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    Ati Lpn Med Surg IV Therapy Proctored Exam

    A nurse is inserting an intravenous catheter for a client which results in a blood spill on her gloved hand. The client has no documented bloodstream infection. Which of the following actions should the nurse take?

    Explanation & Rationale

    Rationale: A. Preparing an incident report is unnecessary in this scenario because there was no exposure to a documented infectious agent, no injury, and no breach of standard precautions. Incident reports are typically required for needlestick injuries, bloodborne pathogen exposures, or other adverse events affecting client or staff safety. B. Asking the client to undergo a blood test is inappropriate because there is no indication of infection and no exposure risk. This action is unnecessary and may cause undue anxiety or harm. C. Washing gloved hands and then discarding the gloves is not recommended. Gloves are considered contaminated once they have blood on them, and washing them does not decontaminate them effectively. This can spread pathogens and is contrary to infection control guidelines. D. Carefully removing the gloves and following with hand hygiene is correct. This action prevents contamination, follows standard precautions, and ensures proper infection control. The gloves should be removed without touching the skin, discarded in a designated container, and hand hygiene performed immediately using soap and water or an alcohol-based hand rub. This sequence protects both the nurse and the client from potential transmission of pathogens.

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