A home health nurse is providing teaching to a client who has diabetes mellitus about the proper disposal of insulin syringes. Which of the following statements by the client indicates an understanding of the teaching?
"I will wear gloves when I discard the syringes."
"I will store used syringes in a biohazard bag before discarding."
"I will take containers of used syringes to the local recycling center."
"I will discard the syringes in a metal container."
The Correct Answer is D
Choice A reason: Wearing gloves when discarding the syringes is not necessary, as long as the syringes are placed in a sharps disposal container immediately after use. Gloves do not prevent needle-stick injuries or infections¹.
Choice B reason: Storing used syringes in a biohazard bag before discarding is not recommended, as biohazard bags are not puncture-resistant and may leak or spill. Biohazard bags are also not accepted by most disposal programs².
Choice C reason: Taking containers of used syringes to the local recycling center is not appropriate, as recycling centers do not accept medical waste. Recycling centers may also expose workers and the environment to potential hazards from the syringes³.
Choice D reason: Discarding the syringes in a metal container is a correct way to dispose of insulin needles, as long as the container is labeled as "Sharps" and has a tight-fitting lid. Metal containers, such as coffee cans or detergent bottles, are strong and durable and can prevent needle-stick injuries. Metal containers can be dropped off at designated collection sites or mailed back to disposal programs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: This statement is not the best action, as it may violate the adolescent's and the family's right to privacy and confidentiality. The nurse should only share the adolescent's diagnosis with the consent of the adolescent and the family, and only with those who need to know.
Choice B reason: This statement is the best action, as it demonstrates the nurse's role as a counselor and advocate for the family. The nurse should assess the family's needs for support or guidance, as they may be experiencing stress, anxiety, or grief related to the adolescent's illness.
Choice C reason: This statement is not the best action, as it may not address the family's emotional or spiritual needs. The nurse should refer the family to the adolescent's health care providers only if they have questions or concerns about the medical aspects of the adolescent's care.
Choice D reason: This statement is not the best action, as it may not be appropriate or relevant for the family. The nurse should review the adolescent's care plans with the family only if they are involved in the adolescent's care or if the adolescent and the family request it.
Correct Answer is C
Explanation
Choice A reason:While involving a social worker can provide additional support, it is secondary to first communicating the client's treatment decisions to the primary healthcare provider.
Choice B reason: Understanding the client's reasoning is important; however, the priority is to respect their decision and communicate it to the provider.
Choice C reason: Respect for Autonomy: Clients have the right to make informed decisions about their healthcare, including the refusal of treatment.Effective Communication: By discussing the client's wishes with their healthcare provider, the nurse facilitates a collaborative approach to care planning, ensuring that the client's preferences are acknowledged and respected.
Choice D reason: Instructing the client to change their advance directives may be necessary if the client decides to refuse all treatments, but it is not the first action the nurse should take. Understanding the client's wishes should be the priority.
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