Which guideline is recommended to prevent needlestick injuries when injecting clients?
If using a safety syringe with an articulated type sheath, following an injection the nurse should use the thumb to push the sheath over the needle.
If using a safety syringe, the nurse should recap the needle using the "scoop method in which the fingers do not touch the needle.
If a safety syringe is not available, the needle can be injected into a special cap, the Point-Loc device, which locks the tip of the needle in place.
If using a safety syringe, following an injection, the nurse should push in the sheath and twist until it clicks.
The Correct Answer is A
A. If using a safety syringe with an articulated type sheath, following an injection the nurse should use the thumb to push the sheath over the needle.
This describes the proper one-handed activation technique for hinged safety devices. The nurse should keep the hand behind the needle at all times and use the thumb to flip the safety shield over the needle immediately after withdrawal until it clicks, ensuring the sharp is covered before disposal.
B. If using a safety syringe, the nurse should recap the needle using the "scoop method" in which the fingers do not touch the needle.
Recapping a used (contaminated) needle is a primary cause of needlestick injuries and is generally prohibited by OSHA standards. The "scoop method" is only acceptable for recapping a sterile needle before use, never after injection.
C. If a safety syringe is not available, the needle can be injected into a special cap, the Point-Loc device, which locks the tip of the needle in place.
While devices exist to secure needles, the safest and recommended practice if a safety syringe is unavailable is to immediately dispose of the uncapped needle into a sharps container. attempting to manipulate the needle into a small device increases the risk of injury.
D. If using a safety syringe, following an injection, the nurse should push in the sheath and twist until it clicks.
Safety mechanisms vary by manufacturer, but "twisting" is rarely a required motion for activation. Most mechanisms rely on a push/slide motion or an automatic retraction. Twisting introduces unnecessary manual manipulation near the sharp tip.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Step 1: Convert the ordered dose to mg
- Ordered dose = 0.05 g.
- 1 g = 1000 mg.
- 0.05 g = 50 mg.
Step 2: Compare with available tablet strength
- Each tablet contains 50 mg.
- Ordered dose = 50 mg.
- Therefore, the patient needs 1 tablet.
Correct Answer is D
Explanation
A. glass needle:Glass needles are not used in clinical practice for medication administration. The medication is delivered via a metal or plastic hub needle.
B. insulin needle:An insulin needle is thin and short and is used only for subcutaneous insulin injection. It is not designed to filter glass shards and would be too small for most ampule medications.
C. safety needle:A safety needle is a standard needle with a sheath or locking mechanism designed to cover the sharp tip after use to prevent needlestick injuries. While important for safety, it does not prevent glass particles from being drawn into the syringe from an ampule.
D. filter needle:A filter needle contains a small filter membrane (usually 5 microns) that prevents tiny, invisible fragments of glass, created when the neck of the ampule is broken, from being drawn up into the syringe and subsequently injected into the patient. The filter needle must be removed and replaced with a standard administration needle before injecting the patient.
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