A nurse accidentally sticks her hand with a needle after administering an intramuscular (IM) injection to a client. Which action should the nurse take first?

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

Notify employee health services.

Complete an incident report.

Report the incident to the charge nurse.

Answer and Explanation

The Correct Answer is A

Choice A Reason:

Washing the area of the puncture thoroughly with soap and water is the first and most immediate action the nurse should take. This step helps to reduce the risk of infection by removing any potential contaminants from the puncture site. It is a crucial initial response to any needlestick injury to minimize the risk of bloodborne pathogen transmission. Proper hand hygiene is essential in preventing infections and ensuring the safety of healthcare workers.

Choice B Reason:

Notifying employee health services is an important step that should follow the initial first aid. Employee health services will provide further evaluation, testing, and follow-up care as needed. They will also guide the nurse on any necessary post-exposure prophylaxis and additional steps to take. However, this is not the first action to take immediately after the injury.

Choice C Reason:

Completing an incident report is a necessary step to document the needlestick injury. This report helps in tracking and preventing future incidents, ensuring that proper protocols are followed, and providing data for workplace safety improvements. While important, this step should be taken after the initial first aid and notification of employee health services.

Choice D Reason:

Reporting the incident to the charge nurse is also an important step in the process. The charge nurse needs to be informed about the incident to ensure that appropriate follow-up actions are taken and to provide support to the affected nurse. However, this step should come after the immediate first aid and notification of employee health services.

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Correct Answer is B

Explanation

Choice A Reason:

“Do not take the medication before bedtime” is incorrect because the timing of medication administration depends on the specific medication and its intended effects. Some medications are specifically prescribed to be taken at bedtime to help with sleep or to reduce side effects that might occur during the day.

Choice B Reason:

“Take the medication with a full glass of water” is correct because many medications require adequate hydration to ensure proper absorption and to prevent irritation of the esophagus and stomach. Taking medication with a full glass of water helps to ensure that the medication reaches the stomach quickly and reduces the risk of esophageal irritation or damage.

Choice C Reason:

“This medication must be taken on an empty stomach” is incorrect unless the specific medication requires it. Some medications are better absorbed on an empty stomach, but this is not a universal rule and depends on the medication’s formulation and intended use.

Choice D Reason:

“Expect abdominal pain with this medication” is incorrect because not all medications cause abdominal pain. If a medication is known to cause abdominal pain, the nurse should provide additional instructions on how to manage this side effect or discuss alternative medications with the healthcare provider.

Correct Answer is ["2"]

Explanation

To determine the number of tablets per dose, follow these steps:

Calculate the total daily dose in milligrams (mg):
- 2 grams (g) = 2000 milligrams (mg)
Divide the total daily dose by the number of doses per day:
- 2000 mg/day ÷ 2 doses/day = 1000 mg/dose
Determine the number of tablets per dose:
- Each tablet is 500 mg.
- 1000 mg/dose ÷ 500 mg/tablet = 2 tablets/dose

Therefore, the nurse should administer 2 tablets of 500 mg amoxicillin with each dose.

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A nurse accidentally sticks her hand with a needle after administering an intramuscular (IM) injection to a client. Which action should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who is taking medication before bedtime. The nurse should include the following instructions:

Correct Answer is B

Explanation

Correct Answer is ["2"]

Explanation

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