A nurse is teaching a newly licensed nurse about reducing the risk of needlestick injuries. Which of the following instructions should the nurse include?

Engage the safety device immediately after using a needle.

Dispose of large-bore needles into waterproof wastebaskets.

Bend needles without safety devices before disposing of them.

Use sharps containers until they are completely full.

Answer and Explanation

The Correct Answer is A

A.   This instruction is important for safely disposing of needles after use. Safety devices, such as needle safety shields or retractable needles, should be activated immediately after use to prevent accidental needlestick injuries during disposal. Engaging the safety device helps enclose the needle and reduce the risk of subsequent handling injuries.
B.   Large-bore needles, which include needles used for procedures such as blood draws or injections, should be disposed of into puncture-resistant sharps containers, not waterproof wastebaskets. Sharps

containers are specifically designed to safely collect needles and prevent accidental needlestick injuries. Using waterproof wastebaskets does not provide adequate protection and increases the risk of injuries.
C.   Bending needles, even those without safety devices, is not recommended. Manipulating needles can increase the risk of needlestick injuries. It is safer to dispose of needles intact into sharps containers designed for safe disposal. Sharps containers are puncture-resistant and prevent accidental exposures to used needles.
D.   Sharps containers should not be used until they are completely full. They should be replaced and disposed of according to healthcare facility protocols and regulatory guidelines. Overfilling sharps containers increases the risk of needlestick injuries during disposal and handling. It is essential to follow facility policies for timely replacement and disposal of sharps containers to maintain a safe environment.

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Correct Answer is B

Explanation

A. Pain management is important during labor, but in this scenario, the priority is not pain relief but rather addressing potential complications or needs related to the vital signs and labor progress.
B. This position can help improve blood flow to the uterus and placenta, which is crucial given the low maternal blood pressure (92/54 mm Hg). This action can help stabilize the client's condition while further assessments and interventions are planned.
C. Emptying the bladder is often recommended during labor to ensure there is no obstruction to the progress of labor and to reduce the risk of urinary retention. While important, it is not the priority action based on the information provided.
D. The nurse also needs to report the contraction pattern (duration of 1 min, frequency of 3 min) and fetal heart rate (130/min) to ensure appropriate monitoring and management by the healthcare provider. However, this should not delay lifesaving interventions such as positioning.

A nurse is caring for a 20-year-old client who has a fever and reports severe headache.

Exhibits

A nurse is preparing the client for a lumbar puncture. Which of the following actions should the nurse take? Select all that apply.

A. Provide education about the procedure. B. Place the client in a lateral position with the knees drawn to the abdomen. C. Ensure informed consent is obtained. D. Place client NPO for 4 to 6 hr. E. Obtain coagulation studies. F. Assess for allergies to contrast dyes. G. Administer a soapsuds enema. H. Administer IV sedation as prescribed.

Correct Answer is ["A","B","C","D","E"]

Explanation

A. Educating the client about the lumbar puncture procedure is crucial for informed consent and to alleviate anxiety. The nurse should explain the purpose of the procedure, what the client will experience during the procedure (such as positioning, sensation of pressure), potential risks (like headache post- procedure), and benefits (diagnostic information for the healthcare provider).

B. Positioning the client correctly is important for the success and safety of the lumbar puncture. The lateral recumbent (side lying) position with the knees drawn up towards the abdomen helps to flex the spine and widen the spaces between the vertebrae in the lumbar region. This positioning makes it easier for the healthcare provider to access the spinal canal and perform the procedure accurately.
C. Informed consent is a legal and ethical requirement before performing any invasive procedure, including a lumbar puncture. The nurse must ensure that the client (or their legally authorized representative) understands the purpose of the procedure, its risks and benefits, alternative options (if any), and gives voluntary consent without coercion.
D. NPO (nothing by mouth) status helps reduce the risk of aspiration during the procedure, especially if the client needs sedation or if complications arise requiring emergency intubation. It ensures that the client's stomach is empty, minimizing the risk of vomiting and aspiration during the procedure.
E. Coagulation studies (such as PT/INR and PTT) may be ordered to assess the client's bleeding risk before performing a lumbar puncture. This is particularly important if there are concerns about bleeding disorders or if the client is on anticoagulant medications. Normal coagulation parameters are reassuring before proceeding with an invasive procedure.
F. Contrast dye is not typically used in a routine lumbar puncture.
G. Administering a soapsuds enema is not typically necessary before a lumbar puncture unless specifically indicated by the healthcare provider. It may be used in certain cases to reduce the risk of fecal contamination during the procedure, particularly if the client is constipated.
H. IV sedation is not routinely administered during a lumbar puncture in adult clients

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A nurse is teaching a newly licensed nurse about reducing the risk of needlestick injuries. Which of the following instructions should the nurse include?

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

A nurse is caring for a 20-year-old client who has a fever and reports severe headache. Exhibits A nurse is preparing the client for a lumbar puncture. Which of the following actions should the nurse take? Select all that apply.

Correct Answer is ["A","B","C","D","E"]

Explanation

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