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. Limit fluid intake to 1,000 mL daily. Increasing fluid intake, not limiting it, helps alleviate constipation.
B. Bear down hard when defecating. Bearing down hard can cause harm, such as hemorrhoids, and does not help relieve constipation.
C. Reduce activity: Increasing physical activity helps promote bowel movements, so reducing activity is not advisable.
D. Eat raw vegetables. Raw vegetables are high in fiber and can help alleviate constipation.
Correct Answer is B
Explanation
A. Hold the medication until the client has his evening meal: Holding the medication for this reason is inappropriate because the issue is the elevated potassium level, not the timing with meals.
B. Inform the provider of the client's potassium level: Correct. A potassium level of 5.8 mEq/L is elevated (hyperkalemia), and the provider should be informed immediately before administering any more potassium.
C. Obtain a prescription to increase the dosage of the medication: Increasing the dosage would be dangerous given the elevated potassium level.
D. Give the medication as prescribed: Administering potassium chloride with a high potassium level is unsafe and could exacerbate the hyperkalemia.
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