The nurse is preparing to administer an IV bolus of pain medication to a surgical client and realizes the first action is to:
a. don sterile gloves.
b. cleanse the port with alcohol.
c. wash hands.
d. draw back the plunger to check for blood return.
ANS: C
Feedback
A Incorrect: Unless the facility protocol states to use sterile gloves, clean gloves can be used, but not until after the nurse's hands are washed.
B Incorrect: This is not the first step.
C Correct: The first action of the nurse is to wash the hands before donning gloves.
D Incorrect: This is not the first step.
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