What should the nurse anticipate giving to a 19-year-old patient with no prior tetanus vaccinations and multiple lacerations?

The appropriate response for a 19-year-old patient with no prior tetanus vaccinations and multiple lacerations is to administer tetanus immunoglobulin (TIG) along with the tetanus-diphtheria toxoid and pertussis vaccine (Tdap). This combination is critical for addressing both immediate and long-term protection.

TIG is used in this situation as it provides passive immunity, which is especially important for someone who is unvaccinated and may be at significant risk of tetanus from their lacerations. The administration of TIG helps to neutralize any circulating tetanus toxin and offers immediate but short-term protection.

Additionally, the tetanus-diphtheria toxoid and pertussis vaccine (Tdap) provide active immunization. Since this patient has never had any vaccinations for tetanus, the Tdap vaccine will stimulate their immune system to produce its own protective antibodies against tetanus, diphtheria, and pertussis in the long run.

Using both TIG and Tdap ensures that the patient receives both immediate safety from potential tetanus infection and lasting immunity, which is vital given the presence of multiple lacerations and the patient’s lack of vaccination history. This comprehensive approach balances the need for immediate protection with the