The practical nurse (PN) is observing a client self-administer the morning dose of subcutaneous insulin. For which component of the injection technique should the PN provide the client with additional information?

Removes any air bubbles in syringe to ensure correct dosage.

Injects into the same site selected for the previous dose.

Uses a circular action when applying an alcohol pad to the site.

Injects air into the insulin vial to displace the dose.

Answer and Explanation

The Correct Answer is B

A. Removes any air bubbles in syringe to ensure correct dosage: Expelling air bubbles before injection is proper technique, as it ensures that the full insulin dose is administered accurately. This step helps prevent underdosing and promotes consistent blood glucose control.

B. Injects into the same site selected for the previous dose: Repeatedly using the same injection site can lead to lipohypertrophy, thickened, fatty areas under the skin that interfere with insulin absorption. Clients should rotate injection sites within the same anatomical area to maintain consistent absorption and prevent tissue damage.

C. Uses a circular action when applying an alcohol pad to the site: Cleaning the site with a circular motion from the center outward is the correct technique to reduce surface bacteria. Allowing the area to dry before injection further minimizes discomfort and risk of infection.

D. Injects air into the insulin vial to displace the dose: Injecting air equal to the amount of insulin to be withdrawn prevents a vacuum from forming in the vial. This technique facilitates easier and more accurate withdrawal of the medication.

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Correct Answer is D

Explanation

A. Keep the door closed to the client's room at all times: Closing the door is not necessary for Clostridium difficile infection because the organism spreads primarily through contact with contaminated surfaces or feces, not via airborne transmission.

B. Wear a particulate respirator mask when in the room: A particulate respirator, such as an N95 mask, is required for airborne pathogens like tuberculosis, not for contact-spread organisms such as C. difficile. The infection requires strict handwashing with soap and water and the use of gloves and gowns during care.

C. Place a surgical mask on the client during transport: Surgical masks are used for clients with droplet or airborne infections, not for C. difficile. The focus should be on preventing environmental contamination and ensuring surfaces and hands are properly disinfected.

D. Don non-sterile gloves when performing direct care: Wearing non-sterile gloves during all direct care is essential because C. difficile spores are highly contagious and resistant to many disinfectants. Gloves protect the nurse from contact with infectious fecal matter and help prevent cross-contamination to other clients.

A. Remind the UAP to clean the ends of the tubing with an alcohol swab. B. Help the UAP disconnect the IV tubing to ensure sterility. C. Obtain a hospital gown with snap sleeves to put on the client. D. Demonstrate how to remove the client's gown without disconnecting the IV.

Correct Answer is D

Explanation

A. Remind the UAP to clean the ends of the tubing with an alcohol swab: While proper aseptic technique is important, disconnecting the IV unnecessarily increases the risk of infection. Prevention by proper gown removal technique is preferred.

B. Help the UAP disconnect the IV tubing to ensure sterility: Disconnecting the IV exposes the line to contamination and is unnecessary for a bed bath. This action increases infection risk and is not the recommended approach.

C. Obtain a hospital gown with snap sleeves to put on the client: Snap-sleeve gowns can help prevent IV disconnection, but the PN must first ensure the UAP understands proper technique for gown removal without disrupting the IV.

D. Demonstrate how to remove the client's gown without disconnecting the IV: Teaching the UAP the correct method prevents accidental disconnection, maintains aseptic technique, and ensures client safety. This addresses the issue directly and promotes safe practice.

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The practical nurse (PN) is observing a client self-administer the morning dose of subcutaneous insulin. For which component of the injection technique should the PN provide the client with additional information?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is diagnosed with Clostridium difficile. Which action should the practical nurse (PN) implement to prevent the spread of the organism?

Correct Answer is D

Explanation

The practical nurse (PN) observes that an unlicensed assistive personnel (UAP) is preparing to disconnect a client's IV tubing to remove the client's hospital gown during a bed bath. Which action should the PN implement?

Correct Answer is D

Explanation

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