A nurse administered an IM injection to a client. Which of the following actions should the nurse take to reduce the risk of a needlestick injury?

Place a cap holder securely on the used needle before disposal.

Recap the needle for disposal later.

Dispose of the used needle immediately in a sharps container.

Detach the used needle and dispose of it promptly.

Answer and Explanation

The Correct Answer is C

A.   Placing a cap holder on the used needle before disposal does not prevent needlestick injuries and may increase the risk of accidental puncture.
B.   Recapping the needle for disposal later increases the risk of needlestick injuries. It is recommended to avoid recapping needles whenever possible.
C.   The immediate disposal of the used needle in a sharps container reduces the risk of needlestick injuries by eliminating the need for handling the needle after use.
D.   Detaching the used needle and disposing of it promptly is appropriate, but it should be done directly into a sharps container to minimize the risk of needlestick injuries.

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Correct Answer is D

Explanation

A. Platelets within the normal range indicate appropriate clotting function and are not concerning in this scenario.
B. Red blood cell (RBC) count within the normal range suggests normal oxygen-carrying capacity and is not directly related to the client's symptoms.
C. Hemoglobin (Hgb) level within the normal range indicates adequate oxygen-carrying capacity and is not directly related to the client's symptoms.
D. An international normalized ratio (INR) of 5.2 is significantly elevated and indicates that the client's blood is not clotting properly. This could be a result of excessive anticoagulation from heparin therapy, which may lead to bleeding complications such as bloody stools. Therefore, the nurse should report this finding to the provider for further evaluation and possible adjustment of the anticoagulant therapy.

A. Turn the newborn's head quickly to one side while they are sleeping. B. Place a finger in the newborn's palm. C. Clap hands after laying the newborn on a flat surface. D. Hold the newborn upright with one foot touching the crib surface

Correct Answer is A

Explanation

A. Turning the newborn's head quickly to one side does not elicit the Moro reflex. This action may test the tonic neck reflex instead, which is different from the Moro reflex.
B. Placing a finger in the newborn's palm will elicit the grasp reflex, not the Moro reflex. The grasp reflex involves the newborn closing their hand around the finger.
C. Clapping hands or creating a sudden loud noise after laying the newborn on a flat surface will startle the newborn, causing the Moro reflex. This reflex involves the baby extending their arms, legs, and fingers, followed by bringing them together as if in a protective gesture.
D. Holding the newborn upright with one foot touching the crib surface tests the stepping reflex, not the Moro reflex. The stepping reflex involves the baby making walking-like movements.

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A nurse administered an IM injection to a client. Which of the following actions should the nurse take to reduce the risk of a needlestick injury?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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