A nurse is providing discharge teaching to a client who will be self-administering insulin at home. Which of the following information should the nurse include regarding needle disposal?
"Remove the needle from the syringe before you place it in the trash."
"Secure the cap tightly over the needle before you discard it"
"Place your storage container in a recycle bin when it is full."
"You can discard needles in an empty bleach bottle with a lid."
The Correct Answer is D
Rationale:
A. "Remove the needle from the syringe before you place it in the trash." Needles should not be removed from syringes before disposal. This can increase the risk of needle-stick injuries. The entire syringe and needle should be disposed of intact in a proper sharps container.
B. "Secure the cap tightly over the needle before you discard it" Securing the cap over the needle increases the risk of needle-stick injuries. The needle should be placed directly in a sharps container without recapping.
C. "Place your storage container in a recycle bin when it is full." Sharps containers should never be placed in a recycle bin due to the risk of injury. Once full, the sharps container should be disposed of in a designated waste disposal service.
D. "You can discard needles in an empty bleach bottle with a lid.” The nurse should instruct the client to dispose of used needles in a rigid, puncture-proof container, such as an empty bleach bottle with a secure lid, until a proper sharps container is available. This helps prevent injury to others.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. "Remove the needle from the syringe before you place it in the trash." Needles should not be removed from syringes before disposal. This can increase the risk of needle-stick injuries. The entire syringe and needle should be disposed of intact in a proper sharps container.
B. "Secure the cap tightly over the needle before you discard it" Securing the cap over the needle increases the risk of needle-stick injuries. The needle should be placed directly in a sharps container without recapping.
C. "Place your storage container in a recycle bin when it is full." Sharps containers should never be placed in a recycle bin due to the risk of injury. Once full, the sharps container should be disposed of in a designated waste disposal service.
D. "You can discard needles in an empty bleach bottle with a lid.” The nurse should instruct the client to dispose of used needles in a rigid, puncture-proof container, such as an empty bleach bottle with a secure lid, until a proper sharps container is available. This helps prevent injury to others.
Correct Answer is ["A","B","C","F"]
Explanation
Rationale:
A. Renal failure: The client has elevated creatinine levels (1.7 mg/dL), which suggests kidney impairment. This could be due to dehydration and osmotic diuresis associated with hyperglycemia, which is commonly seen in diabetic ketoacidosis (DKA) or hyperglycemic-hyperosmolar state (HHS).
B. Hypotension: The client’s blood pressure is low (96/65 mm Hg), which can be attributed to dehydration caused by excessive urination and hyperglycemia. Hypotension can worsen as the client becomes more dehydrated, potentially progressing to shock.
C. Cerebral edema: Cerebral edema is a rare but serious complication of diabetic ketoacidosis (DKA), particularly in younger patients and those with severe electrolyte imbalances. The rapid correction of hyperglycemia can cause osmotic shifts that may lead to cerebral edema. The client’s altered fluid balance increases this risk.
D. Septic shock: Although the client has a history of bronchitis and pneumonia, there is no evidence of active sepsis at this time. Septic shock is characterized by signs of infection, such as fever and widespread infection leading to organ dysfunction. This client’s symptoms point more toward a metabolic complication rather than sepsis.
E. Respiratory alkalosis: Respiratory alkalosis occurs when there is excessive loss of carbon dioxide due to hyperventilation. In this client, there is no indication of Kussmaul respirations to suggest respiratory alkalosis. The client is more likely to develop metabolic acidosis due to the presence of ketones and a low pH (7.30).
F. Cardiac arrhythmias: Elevated potassium levels (5.5 mEq/L) and the potential for rapid fluctuations in electrolytes in a client with DKA or HHS can increase the risk of cardiac arrhythmias. Potassium imbalances hyperkalemia or hypokalemia, are closely linked to arrhythmias.
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