Author Question: A nurse is following safety principles to reduce the risk of needlestick injury. Which actions will ... (Read 78 times)

Tirant22 · **on:** Jul 22, 2018

A nurse is following safety principles to reduce the risk of needlestick injury. Which actions will the nurse take? (Select all that apply.)

a. Recap the needle after giving an injection.
b. Remove needle and dispose in sharps box.
c. Never force needles into the sharps disposal.
d. Use clearly marked sharps disposal containers.
e. Use needleless devices whenever possible.

Question 2

Which methods will the nurse use to administer an intravenous (IV) medication that is incompatible with the patient's IV fluid? (Select all that apply.)

a. Start another IV site.
b. Administer slowly with the IV fluid.
c. Do not give the medication and chart.
d. Flush with 10 mL of sterile water before and after administration.
e. Flush with 10 mL of normal saline before and after administration.

mochi09 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

ANS: C, D, E
Needles should not be forced into the box. Clearly mark receptacles to warn of danger. Using needleless systems when possible will further reduce the risk of needlestick injury. To prevent the risk of needlesticks, the nurse should never recap needles. The syringe and sheath are disposed of together in a receptacle.

Answer to Question 2

ANS: A, D, E
When IV medication is incompatible with IV fluids, stop the IV fluids, clamp the IV line above the injection site, flush with 10 mL of normal saline or sterile water, give the IV bolus over the appropriate amount of time, flush with another 10 mL of normal saline or sterile water at the same rate as the medication was administered, and restart the IV fluids at the prescribed rate. Do not administer the drug slowly with the IV; this is contraindicated when incompatibility exist. Not giving the medication and charting is inappropriate; this is not a prudent or safe action by the nurse.