A patient is admitted to the ER with a large laceration on the forearm as a result of a dog bite. A pack of dogs on the edge of town attacked him, but scattered when another person intervened with a stick. The nurse informs the patient that the incident will be reported to the public health officials and adds that:
A. If the dog cannot be identified, caught, and observed for 10 days, he must have the series of rabies vaccine.
B. If he develops symptoms such as tingling and numbness at the bite site with fever, headache, and malaise, he should get the full rabies immunization series.
C. Because he was not immunized for rabies before the bite, his protection against rabies will only involve the administration of rabies immune globulin (RIG).
D. If the wound is cleaned well with soap and water with an antiseptic applied, the chance of developing rabies is small.
A. Rationale: The priority in treatment is to determine whether the animal is rabid. No treatment is required if a domestic animal can be caught and develops no symptoms of rabies for 10 days or if a wild animal can be killed and the brain has no evidence of rabies. In all other cases, full rabies immunization is required. The initial immunization is a rabies immune globulin followed by active immunization. If immunization is delayed until symptoms develop, rabies infection is ultimately fatal.
(this multiple choice question has been scrambled)