After administering an injection, the nurse observes bleeding at the site. In what sequence should the nurse perform these actions? (Arrange with the first step on top and the last step on the bottom.)

Retract the needle into the syringe.

Place syringe in a puncture-resistant container.

Apply an adhesive bandage over the injection site.

Remove disposable exam gloves.

Answer and Explanation

The Correct Answer is A,B,D,C

Choice A: Retracting the needle into the syringe should be done before safely disposing of the syringe.

Choice B: Placing the syringe in a puncture-resistant container is the second step to ensure safe disposal of sharp objects.

Choice C: Applying an adhesive bandage over the injection site is the final step to address the bleeding and protect the site.

Choice D: Removing disposable exam gloves is the next step to prevent any contamination.

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Correct Answer is B

Explanation

Choice A: Comprehension of simple commands is an earlier developmental stage and not directly related to the infant's ability to search for a fallen toy.

Choice B: Exploration beyond caregiver presence is a key characteristic of the sensorimotor stage in Piaget's theory. During this stage, infants develop object permanence and begin to explore their environment independently.

Choice C: Visible or audible separation anxiety is common during the early stages of infancy and is not specific to the sensorimotor stage.

Choice D: The ability to place objects in a container is more related to later developmental stages when fine motor skills are more developed.

A. Teach clients to be aware that dryness of the mouth can occur with the use of antipsychotic drugs. B. Monitor all clients receiving antipsychotic drugs for indications of tardive dyskinesia. C. Ensure that all clients treated with antipsychotic drugs receive prompt renewals as needed. D. Document all client therapeutic serum levels that relate to antipsychotic medications.

Correct Answer is B

Explanation

Choice A: Teaching clients about the potential side effects of antipsychotic drugs is important, but it is not the most critical aspect of medication administration policy. Monitoring for side effects and adverse reactions is typically the responsibility of healthcare providers and nursing staff.

Choice B: Monitoring all clients receiving antipsychotic drugs for indications of tardive dyskinesia is a crucial standard to include in the policy. Tardive dyskinesia is a serious side effect associated with long-term use of antipsychotic medications, and early detection and intervention are essential to prevent its progression.

Choice C: Ensuring that all clients treated with antipsychotic drugs receive prompt renewals as needed is important for continuity of care, but it is not the primary focus of a policy for administering antipsychotic medications.

Choice D: Documenting all client therapeutic serum levels related to antipsychotic medications is relevant but may not apply to all clients receiving these medications. Monitoring for side effects and adverse reactions is generally more universally applicable and critical to patient safety.

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After administering an injection, the nurse observes bleeding at the site. In what sequence should the nurse perform these actions? (Arrange with the first step on top and the last step on the bottom.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is B

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