A nurse is administering an IM injection using a passive needle-safety device. After injection, which of the following actions should the nurse take?

Activate the device immediately after injection.

Remove the safety device before disposal.

Make sure the needle retracts into the barrel of the syringe.

Pull the plastic sheath over the needle.

Answer and Explanation

The Correct Answer is A

A.   After administering the injection, activating the passive needle-safety device involves a mechanism where the safety feature automatically engages. This can include a shield that covers the needle or a mechanism that retracts the needle into the syringe or device. It's crucial to activate this immediately after injection to prevent accidental needlestick injuries.
B.   The safety device, once activated, should remain in place and intact on the needle until it is safely disposed of in an appropriate sharps container. Removing the safety device before disposal would expose healthcare workers to potential needlestick injuries.
C.   There is no need to make sure the needle retracts into the barrel of the syringe, as the safety device is designed to cover the needle after use.
D.   While some devices have a plastic sheath or shield that covers the needle before and after use, the primary action for a passive device is to activate the safety feature that automatically covers or retracts the needle post-injection. Pulling a sheath over the needle manually is more typical for active safety devices or conventional needles with manual sheath covers.

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Correct Answer is C

Explanation

A. The tragus is a small projection of cartilage in front of the ear canal. Applying gentle pressure to the tragus after instilling ear drops helps to facilitate the passage of the drops into the ear canal. This action should not be avoided; rather, it is recommended to enhance the delivery of the medication.
B. Sterile gloves are not typically necessary for instilling ear drops unless the client has an open or infected ear canal. Using clean, non-sterile gloves or practicing proper hand hygiene is sufficient to maintain cleanliness during the procedure.
C. For an adult client, pulling the pinna (outer ear) upward and backward helps to straighten the ear canal. This allows the drops to flow easily into the ear canal rather than pooling in the outer ear or leaking out. This technique ensures that the medication reaches the target area effectively.
D. Chilling otic (ear) solutions is not recommended unless specifically instructed by the healthcare provider for therapeutic reasons (e.g., to soothe ear pain or inflammation). Cold solutions can cause discomfort or dizziness when instilled into the ear. Therefore, otic solutions are typically administered at room temperature to avoid these adverse effects.

A. Baked potato with sour cream B. Fruit salad and carrot sticks C. Bagel with cream cheese D. Peanut butter and jelly with enriched bread

Correct Answer is D

Explanation

A. Sour cream is a dairy product, providing protein. This option provides protein from the sour cream, which is suitable for a vegetarian who consumes dairy products.
B. Fruits and vegetables generally do not provide significant protein. While fruits and vegetables are nutritious, they do not provide sufficient protein for a meal, especially for someone who is vegetarian and needs adequate protein sources.
C. Cream cheese is a dairy product that provides protein. This option also provides protein from the cream cheese, which is suitable for a vegetarian who consumes dairy products.
D. Peanut butter is a plant-based protein source and enriched bread provides carbohydrates. Peanut butter is a good source of protein for vegetarians and is a suitable option for the adolescent client who does not like beans.

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A nurse is administering an IM injection using a passive needle-safety device. After injection, which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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