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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?

A.

Wash the area of the puncture thoroughly with soap and water.

B.

Go to employee health services.

C.

Complete an incident report.

D.

Report the incident to the charge nurse.

Answer and Explanation

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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View Related questions

Correct Answer is D

Explanation

A. Using each cleansing wipe twice is not appropriate, as this may cause cross-contamination; each wipe should be used once.

B. Cleaning the inside of the container is unnecessary and may introduce contaminants; only the outside should be kept clean.

C. The correct method involves urinating a little, stopping to allow for midstream collection, and then continuing to urinate; saying "then stop" may confuse the procedure.

D. Using the cleansing wipe from front to back is the correct technique for women to prevent urinary tract infections (UTIs) and ensure proper hygiene during sample collection.

Correct Answer is D

Explanation

A. Filling out an occurrence form is necessary for documentation and accountability but is not the immediate priority after a medication error.

B. Administering the medication to the correct client should be done, but first, the nurse must ensure the safety and well-being of the client who received the wrong medication.

C. Notifying the client's provider is essential, but the nurse should first assess the client's condition to determine if any immediate actions are necessary.

D. Checking the client's vital signs is the first action the nurse should take to assess the client's current condition and any potential adverse effects from receiving the incorrect medication.

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