A patient arrives at an urgent care centre after stepping on a nail that was embedded in some old lumber in a field.The patient reports having had a tetanus booster 7 years ago.What will the nurse anticipate for care?

Question

Quizplus · Accepted Answer

The best choice would be to administer the Td toxoid booster. A tetanus booster is recommended every 10 years, so the patient is due for a booster. However, if it has been more than 5 years since the last booster and the wound is contaminated, it is recommended to administer the booster immediately. IV infusion of tetanus immune globulin is reserved for individuals who have not received a tetanus booster in over 5 years and have a contaminated wound. Intradermal injection of an immune globulin test dose is not necessary in this case as the patient reports having had a tetanus booster 7 years ago. Initiating the tetanus-diphtheria (Td) immunization series is not necessary as the patient has already received a booster.

A Patient Arrives at an Urgent Care Centre After Stepping