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
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. Wear sterile gloves: Sterile gloves are not necessary for checking a pulse. Sterile gloves are typically used for procedures that involve direct contact with sterile areas or instruments. Checking a pulse does not require maintaining a sterile field, so clean gloves are sufficient.
B. Wear an N95 respirator mask: An N95 respirator mask is typically required for airborne precautions, such as those used for tuberculosis, but not for MRSA. MRSA is primarily transmitted through direct contact with infected wounds or contaminated surfaces, so an N95 mask is not needed for this situation.
C. Wear clean gloves: Wearing clean gloves is the appropriate action when interacting with a client who has MRSA. This helps to prevent the transmission of bacteria and protects both the client and the nurse. Clean gloves should be used for any contact with the client or their environment to minimize the risk of spreading infection.
D. Wear protective eyewear: Protective eyewear is generally used when there is a risk of splashes or sprays of bodily fluids. In this scenario, unless there is a specific risk of such exposure during the pulse check, protective eyewear is not necessary. Clean gloves are the primary requirement for basic contact precautions with MRSA.
Correct Answer is D
Explanation
A. "I will keep my walker at the end of my bed.": Storing a walker at the end of the bed may not be the safest option. The walker should be kept within easy reach to ensure the client can access it promptly when getting up, reducing the risk of falls.
B. "I will place an area rug at the entry of my bathroom.": Placing an area rug in a high-traffic area like the bathroom can create a tripping hazard, increasing the risk of falls. It is important to keep walking paths clear and free from obstacles to ensure safety.
C. "I will keep the fluorescent ceiling light in my room at night.": While having adequate lighting is important, keeping the light on at night may not address the need for easy access to light sources. The client should consider using nightlights or ensuring that light switches are easily accessible to avoid navigating in the dark.
D. "I will place a bath seat in my shower to use when I bathe.": This statement indicates an understanding of safety measures to prevent falls while bathing. Using a bath seat can provide stability and allow the client to bathe safely while reducing the risk of slipping or losing balance in the shower. This reflects the client's awareness of their needs related to fall prevention.
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