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 C

Explanation

A. Partial assistance required for daily activities: A score lower than 6 indicates some level of dependence or the need for assistance, which does not apply to a score of 6.

B. Complete dependence on others for daily activities: A score of 0 on the Katz Index would reflect complete dependence. A score of 6 indicates full independence.

C. Full independence in performing daily activities: A score of 6 on the Katz Index signifies that the individual can perform all six activities of daily living independently, demonstrating a high level of functional ability.

D. Moderate assistance required for daily activities: A score of 6 indicates total independence. A score of 3 or lower would suggest moderate assistance is required, making this option incorrect.

A. Elevate the bed to a position of comfort for the nurse. B. Lock the wheels of the bed and the wheelchair. C. Place the wheelchair at a 90° angle to the bed. D. Acquire the help of several people to lift the client.

Correct Answer is B

Explanation

A. Elevate the bed to a position of comfort for the nurse: While it is important for the nurse to maintain proper body mechanics and comfort during the transfer, the primary focus should be on the safety and comfort of the client. The bed should be elevated to a height that allows for a safe transfer, not just for the nurse's comfort.

B. Lock the wheels of the bed and the wheelchair: This is a crucial safety measure. Locking the wheels prevents both the bed and the wheelchair from moving during the transfer, reducing the risk of falls or injuries for both the client and the nurse. Ensuring stability is essential for a safe and effective transfer.

C. Place the wheelchair at a 90° angle to the bed: While positioning the wheelchair correctly is important, placing it at a 90° angle may not be the best approach for all clients. The wheelchair should generally be positioned close to the bed, either parallel or at a slight angle, to facilitate a smooth transfer and ensure the client's safety.

D. Acquire the help of several people to lift the client: It is typically not necessary to lift the client unless they are unable to assist in the transfer. Instead, proper techniques, such as using a transfer belt or slide board, should be employed to assist the client in moving safely to the wheelchair. Relying on multiple people to lift can also increase the risk of injury to both the client and the staff if not done properly.

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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

What does a score of 6 on the Katz Index of Independence in Activities of Daily Living (ADLs) indicate?

Correct Answer is C

Explanation

A nurse is assisting with transferring a client from the bed to a wheelchair. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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