While the nurse prepares an injection for a client, the needle cap falls on the ﬂoor. Which action indicates that the injection will be sterile?

Cover the exposed needle with an alcohol swab.

Prepare another injection with a sterile syringe and needle.

Hold the syringe upright to the client's bedside to provide the injection.

Cleanse the needle cap with an alcohol swab before covering the needle.

Answer and Explanation

The Correct Answer is B

Dropping the needle cap on the ﬂoor contaminates it, and any attempt to clean it with alcohol will not make it sterile again. Therefore, the only way to ensure that the injection will be sterile is to use a new sterile syringe and needle.

Holding the syringe upright or cleansing the contaminated needle cap with alcohol is not enough to ensure sterility and can put the patient at risk for infection.

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Correct Answer is C

Explanation

Negligence is a failure to act in a reasonable and prudent manner that results in harm or injury to another person. In option c), the nurse did not exercise reasonable care in ensuring that the medication was given to the correct patient, which resulted in harm to the wrong patient.

The other options (a, b, and d) do not involve a failure to act in a reasonable and prudent manner that caused harm or injury to the client. In option a), the nurse provided written and verbal instructions, but the client did not follow them, which is beyond the nurse's control.

In option b), the nurse made an error in documenting the ﬂuid count, which is a documentation error, not negligence. In option d), the nurse acted appropriately by calling the healthcare provider to change the client's behavior, and the situation does not involve negligence.

A. Position the window of the toes B. Apply lotion to the client's lower legs C. Ask the client to lie supine in bed for 15 minutes D. Turn one stocking inside out before applying it to the heel

Correct Answer is C

Explanation

Before applying anti-embolism stockings, the nurse should ask the client to lie supine in bed for 15 minutes. This is because anti-embolism stockings should be applied with the client in a supine position ¹. This helps to promote blood return to the heart and decrease the risk of blood clots ¹.

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While the nurse prepares an injection for a client, the needle cap falls on the ﬂoor. Which action indicates that the injection will be sterile?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

In which situation is the nurse determined to be negligent?

Correct Answer is C

Explanation

A client recovering from surgery sits in a chair for breakfast. Which action does the nurse take before applying newly prescribed anti-embolism stockings to the client's lower extremities?

Correct Answer is C

Explanation

A client receives a diagnosis of right-sided paralysis. Which action does the nurse take when assisting the client in transferring from the bed to the wheelchair?

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