While Climbing Over a Barbed Wire Fence, a 22-Year-Old Man

Multiple Choice

While climbing over a barbed wire fence, a 22-year-old man received a deep laceration on his arm and hand. After washing and dressing the laceration with an antibiotic ointment, the emergency department nurse notes that the client has had all his immunizations, with his last tetanus at age 18 for another injury. Select the action that should be taken by the nurse at this time.

A) Instruct the client on care of the laceration at home.
B) Give a tetanus toxoid injection.
C) Order a serum tetanus titer test.
D) Advise the client to get another tetanus immunization in 2 years.