A nurse accidentally sticks her hand with a syringe needle after administering an IM injection to a client. Which of the following actions should the nurse take first?
Wash the area of the puncture thoroughly with soap and water.
Go to employee health services.
Complete an incident report.
Report the incident to the charge nurse.
The Correct Answer is A
A. Washing the area of the puncture thoroughly with soap and water is the first and most immediate action to reduce the risk of infection and transmission of bloodborne pathogens. This should be done as soon as possible after the injury.
B. Going to employee health services is necessary but should follow immediate first aid measures.
C. Completing an incident report is important for documentation and accountability but is not the immediate priority after a needle-stick injury.
D. Reporting the incident to the charge nurse is necessary for proper protocol but does not take precedence over ensuring the injury is properly cleaned first.
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Correct Answer is B
Explanation
A. Peanuts contain protein but also have a higher fat content, making them less optimal compared to lean meats.
B. Chicken is an excellent source of high-quality protein, providing essential amino acids with lower fat content, making it the best recommendation among the options listed.
C. Yams are primarily a carbohydrate source and do not significantly contribute to protein intake.
D. Eggs are a good source of protein, but chicken typically provides more protein per serving, making it the superior choice for increasing protein intake.
Correct Answer is D
Explanation
A. While completing an incident report is important for documentation and quality improvement, it is not the immediate priority in the event of a medication error.
B. Notifying the nurse manager is a necessary step for reporting the error, but it should occur after ensuring the client's safety.
C. Calling the client's provider is essential to discuss the medication error and possible interventions, but the client's health and safety must be assessed first.
D. Assessing the client is the priority action to ensure the client’s safety and to identify any adverse effects resulting from the wrong medication. The nurse needs to determine the client's vital signs, level of consciousness, and any immediate symptoms related to the medication administered.