# The nurse reviews an occupational needlestick record. Which action is the priority? > source: MyMerci (mymerci.kr) > url: https://mymerci.kr/pages/nclex_q.php?qn_id=516662&lang=en > language: en > subject: Adverse Effects/Contraindications/Interactions > category: PPT ## Question The nurse reviews an occupational needlestick record. Which action is the priority? History Vitals Labs Orders Notes A hollow-bore needle used for venipuncture punctured the nurse through a glove 25 minutes ago. (데이터 없음) (데이터 없음) (데이터 없음) (데이터 없음) 1 Wait for the source client viral-load result before reporting the exposure. ✕ 2 Wash the site, report the exposure immediately, obtain baseline testing, and start the authorized HIV PEP regimen without avoidable delay. ✕ 3 Squeeze and scrub the puncture site with a caustic solution for 10 minutes. ✕ 4 Begin a single antiretroviral drug and stop follow-up testing if the first result is negative. ✕ ## Explanation Occupational HIV exposure is an urgent event. Immediate site care, reporting, risk assessment, baseline testing, and prompt initiation of a recommended three-drug PEP regimen should proceed without waiting for delayed source results. ## In-depth explanation Quick answer Start the occupational-exposure pathway immediately. Why this is correct The 2025 USPHS guidance emphasizes rapid access to PEP, baseline testing, source evaluation, and follow-up. PEP can be revised when additional source information returns. Easy analogy or mental picture Begin the safety net while the laboratory picture is still developing. Memory hook Wash, report, test, and start PEP promptly. NCLEX decision rule Do not let a pending source result create an avoidable treatment delay. Why the other choices are wrong Caustic scrubbing injures tissue, delayed reporting loses time, and single-drug therapy with no follow-up is not the recommended pathway.References 12025 US Public Health Service Occupational HIV PEP GuidelinesImmediate exposure care, rapid source and exposed-person testing, prompt three-drug PEP, and follow-up ## Clinical scenario Occupational exposure Document time, device, depth, source fluid, site care, source testing, baseline exposed-person testing, PEP start, interactions, renal function, and follow-up. ## Related questions - [A client is admitted to the emergency department after ingesting an unknown amount of acet…](https://mymerci.kr/pages/nclex_q.php?qn_id=362720&lang=en) - [A client with chronic heart failure is prescribed metoprolol 25 mg orally twice daily. Bef…](https://mymerci.kr/pages/nclex_q.php?qn_id=362756&lang=en) - [A 28-year-old client with type 1 diabetes receives regular insulin 6 units and NPH insulin…](https://mymerci.kr/pages/nclex_q.php?qn_id=362792&lang=en) - [A client receives IV vancomycin 1 g every 12 hours for MRSA bacteremia. Before the next do…](https://mymerci.kr/pages/nclex_q.php?qn_id=362833&lang=en) - [A client with bipolar disorder has been taking lithium carbonate 600 mg orally three times…](https://mymerci.kr/pages/nclex_q.php?qn_id=362894&lang=en) - [A nurse is monitoring a client receiving a continuous IV heparin infusion for pulmonary em…](https://mymerci.kr/pages/nclex_q.php?qn_id=363988&lang=en) - [A nurse is preparing to initiate a weight-based continuous IV unfractionated heparin infus…](https://mymerci.kr/pages/nclex_q.php?qn_id=364107&lang=en) - [A nurse is providing discharge teaching to a 65-year-old client newly prescribed warfarin …](https://mymerci.kr/pages/nclex_q.php?qn_id=364872&lang=en) ## Read in another language - [en](https://mymerci.kr/pages/nclex_q.php?qn_id=516662&lang=en) - [ko](https://mymerci.kr/pages/nclex_q.php?qn_id=516662&lang=ko) - [ja](https://mymerci.kr/pages/nclex_q.php?qn_id=516662&lang=ja) - [zh-TW](https://mymerci.kr/pages/nclex_q.php?qn_id=516662&lang=zh-tw) - [vi](https://mymerci.kr/pages/nclex_q.php?qn_id=516662&lang=vi) --- More free questions: [NCLEX-RN Practice](https://mymerci.kr/pages/nclex_bank.php?lang=en) _For study reference only. Always follow current clinical guidelines and your institution’s protocols._