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Question ⬇

Safe, Effective Care Environment

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45. A drop of a client's blood splashes on a nurse's skin in an area where the nurse had a small, dried scab. The appropriate nursing action is to:

Choices

Choices ⬆ ⬇

1. Cover the scab with a dry gauze.

2. Apply ointment to keep scab moist.

3. Wash the site without disrupting the scab.

4. Scrub scab with Betadine for 5 minutes.

Question  Hint

Hints ⬆ ⬇

Test-Taking Tip

Washing the area is the first action for controlling the spread of infection.

Content Area: Adult Health, Infection Control; Integrated Process: Nursing Process, Implementation; Cognitive Level: Application; Client Need/Subneed: Safe and Effective Care Environment/Safety and Infection Control/Standard/Transmission-based/Other Precautions

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Rationale ⬆

Safe, Effective Care Environment

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3.  

Answer 1 is incorrect because the immediate goal is to remove the potentially infectious material. Covering the scab will not accomplish this. Answer 2 is incorrect because ice will not help remove the blood from the nurse's skin. Answer 3 is correct because washing is the most effective way of removing potentially infectious material. Avoid disrupting the scab, which is providing a microbial barrier. Answer 4 is incorrect because scrubbing the scab may remove the barrier that prevents blood from entering the nurse's body.

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