After administering an injection, the nurse observes bleeding at the site. In what sequence should the nurse perform these actions? (Arrange with the first step on top and the last step on the bottom.)

Retract the needle into the syringe.

Place syringe in a puncture-resistant container.

Apply an adhesive bandage over the injection site.

Remove disposable exam gloves.

Answer and Explanation

The Correct Answer is A,B,D,C

Choice A: Retracting the needle into the syringe should be done before safely disposing of the syringe.

Choice B: Placing the syringe in a puncture-resistant container is the second step to ensure safe disposal of sharp objects.

Choice C: Applying an adhesive bandage over the injection site is the final step to address the bleeding and protect the site.

Choice D: Removing disposable exam gloves is the next step to prevent any contamination.

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Correct Answer is B

Explanation

Choice A: A platelet count of 135,000/mm3 is slightly below the lower end of the normal range, but it may not be considered critically low. It is not the highest priority finding among the choices provided.

Choice B: A blood urea nitrogen (BUN) level of 75 mg/dL is significantly elevated and outside the normal range. Elevated BUN can indicate kidney dysfunction or dehydration and should be reported promptly.

Choice C: Decreased deep tendon reflexes may be related to various factors, including medication effects, and may not be considered the highest priority finding unless it is associated with other concerning symptoms.

Choice D: Periodic nausea and vomiting can be common side effects of chemotherapy, but they may not be considered the highest priority finding unless they are severe, persistent, or associated with signs of dehydration or electrolyte imbalances.

A. Offer water to the client hourly. B. Review the intake and output record. C. Increase daily sodium intake. D. Reduce dairy product intake.

Correct Answer is A

Explanation

Choice A: Offering water to the client hourly is an important intervention, especially for older clients who may be prone to dehydration. Confusion can sometimes be a symptom of dehydration, so ensuring adequate hydration is essential.

Choice B: Reviewing the intake and output record is important for assessing the client's fluid balance but may not directly address the client's current confusion.

Choice C: Increasing daily sodium intake would not be appropriate without a specific indication, and it may not address the client's confusion.

Choice D: Reducing dairy product intake is not a standard intervention for confusion and may not be appropriate unless there is a specific dietary restriction or allergy in place.

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After administering an injection, the nurse observes bleeding at the site. In what sequence should the nurse perform these actions? (Arrange with the first step on top and the last step on the bottom.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The practical nurse (PN) is caring for an older client who is receiving chemotherapy for lung cancer. Which finding is the highest priority for the PN to report to the charge nurse? Reference ranges: Blood urea nitrogen (BUN): [Adult: 10 to 20 mg/dL or 3.6 to 7.1 mmol/L] Platelets:

Correct Answer is B

Explanation

The nurse is caring for an older client with that is exhibiting signs of confusion. Which intervention should the nurse implement?

Correct Answer is A

Explanation

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