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 A

Explanation

A. Place one finger across the acromion process and measure 3 fingerbreadths below to the midpoint and center of the lateral aspect of the upper arm. This is the correct method to locate the deltoid muscle for an intramuscular injection.
B. Locate the center of the arm between the elbow and the shoulder. This method does not accurately locate the deltoid muscle and may lead to incorrect injection placement.
C. Find the center of the anterior aspect of the thigh: This method locates the vastus lateralis muscle, not the deltoid muscle.
D. Locate the middle third of the anterior thigh between the greater trochanter of the femur and the lateral femoral condyle.: This method locates the vastus lateralis muscle, not the deltoid muscle.

A. Observe the client. B. Complete an incident report. C. Notify the nurse manager. D. Call the client's provider.

Correct Answer is A

Explanation

A. Observe the client. The first priority is to monitor the client for any adverse reactions or side effects from the wrong medication.
B. Complete an incident report. While important, the incident report is not the first action to take.
C. Notify the nurse manager. Informing the nurse manager is necessary, but not the immediate first step.
D. Call the client's provider. Notifying the provider is also important but observing the client for any immediate effects takes precedence.

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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?

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