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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Tachycardia refers to a rapid heart rate, typically defined as a heart rate greater than 100 beats per minute. Theophylline can stimulate the heart and central nervous system, leading to an increase in heart rate. Tachycardia is a known adverse effect of theophylline and can occur especially if the medication is taken in higher doses or if there are interactions with other medications or caffeine.
B. Constipation is not a common adverse effect of theophylline. Theophylline primarily affects the respiratory and cardiovascular systems rather than the gastrointestinal system. Therefore, constipation is unlikely to be caused by theophylline therapy.
C. Drowsiness is generally not a common adverse effect of theophylline. Instead, theophylline is more likely to cause CNS stimulation, which can lead to insomnia, restlessness, or anxiety rather than drowsiness.
D. Oliguria refers to decreased urine output, which is not typically associated with theophylline use. Theophylline primarily affects respiratory function and cardiovascular parameters. Decreased urine output can occur in certain conditions or with medications that affect kidney function, but it is not a recognized adverse effect of theophylline.
Correct Answer is B
Explanation
A. Keeping the client in a semi-Fowler's position (with the head of the bed elevated to 30-45 degrees) can help improve lung expansion and reduce the feeling of congestion. This position facilitates easier breathing but has no direct role in expectoration.
B. Adequate hydration helps to thin bronchial secretions, making them easier to cough up and clear from the airways. This is particularly beneficial for clients with COPD who often have thick, sticky mucus that is difficult to expectorate. Drinking sufficient water helps keep the mucus more liquid and less likely to block air passages.
C. Oxygen therapy is essential for clients with COPD to maintain adequate oxygen levels, but it does not directly address the issue of tenacious bronchial secretions. However, ensuring adequate oxygenation can indirectly support the client's ability to mobilize and expectorate secretions by improving overall respiratory function.
D. A low-salt diet is important for managing conditions like hypertension and heart failure, but it does not directly impact the client's ability to clear bronchial secretions in COPD. While overall health management is crucial, dietary changes do not play a direct role in managing respiratory secretions.
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