Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A home health nurse is teaching a client who has diabetes mellitus about proper home disposal of syringes. Which of the following instructions should the nurse include?
A. "Put the cap on the syringe before placing it in a trash can."
Putting the cap on the syringe before placing it in a trash can helps ensure safe disposal and reduces the risk of needlestick injuries.
B. Place the syringe in a metal coffee can with a lid.
Placing the syringe in a metal coffee can with a lid is not a recommended method for home disposal.
C. "Use a resealable bag when disposing of the syringe."
Using a resealable bag may not provide sufficient protection, and it may pose risks to individuals handling the trash.
D. "Break the needle off the syringe before disposal."
Breaking the needle off the syringe is not a safe method for disposal and increases the risk of needlestick injuries.
This question is an excerpt from Nurse Dive's nursing test bank - Ati Rn Fundamentals Proctored Exam 6. Take the full exam now
Full Explanation
A. Putting the cap on the syringe before placing it in a trash can helps ensure safe disposal and reduces the risk of needlestick injuries.
B. Placing the syringe in a metal coffee can with a lid is not a recommended method for home disposal.
C. Using a resealable bag may not provide sufficient protection, and it may pose risks to individuals handling the trash.
D. Breaking the needle off the syringe is not a safe method for disposal and increases the risk of needlestick injuries.
Similar Questions
A nurse is preparing to administer an otic antibiotic to an adult client who has otitis media.
Which of the following actions should the nurse take?
A. Hold the dropper 1/2 inch (1 cm) above the ear canal during administration.
Holding the dropper 1/2 inch (1 cm) above the ear canal during administration (option A) is indeed the correct action when administering otic medications. This distance helps to ensure that the medication is properly instilled into the ear canal without touching the dropper tip to the skin or ear canal, reducing the risk of contamination.
B. Place a cotton ball into the inner ear canal for 30 min following administration.
Placing a cotton ball into the inner ear canal is not necessary following otic administration. It may cause unnecessary discomfort to the client.
C. Straighten the ear canal by pulling the auricle down and back prior to administration.
Straightening the ear canal by pulling the auricle down and back helps facilitate theadministration of otic medications and allows proper placement of the medication into the ear.
D. Apply pressure to the nasolacrimal duct following administration.
Applying pressure to the nasolacrimal duct is a technique used for ophthalmic medications, not otic medications.
Full Explanation
A. Holding the dropper 1/2 inch (1 cm) above the ear canal during administration (option A) is indeed the correct action when administering otic medications. This distance helps to ensure that the medication is properly instilled into the ear canal without touching the dropper tip to the skin or ear canal, reducing the risk of contamination.
B. Placing a cotton ball into the inner ear canal is not necessary following otic administration. It may cause unnecessary discomfort to the client.
C. Straightening the ear canal by pulling the auricle down and back can make the medication trickle out of the ear. It should be held outward and upward.
D. Applying pressure to the nasolacrimal duct is a technique used for ophthalmic medications, not otic medications.
A nurse is evaluating a client's use of crutches. Which of the following observations indicates safe use of this equipment?
A. The client places one crutch on each side when assuming a sitting position.
Placing one crutch on each side when assuming a sitting position is not the correct technique.The client should use both crutches on one side to provide support when sitting or rising.
B. The client places weight on the axillae when walking.
Placing weight on the axillae when walking can cause nerve damage and is an incorrect crutch-walking technique. The client should bear weight on the hands and arms, not the axillae.
C. The client moves the unaffected leg onto a step first when descending stairs.
Moving the unaffected leg onto a step first when descending stairs is a correct and safe technique for using crutches on stairs.
D. The client has slightly flexed elbows when ambulating with crutches.
Having slightly flexed elbows when ambulating with crutches is a proper technique for maintaining balance and support while walking.
Full Explanation
A) Placing one crutch on each side when assuming a sitting position is not indicative of safe crutch use as it does not provide adequate support or balance during the transition from standing to sitting.
B) Placing weight on the axillae, or underarms, can cause nerve damage due to the pressure on the radial nerve located there; therefore, this is not a safe practice.
C) When descending stairs, the affected leg should be moved first, followed by the crutches and then the unaffected leg, to maintain balance and safety. Therefore, moving the unaffected leg onto a step first is not the safest option.
D) Having slightly flexed elbows allows for proper distribution of weight and helps in maintaining balance while ambulating with crutches, making it the correct and safe method.
A nurse is caring for four clients. Which of the following clients is at the greatest risk for falling?
A. A client who has diminished vision ambulating in well-lit areas
A client with diminished vision ambulating in well-lit areas may be at risk for falling but is not at the greatest risk among the options provided.
B. A client who received a diuretic 30 min ago
A client who received a diuretic 30 min ago may experience orthostatic hypotension, which can increase the risk of falling, but it is not the highest risk.
C. A client who requires assistance with ambulation
A client who requires assistance with ambulation is generally at a lower risk than a client who has recently experienced a tonic-clonic seizure.
D. A client who had a tonic-clonic seizure 2 hr ago
A client who had a tonic-clonic seizure 2 hr ago is at the greatest risk for falling due to potential residual weakness, disorientation, or postictal state following the seizure.
Full Explanation
A. A client with diminished vision ambulating in well-lit areas may be at risk for falling but is not at the greatest risk among the options provided.
B. A client who received a diuretic 30 min ago may experience orthostatic hypotension, which can increase the risk of falling, but it is not the highest risk.
C. A client who requires assistance with ambulation is generally at a lower risk than a client who has recently experienced a tonic-clonic seizure.
D. A client who had a tonic-clonic seizure 2 hr ago is at the greatest risk for falling due to potential residual weakness, disorientation, or postictal state following the seizure.