A nurse was administering a scheduled subcutaneous dose of heparin to a patient who has HIV when the needle penetrated the nurse's thumb. What prophylactic action should the nurse first take?
A) Apply negative pressure to the wound site using suction tubing.
B) Perform a thorough wash of the injury site with soap and water.
C) Apply chlorhexidine to the wound site and to all the skin in a 3-inch radius.
D) Maintain the hand in a dependent position.
Question 2
The nurse has been monitoring a patient's vital signs closely after initiating a transfusion of packed red blood cells (PRBCs). The nurse has observed that the patient's temperature is trending upward, and the patient is complaining of chills.
The nurse has stopped the transfusion and informed the patient's health care provider, who believes that the patient is experiencing a febrile nonhemolytic transfusion reaction (FNHTR). What course of action should the nurse anticipate?
A) Administering a bolus of normal saline
B) Monitoring the patient closely and administering antipyretics
C) Initiating apheresis and administering IV antihistamines
D) Performing a stat cross-match and beginning a transfusion of the correct blood type
The reminder card should be completed and handed to the patient after the appointment is scheduled.
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