While irrigating a client's abdominal wound, the irrigate ...

[JMatthes]

While irrigating a client's abdominal wound, the irrigate splashes into the nurse's nose and eyes. What should the nurse do?
 
  1. Flush the nose and eyes for 5 to 10 minutes with water or normal saline.
  2. Begin HIV high-risk exposure prophylaxis within 24 hours.
  3. Wash the areas with soap and water.
  4. Have blood drawn for hepatitis B antibodies.

Question 2

A client in isolation ambulates with assistance to the bathroom. After toileting, what should the unlicensed assistive personnel do?
 
  1. Assist the client with hand washing.
  2. Assist the client back to bed.
  3. Change the client's bed.
  4. Leave the client's room.

[mammy1697]

Answer to Question 1

Correct Answer: 1
Rationale 1: After an exposure to the mucous membranes, the area should be flushed for 5 to 10 minutes with saline or water.
Rationale 2: The client was not identified as being HIV-positive.
Rationale 3: Washing the area with soap and water would be appropriate for a puncture or laceration.
Rationale 4: Being tested for hepatitis B would be appropriate after a puncture or laceration but not for a splash to the mucous membranes.

Answer to Question 2

Correct Answer: 1
Rationale 1: The client should utilize good hand washing after going to the bathroom. The unlicensed assistive personnel should assist the client with hand washing.
Rationale 2: After handwashing, the unlicensed assistive personnel should assist the client back to bed.
Rationale 3: The client's bed can be changed at any time.
Rationale 4: The unlicensed assistive personnel should not leave the client's room until the client has washed her hands and has been assisted back to bed.

[JMatthes]

TYSM

[Kedrick2014]

Excellent