A patient with a contaminated wound has an uncertain history of tetanus vaccination. Which action should the nurse anticipate after the wound is cleaned?
Correct answer: A. Arrange assessment for tetanus prophylaxis
- A. Arrange assessment for tetanus prophylaxis
- B. Close the wound tightly without further review
- C. Give only an oral analgesic and discharge the patient
- D. Delay treatment until redness and swelling appear
Explanation
A contaminated wound with uncertain immunisation history requires clinical assessment for tetanus vaccine and, when indicated, tetanus immunoglobulin according to current protocol. Waiting for symptoms is unsafe because tetanus prevention is most effective before illness develops.
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About Burns and Trauma Nursing
Covers the initial and continuing care of patients with burns, haemorrhage, fractures, head injury, chest trauma and shock. It includes burn depth and surface-area estimation, airway protection, fluid resuscitation, wound care, infection prevention, pain management and the distinction between hypovolaemic, septic and neurogenic shock.
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50 free Burns and Trauma Nursing MCQs from Medical Surgical Nursing, each with the correct answer and an explanation. Unlimited attempts, no account needed.
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