Practice Question
The nurse is caring for a two year old child that was bit by a dog. Which of the following should the nurse plan to implement? Select all that apply.
Answer Choices:
Correct Answer:
Inquiring about immunization status of the dog
Rationale:
Inquire about dog’s immunization status
🔷Obtaining the animal’s rabies vaccination history immediately guides the need, urgency, and dosing of rabies PEP.
🔷 Documenting the animal’s availability for 10-day observation helps determine whether PEP can be deferred or discontinued.
🔷 This step also informs tetanus risk assessment, because dirty wounds (like bites) may require tetanus booster/ TIG depending on the child’s immunization status.
🔷 Early collection of contact details for animal control/public health enables rapid follow-up and legal reporting requirements.
🔷 Clarifying vaccine status reduces parental anxiety and supports shared decision-making about prophylaxis.
Provide support and education about rabies PEP
🔷 Parents need clear teaching that rabies is almost universally fatal once symptomatic, making timely PEP essential after high-risk exposures.
🔷 PEP typically includes human rabies immune globulin (HRIG) infiltrated around the wound and a vaccine series on a defined schedule; adherence is crucial.
🔷 The nurse should review wound care, return precautions (neurologic or systemic symptoms), and the plan for public health follow-up.
🔷 Education should include common adverse effects (e.g., local soreness, low-grade fever) and analgesia measures appropriate for children.
🔷 Supportive communication addresses trauma, fear, and guilt, reinforcing safety planning around animals to prevent future bites.
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This question is from Peds Exam 2 Fall 2025 which contains 46 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: Examplify Exam(s)
- Domain: Pediatrics
- Answer Choices: 4