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 D
Explanation
A. Using technical language can confuse the client and hinder understanding. Educational sessions should use clear and simple language.
B. Starting with the least important information may lead to client confusion or lack of retention of critical details about the medication. Important information should be prioritized.
C. Turning on the television can be distracting for the client, making it difficult for them to focus on the medication education. A quiet environment is more conducive to learning.
D. Providing educational material written at a 6th grade reading level ensures that the information is accessible and understandable for the client, promoting better comprehension and adherence to medication regimens.
Correct Answer is C
Explanation
A. Giving the medication that is expired poses a risk to the client, as the safety and efficacy of the medication cannot be guaranteed past its expiration date.
B. Returning the medication to the pharmacy may not be feasible in this scenario; proper disposal is generally the nurse's responsibility for expired medications.
C. Discarding the medication is the appropriate action to ensure client safety, as expired medications should not be administered.
D. Notifying the provider is unnecessary in this case; the nurse's responsibility is to discard the expired medication and prepare a new dose that is within its expiration date.