A nurse is teaching a newly licensed nurse about reducing the risk of needlestick injuries. Which of the following instructions should the nurse include?

Engage the safety device immediately after using a needle.

Dispose of large-bore needles into waterproof wastebaskets.

Bend needles without safety devices before disposing of them.

Use sharps containers until they are completely full.

Answer and Explanation

The Correct Answer is A

A.   This instruction is important for safely disposing of needles after use. Safety devices, such as needle safety shields or retractable needles, should be activated immediately after use to prevent accidental needlestick injuries during disposal. Engaging the safety device helps enclose the needle and reduce the risk of subsequent handling injuries.
B.   Large-bore needles, which include needles used for procedures such as blood draws or injections, should be disposed of into puncture-resistant sharps containers, not waterproof wastebaskets. Sharps

containers are specifically designed to safely collect needles and prevent accidental needlestick injuries. Using waterproof wastebaskets does not provide adequate protection and increases the risk of injuries.
C.   Bending needles, even those without safety devices, is not recommended. Manipulating needles can increase the risk of needlestick injuries. It is safer to dispose of needles intact into sharps containers designed for safe disposal. Sharps containers are puncture-resistant and prevent accidental exposures to used needles.
D.   Sharps containers should not be used until they are completely full. They should be replaced and disposed of according to healthcare facility protocols and regulatory guidelines. Overfilling sharps containers increases the risk of needlestick injuries during disposal and handling. It is essential to follow facility policies for timely replacement and disposal of sharps containers to maintain a safe environment.

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Correct Answer is B

Explanation

A. Keeping the client in a semi-Fowler's position (with the head of the bed elevated to 30-45 degrees) can help improve lung expansion and reduce the feeling of congestion. This position facilitates easier breathing but has no direct role in expectoration.
B. Adequate hydration helps to thin bronchial secretions, making them easier to cough up and clear from the airways. This is particularly beneficial for clients with COPD who often have thick, sticky mucus that is difficult to expectorate. Drinking sufficient water helps keep the mucus more liquid and less likely to block air passages.
C. Oxygen therapy is essential for clients with COPD to maintain adequate oxygen levels, but it does not directly address the issue of tenacious bronchial secretions. However, ensuring adequate oxygenation can indirectly support the client's ability to mobilize and expectorate secretions by improving overall respiratory function.
D. A low-salt diet is important for managing conditions like hypertension and heart failure, but it does not directly impact the client's ability to clear bronchial secretions in COPD. While overall health management is crucial, dietary changes do not play a direct role in managing respiratory secretions.

Correct Answer is ["5.6"]

Explanation

Convert the weight from pounds to kilograms: 1 kilogram equals 2.2 pounds. The toddler weighs 33 lb, which is approximately 15 kg (33 ÷ 2.2).
The prescribed dose is 30 mg/kg/day, so for a 15 kg toddler, that's 450 mg/day (15 kg × 30 mg/kg).

This total daily dose should be divided into two doses administered every 12 hours, which equals 225 mg per dose (450 mg ÷ 2).

Now, using the concentration of the amoxicillin suspension available, which is 200 mg/5 mL, calculate the volume of suspension needed to deliver a dose of 225 mg.

200 mg/5 mL = 225 mg/x mL, solving for x gives us 5.625 mL.

=Therefore, the nurse should administer 5.6 mL of the amoxicillin suspension every 12 hours to the toddler.

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A nurse is teaching a newly licensed nurse about reducing the risk of needlestick injuries. Which of the following instructions should the nurse include?

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

Correct Answer is ["5.6"]

Explanation

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