A 24-year-old patient presents to the emergency department after being bitten by a raccoon in a rural area. The bite is on the forearm and is moderately severe. What is the most appropriate initial action by the nurse?
Give antibiotics prophylactically before cleaning the wound.
Administer rabies prophylaxis immediately.
Immediate thorough cleansing of the wound with soap and water.
Check if the patient's tetanus immunization is up to date.