What should the nurse do first if they are stuck by a needle?

Flush the exposed skin with water

Report the exposure

Seek medical attention

Complete an incident report

Answer and Explanation

The Correct Answer is A

Choice A reason: Flushing the exposed skin with water is the first action that the nurse should take if they are stuck by a needle. This is to reduce the amount of blood or body fluid that may have entered the wound and to prevent infection. The nurse should flush the skin for at least 15 minutes and avoid using soap, antiseptic, or bleach as they may damage the skin or increase the risk of infection.

Choice B reason: Reporting the exposure is the second action that the nurse should take after flushing the exposed skin with water. This is to inform the supervisor, the occupational health department, or the infection control team about the incident and to initiate the postexposure protocol. The nurse should provide the details of the exposure, such as the type and source of the needle, the depth and location of the wound, and the status of the source patient.

Choice C reason: Seeking medical attention is the third action that the nurse should take after reporting the exposure. This is to receive a medical evaluation and treatment, such as testing, prophylaxis, counseling, and followup. The nurse should consult a health care provider as soon as possible and follow the recommendations for preventing or treating any potential infections, such as hepatitis B, hepatitis C, or HIV.

Choice D reason: Completing an incident report is the last action that the nurse should take after seeking medical attention. This is to document the exposure and the actions taken and to identify the causes and the preventive measures for the future. The nurse should fill out the incident report form accurately and objectively and submit it to the appropriate authority. The incident report is not a part of the client's record and should not be mentioned in the client's chart.

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Correct Answer is D

Explanation

Choice A reason: "Because it is easy to digest." is not the best response by the nurse. This is not a valid reason for giving protein supplements to a client with a bed sore. Protein supplements may or may not be easy to digest depending on the type and amount of protein and the client's digestive system. The ease of digestion is not the main goal of protein supplementation.

Choice B reason: "If you don't like it, you don't have to take it." is not the best response by the nurse. This is a dismissive and unprofessional response that does not address the client's question or concern. Protein supplements are prescribed for a reason and the client should be educated on the benefits and risks of taking or refusing them. The nurse should also respect the client's preferences and choices and offer alternatives if possible.

Choice C reason: "These supplements have nothing to do with your wound." is not the best response by the nurse. This is a false and misleading statement that contradicts the evidencebased practice of wound care. Protein supplements have a lot to do with wound healing as they provide the essential nutrients for tissue repair and regeneration. Protein deficiency can impair wound healing and increase the risk of infection and complications.

Choice D reason: "Protein has amino acids that promote wound healing." is the best response by the nurse. This is a factual and informative statement that explains the rationale for giving protein supplements to a client with a bed sore. Protein is composed of amino acids, which are the building blocks of cells and tissues. Amino acids are involved in various processes of wound healing, such as collagen synthesis, angiogenesis, and immune response. Protein supplementation can enhance wound healing and prevent protein malnutrition.

A. "There are many adaptive devices such as grab bars, reaching tools, grasping devices, and adaptive silverware available that may help you." B. "My grandfather always had problems with his arthritis, and he would tell me that it's better to be more stoic and not let pain interrupt your life." C. "Place throw rugs throughout your home. You'll enjoy how pretty they are, and you can use them to cover up power cords, so you don't trip on them." D. "Lack of home safety may be an issue of compliance. Are you being compliant with your medications?"

Correct Answer is A

Explanation

Choice A reason: This statement is correct and should be included in the nurse's teaching. It informs the client about the availability and benefits of adaptive devices that can enhance their home safety and independence. It also shows the nurse's empathy and respect for the client's needs and preferences.

Choice B reason: This statement is incorrect and should not be included in the nurse's teaching. It reflects the nurse's personal opinion and bias, and it may discourage the client from seeking help or expressing their pain. It also shows the nurse's lack of understanding and compassion for the client's condition and challenges.

Choice C reason: This statement is incorrect and should not be included in the nurse's teaching. It suggests an unsafe and hazardous practice that can increase the risk of falls and injuries for the client. It also shows the nurse's negligence and irresponsibility for the client's home safety.

Choice D reason: This statement is incorrect and should not be included in the nurse's teaching. It implies that the client is noncompliant and blames them for their home safety issues. It also shows the nurse's judgmental and accusatory attitude towards the client.

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What should the nurse do first if they are stuck by a needle?

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Naxlex Comprehensive Predictor Exams

The client states, "Why am I getting protein supplements while I'm healing from a bed sore?" What is the best response by the nurse?

Correct Answer is D

Explanation

The nurse is teaching a client with debilitating rheumatoid arthritis about home safety. Which statement should the nurse include?

Correct Answer is A

Explanation

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