A nurse administered an IM injection to a client. Which of the following actions should the nurse take to reduce the risk of a needlestick injury?
Place a cap holder securely on the used needle before disposal.
Recap the needle for disposal later.
Dispose of the used needle immediately in a sharps container.
Detach the used needle and dispose of it promptly.
The Correct Answer is C
A. Placing a cap holder on the used needle before disposal does not prevent needlestick injuries and may increase the risk of accidental puncture.
B. Recapping the needle for disposal later increases the risk of needlestick injuries. It is recommended to avoid recapping needles whenever possible.
C. The immediate disposal of the used needle in a sharps container reduces the risk of needlestick injuries by eliminating the need for handling the needle after use.
D. Detaching the used needle and disposing of it promptly is appropriate, but it should be done directly into a sharps container to minimize the risk of needlestick injuries.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Instructing the client to report the theft to the police might be appropriate in cases of theft, but the nurse's primary responsibility is to ensure the safety and well-being of the client. Reporting
to the authorities can be pursued after ensuring the client's immediate safety.
B. Reporting the possible abuse to adult protective services is the appropriate action when financial exploitation or abuse is suspected. Adult protective services can investigate the situation and provide support and resources to ensure the client's safety.
C. Asking the client if there is another family member they can call for financial help is a valid consideration, but it does not address the potential abuse or exploitation of the client's finances.
D. Restricting visitation for the client's family until discharge is not appropriate without further assessment and intervention. It may also isolate the client from potential sources of support and assistance.
Correct Answer is C
Explanation
A. Asking the client to help with the dressing change may not be appropriate, especially if the client is frail or recovering from surgery. Older adults may have limited mobility or strength, and they may require assistance rather than being asked to participate actively.
B. Waiting for the client to approach the nurse for assistance may not be conducive to providing optimal care. Nurses should proactively assess the client's needs and offer assistance as appropriate, especially in the postoperative period when mobility may be limited.
C. Using paper tape for securing the new dressing is a good choice because older adults may have delicate skin that is prone to tearing or irritation. Paper tape is gentle on the skin and less likely to cause damage or discomfort compared to other types of adhesive dressings.
D. Applying the dressing loosely over the incision may compromise its effectiveness in providing wound protection and promoting healing. Dressings should be applied securely but not too tightly to avoid restricting circulation or causing discomfort.
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