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 D

Explanation

A. There is no indication of an emergency based on black stools alone without other concerning symptoms such as severe abdominal pain, cramping, or signs of gastrointestinal bleeding.
B. While gathering more information about the client's diet may be helpful in some cases, it does not address the specific concern about the black stools related to iron supplementation.
C. Unless there are other concerning symptoms, such as gastrointestinal bleeding or significant discomfort, this situation does not typically warrant an immediate visit to the office. It can be managed with reassurance and education over the phone.
D. Iron supplements commonly cause stools to turn black due to the way iron is metabolized in the digestive system. This change in stool color is known as "iron-induced blackening." It occurs because iron supplements contain iron salts that undergo chemical reactions in the gastrointestinal tract, resulting in the production of iron sulfide compounds that impart a black color to the stool.

A. Encourage the client to cough and deep breathe. B. Obtain the client's temperature. C. Encourage the client to increase oral fluids. D. Provide chest percussion on the client.

Correct Answer is A

Explanation

A. This action helps the client to clear pulmonary secretions and improve ventilation. Coughing and deep breathing exercises are essential for maintaining airway patency and preventing complications such as atelectasis and respiratory distress.
B. Monitoring the client's temperature is important to assess for fever, which can indicate infection severity or response to treatment. However, in a client actively coughing up secretions, immediate interventions to promote airway clearance take precedence over obtaining temperature.
C. Adequate hydration can help liquefy pulmonary secretions, making them easier to expectorate. However, this action is secondary to promoting effective coughing and deep breathing to clear secretions already present in the airways.

D. Chest percussion can help loosen and mobilize secretions in the lungs. However, this intervention requires assessment of the client's respiratory status and may not be appropriate as the first action without first assessing the client's tolerance and condition.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is speaking on the phone to a client on the phone who is pregnant and taking iron supplements for iron-deficiency anemia. The client reports that her stools are black but she has no abdominal pain or cramping. Which of the following responses by the nurse is appropriate?

Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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