A nurse is preparing to dispose of a needle after administering an intramuscular injection to a client who has hepatitis C. Which of the following actions should the nurse take?

Dispose of the needle uncapped.

Ask another nurse to recap the needle.

Place the cap on the table and slide the needle into the cap.

Recap the needle.

Answer and Explanation

The Correct Answer is A

A. Dispose of the needle uncapped: The safest method to avoid needle-stick injuries and potential exposure to bloodborne pathogens, including hepatitis C, is to dispose of the needle immediately without recapping.
B. Ask another nurse to recap the needle: Asking another nurse to recap the needle still poses a risk of needle-stick injury and is not a recommended practice.
C. Place the cap on the table and slide the needle into the cap: This method, known as the "scoop" technique, reduces the risk compared to hand recapping but is still not the best practice. Proper sharps disposal is the preferred method.
D. Recap the needle: Recapping needles is discouraged due to the high risk of accidental needle-stick injuries.

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Correct Answer is B

Explanation

A. Increased blood pressure: Hypovolemia typically causes a decrease in blood pressure, not an increase.
B. Thready pulse: A thready pulse is a common sign of hypovolemia due to decreased blood volume.
C. Dyspnea: While dyspnea can occur, it is not as specific as a thready pulse for hypovolemia.
D. Decreased heart rate: Hypovolemia usually causes an increased heart rate as the body tries to compensate for low blood volume.

A. Purplish colored stoma B. No stool noted in the collection bag C. Edematous stoma D. Slight bleeding of the stoma site

Correct Answer is A

Explanation

A. Purplish colored stoma: A purplish colored stoma indicates compromised blood flow and possible necrosis, which is an emergency and must be reported immediately.
B. No stool noted in the collection bag: It is normal for there to be no stool in the collection bag 12 hours postoperatively as bowel function may not yet have resumed.
C. Edematous stoma: Edema of the stoma is common in the immediate postoperative period and usually subsides with time.
D. Slight bleeding of the stoma site: Slight bleeding at the stoma site can be normal immediately after surgery due to the manipulation of tissues.

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A nurse is preparing to dispose of a needle after administering an intramuscular injection to a client who has hepatitis C. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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