Nurses know that a needlestick injury can cause serious ...

[deesands]

Nurses know that a needlestick injury can cause serious infections or other disabilities. Which of the following is a recommended guideline to prevent needlestick injuries when injecting clients?
 
  A) If using a safety syringe, following an injection, the nurse should push in the sheath and twist until it clicks.
  B) 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.
  C) If using a safety syringe, the nurse should recap the needle using the scoop method in which the fingers do not touch the needle.
  D) 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.

Question 2

A nurse at a long-term care facility is caring for a client with myasthenia gravis. What important teaching should the nurse provide for this client?
 
  A) Wear Medic-Alert tag whenever he has to go out alone.
  B) Avoid exposure to temperature extremes and infections.
  C) Have regular eye examinations to check intraocular pressure.
  D) Avoid any form of exercise or activity to conserve energy.

[underwood14]

Answer to Question 1

D
Feedback:
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, to prevent needlestick injuries. After giving an injection with a safety syringe, the nurse should pull out the sheath and twist until it clicks to lock it in place. After the injection is given with a safety syringe with an articulated type sheath, the nurse uses the index finger to push the sheath over the needle. Recapping of needles, even with the scoop method, in which the fingers do not touch the needle, is no longer recommended, because of the danger of an accidental needlestick.

Answer to Question 2

B
Feedback:
The nurse should instruct the client with myasthenia gravis to avoid exposure to temperature extremes and infections because these may trigger myasthenic crisis, leading to respiratory distress, muscular weakness, dysphagia, fever, and general malaise. The nurse should instruct the client to wear a Medic-Alert tag at all times, not only when going out alone. Regular eye examinations to check intraocular pressure are important in clients with Parkinson's disease and not myasthenia gravis. The nurse should instruct the client to maintain as regular a passive and active exercise regimen as possible to develop muscle strength and prevent contractures, muscle atrophy, and other disuse deformities. A regular exercise schedule must be maintained and energy conserved for essential activities.

[deesands]

Thank you

[underwood14]

Happy to help you