Final answer:
To prevent self-contamination when applying nitroglycerine paste in a health care facility, a nurse should wash hands before and after, use gloves during application, and handle the paste with care, adhering to standard precautions designed for safety in medical settings (option a,b and c).
Step-by-step explanation:
When treating a client at a health care facility with nitroglycerine paste, to prevent self-contamination during the application, the nurse should follow certain protocols. The primary prevention strategy includes using gloves to avoid direct contact with the medication. To apply nitroglycerine paste, a nurse should:
-
- First, thoroughly wash hands with soap and water before gloving to remove potential contaminants.
-
- Put on standard medical gloves prior to the application. Sterile gloves are not necessary unless the situation calls for a sterile procedure.
-
- Apply the paste using a device or applicator if available or by wearing the gloves to prevent skin contact.
-
- After application, the nurse should carefully remove the gloves, avoiding contact with the outside of the gloves.
-
- Finally, the nurse should wash hands again thoroughly with soap and water after glove removal to ensure any potential contaminants from the gloves are removed.
These measures are crucial in maintaining a sterile field and preventing the transfer of medication or contaminants from the nurse to the patient or vice versa.
Hence, the answer is option a,b and c.