A client arrives at an urgent care centre with a deep puncture wound after stepping on a nail that was lying on the ground. The client reports having had a tetanus booster 7 years ago. Which of the following actions should the nurse anticipate?
A)IV infusion of tetanus immune globulin (TIG)
B)Administration of the tetanus-diphtheria (Td) booster
C)Intradermal injection of an immune globulin test dose
D)Initiation of the tetanus-diphtheria immunization series

Question

Quizplus · Accepted Answer

If the client has not been immunized within 5 years and presents with an open wound, administration of the Td booster is indicated because the wound is deep. Immune globulin administration is given by the IM route if the client has no previous immunization.
Administration of a series of immunization is not indicated. TIG is not indicated for this client, and a test dose is not needed for immune globulin.

A Client Arrives at an Urgent Care Centre with a Deep