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 ["A","C","F"]

Explanation

An increase in blood pressure (BP) from 112/68 mm Hg to 122/80 mm Hg indicates an improvement in hemodynamic status, as it shows that the client's blood vessels are constricting to maintain BP and tissue perfusion. f) An increase in urine output from 18 mL/hour to 45 mL/hour indicates an improvement in renal function and ﬂuid balance, which is important for maintaining hemodynamic stability. c) An increase in serum potassium level from 5 mEq/L (5 mmol/L) to 5.4 mEq/L (5.4 mmol/L) indicates an improvement in electrolyte balance, which is important for maintaining proper cardiac function and hemodynamic stability.

Option b) Serum sodium decreased from 146 mEq/L (146 mmol/L) to 138 mEq/L (138 mmol/L) is not a finding that indicates improvement in hemodynamic status. Hyponatremia or low serum sodium levels can cause ﬂuid shifts in the body leading to altered mental status, seizures, and cerebral edema, among other complications. However, the given information does not suggest that the client has hyponatremia or that their hyponatremia has improved.

Option d) Urine output averaging 18 mL/hour is not an improvement, and it may indicate renal insufficiency or failure, which can lead to ﬂuid overload and hemodynamic instability.

Option e) Bowel sounds in all four quadrants indicate normal bowel motility, which is important for proper digestion and absorption of nutrients but does not directly indicate an improvement in hemodynamic status.

A. Coﬀee with cream and sugar B. Gelatin with applesauce C. White grape juice D. Bouillon that is reconstituted E. Tea with sugar F. Fruit ﬂavored ice pop

Correct Answer is ["A","B"]

Explanation

Choice A: Cream is not allowed on a clear liquid diet because it contains fat and protein, which make it opaque.
Choice B:While plain gelatin is allowed, applesauce is not because it is a puréed/semi-solid food, not a clear liquid.
Choice C:Clear fruit juices without pulp (such as apple juice, cranberry juice, and white grape juice) are permitted.
Choice D:Broth or bouillon is considered a clear liquid, as long as it does not contain solid particles.
Choice E:Tea is a clear liquid, and sugar does not change its clarity.

Choice F:Ice pops made from clear liquids (such as fruit juice without pulp) are permitted.

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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?

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Naxlex Comprehensive Predictor Exams

Correct Answer is ["A","C","F"]

Explanation

A client receives a clear liquid diet. The nurse removes which item from the client's tray? (Select all that apply)

Correct Answer is ["A","B"]

Explanation

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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?

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