine vial had been put in a storage cabinet with the other medications. The nurse drew up the appropriate dose in the syringe and then put the vial of vaccine in the refrigerator.
 
  Which of the following would be the most likely result?
  a.
  The client will have immunity to the disease after the vaccination
  b.
  Primary vaccine failure
  c.
  Secondary vaccine failure
  d.
  The injection will not feel so cold to the client

[akudia]

Answer to Question 1

ANS: D
In the late 1980s, the Centers for Disease Control and Prevention (CDC) developed a set of guidelines, called universal precautions, to prevent transmission of diseases found in blood and other body fluids. These guidelines were developed because infected people may be asymptomatic and have no knowledge of their conditions; therefore, health care workers must assume that all patients are infectious and protect themselves. Refusing to treat the patient, sending the patient to an emergency department, or treating the patient with antibiotics and fluids would not be appropriate measures to protect the staff.

Answer to Question 2

ANS: B
Primary vaccine failure is the failure of a vaccine to stimulate any immune response. It can be caused by improper storage that may render the vaccines ineffective, improper administration route, or exposure of light-sensitive vaccines to light. Secondary vaccine failure is the waning of immunity following an initial immune response, often occurring with immunosuppressed and organ transplant patients in whom the immune memory is essentially destroyed. Although the injection will not feel so cold to the client, the problem that will result is primary vaccine failure.

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Thank you

[akudia]

Happy to help you