While irrigating a client’s abdominal wound, the irrigate splashes int

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.

ANSWER

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.