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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Episodes of confusion could indicate various issues, such as metabolic disturbances, disease progression affecting the central nervous system, or medication side effects. However, confusion alone would not typically lead to an increase in morphine dosage. Therefore, this is not a likely explanation for why the client needed more morphine for pain relief.
B. Tolerance occurs when the body adapts to the effects of a medication over time, requiring higher doses to achieve the same therapeutic effect. This is a common phenomenon with opioids like morphine when used long-term for pain management. If the client's pain relief diminished despite increasing the dose, tolerance to morphine could indeed be the reason why higher doses were needed.
C. Addiction is a psychological and physiological dependence on a substance characterized by compulsive drug-seeking behavior and use despite harmful consequences. Addiction is not typically the reason why a client with terminal cancer would require an increased dose of morphine for pain relief. In this context, the focus is on managing pain rather than addiction.
D. If the client has not been adhering to the prescribed dosing schedule or has missed doses, it could result in inadequate pain control. This might necessitate an increase in morphine dosage to achieve adequate pain relief. However, this scenario would require further assessment to confirm.
Correct Answer is ["A","D","E"]
Explanation
A. Tachycardia, or increased heart rate, can occur during hypoglycemia as a result of the body's response to low blood sugar levels. The sympathetic nervous system is activated, leading to increased adrenaline (epinephrine) release, which can cause palpitations and tachycardia.
B. Polydipsia refers to excessive thirst. It is typically a symptom of hyperglycemia (high blood sugar levels) rather than hypoglycemia. During hypoglycemia, thirst is not a common symptom.
C. Polyuria refers to excessive urination. Similar to polydipsia, it is more commonly associated with hyperglycemia (high blood sugar levels) rather than hypoglycemia. Hypoglycemia typically does not cause polyuria.
D. Blurred vision can occur during hypoglycemia due to changes in the shape of the lens in the eye caused by altered fluid balance due to low blood sugar levels.
E. Moist, clammy skin is a common manifestation of hypoglycemia. When blood sugar levels drop, the body's autonomic nervous system responds by releasing adrenaline, which can cause sweating and clamminess.
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