A nurse is collecting data from a client who has been admitted with suspected appendicitis. Which of the following findings is the nurse's priority to report to the provider?

Choice A: Instructing the client to store the injector at room temperature is not the priority because it is not a life-saving action. Storing the injector at room temperature is important to maintain its effectiveness and prevent damage from heat or cold. However, it is not as urgent as seeking medical attention or recognizing anaphylaxis.

Choice B: Informing the client to seek medical attention following administration of the injection is the priority because it is a life-saving action. Seeking medical attention following administration of the injection is essential to prevent further complications or recurrence of anaphylaxis. Anaphylaxis is a severe allergic reaction that can cause symptoms such as difficulty breathing, swelling, rash, or shock. It can be fatal if not treated promptly and properly. Epinephrine is a medication that can reverse some of the symptoms of anaphylaxis by constricting blood vessels, relaxing airways, and increasing heart rate. However, epinephrine is not a cure for anaphylaxis and its effects may wear off after 15 to 20 minutes. Therefore, the client should seek medical attention as soon as possible after using the injector.

Choice C: Having the client perform a return demonstration of the equipment is not the priority because it is not a life-saving action. Having the client perform a return demonstration of the equipment is important to assess the client's understanding and ability to use the injector correctly. However, it is not as urgent as seeking medical attention or recognizing anaphylaxis.

Choice D: Reviewing the signs of anaphylaxis with the client is not the priority because it is not a life-saving action. Reviewing the signs of anaphylaxis with the client is important to educate the client about how to identify and respond to an allergic reaction. However, it is not as urgent as seeking medical attention or using the injector.

Choice A reason: This is not an appropriate action because performing hand hygiene with hands at elbow level can contaminate or recontaminate hands by allowing water or soap to drip from elbows to hands or wrists. The nurse should perform hand hygiene with hands lower than elbows and avoid touching faucets or sinks with hands or forearms.

Choice B reason: This is an appropriate action because cleaning a blood spill with chlorine bleach can disinfect and decontaminate surfaces that have been exposed to bloodborne pathogens, such as hepatitis B virus or human immunodeficiency virus. The nurse should wear gloves and use a 1:10 dilution of bleach and water to clean the spill.

Choice C reason: This is not an appropriate action because instructing a female client to wipe her perineal area from back to front can increase the risk of urinary tract infection or vaginal infection by introducing bacteria from the anus to the urethra or vagina. The nurse should instruct the client to wipe her perineal area from front to back and use a clean tissue for each wipe.

Choice D reason: This is not an appropriate action because rolling soiled linen with clean side in before placing it in laundry bag can spread microorganisms or body fluids to hands, clothing, or environment. The nurse should fold or roll soiled linen with dirty side in and avoid shaking or tossing it.