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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Increased salivation: Hypernatremia often causes dry mouth and decreased salivation.
B. Cool, clammy skin: Hypernatremia does not typically cause cool, clammy skin; this is more associated with hypovolemia.
C. Hypertension: While hypertension can occur, it is not as specific as decreased level of consciousness.
D. Decreased level of consciousness: Severe hypernatremia can lead to neurological changes, including decreased level of consciousness. Excess sodium draws water out of cells, leading to dehydration inside the cells, especially in the brain. Decreased brain cell function due to dehydration can manifest as confusion, lethargy, and potentially a decreased level of consciousness in severe cases (coma).
Correct Answer is B
Explanation
A. Decreased BUN: Fluid volume deficit typically leads to increased BUN (blood urea nitrogen) due to hemoconcentration.
B. Increased urine specific gravity: Increased urine specific gravity indicates more concentrated urine, which is a common finding in fluid volume deficit.
C. Increased urine ketones: Increased urine ketones are associated with conditions like diabetes and starvation, not specifically fluid volume deficit.
D. Decreased hematocrit: Fluid volume deficit usually results in increased hematocrit due to hemoconcentration.
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