A nurse accidentally sticks her hand with a syringe 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.

Notify the employee health services

Complete an incident report

Report the incident to the charge nurse

Answer and Explanation

The Correct Answer is A

A. Wash the area of the puncture thoroughly with soap and water: The first action the nurse should take after a needlestick injury is to immediately wash the area with soap and water. This is crucial for minimizing the risk of infection and exposure to potentially infectious materials. Prompt cleaning of the puncture site is essential in reducing the risk of transmission of bloodborne pathogens.

B. Notify employee health services: While notifying employee health services is important for follow-up care and evaluation, it should be done after the initial wound care has been performed. Immediate action should focus on cleaning the injury first.

C. Complete an incident report: Completing an incident report is a necessary step for documentation and accountability in the healthcare setting. However, it should be done after the immediate first aid for the needlestick injury has been addressed.

D. Report the incident to the charge nurse: Reporting the incident to the charge nurse is important for ensuring appropriate follow-up and support, but the priority should be to address the injury first. The nurse should take care of the puncture wound before notifying others about the incident.

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Correct Answer is A

Explanation

A. Have the client wear a mask: When transporting a client with active pulmonary tuberculosis, having the client wear a surgical mask helps to contain respiratory droplets and reduce the risk of airborne transmission to others in the facility. This is an important measure to help prevent the spread of TB while the client is being moved through the hospital.

B. Wear a filtration mask and gloves during transport: While the nurse should wear a fitted N95 respirator or a similar filtration mask and gloves when interacting with the patient, the focus of the question is on the precautions for transporting the client. This option does not address the client's role in protecting others during transport.

C. Notify the x-ray department that the client requires airborne precautions: Although notifying the x-ray department is important for overall safety and preparedness, it does not directly address how to transport the client safely. Proper precautions should be taken during the transport itself to minimize risk.

D. Ask the x-ray technician to come to the client's room to obtain a portable x-ray: While this option minimizes the client's exposure to others, it may not be feasible depending on the facility's resources and protocols. Moreover, it does not address the need for the client to wear a mask if transport is necessary.

A. 212 B. 214 C. 208 D. 216

Correct Answer is C

Explanation

A. 212: Room 212 is a semi-private, positive-pressure airflow room. Positive-pressure rooms are used for patients who are immunocompromised to prevent outside pathogens from entering, which would not be suitable for a client with a productive cough and a positive Mantoux test, as this indicates a risk for tuberculosis (TB) transmission.

B. 214: Room 214 is a semi-private, negative-pressure room. While negative-pressure rooms are suitable for clients with infectious diseases like TB, the semi-private setup may not be appropriate due to the potential for airborne transmission to another patient.

C. 208: Room 208 is a private, negative-pressure airflow room. This is the most appropriate assignment for the client with a productive cough and a positive Mantoux test, as negative-pressure rooms help contain airborne pathogens and prevent their spread to other areas. The private setting also reduces the risk of exposing other patients to potential infection.

D. 216: Room 216 is a private, positive-pressure airflow room. Similar to Room 212, this type of room is designed to protect immunocompromised patients rather than those with infectious diseases like TB. Assigning the client to this room would increase the risk of transmission to healthcare workers and other patients.

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A nurse accidentally sticks her hand with a syringe after administering an IM injection to a client. Which of the following actions should the nurse take first?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has active pulmonary tuberculosis (TB). The client requires airborne precautions and is receiving multidrug therapy. Which of the following precautions should the nurse take to transport the client safely to the radiology department for a chest x-ray?

Correct Answer is A

Explanation

Correct Answer is C

Explanation

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