Question

c. abdomen d. upper outer arms e. upper outer thighs 19. When administering an intravenous medication, the nurse should explain which teaching points to the client? Select all that apply. a. date the medication will expire b. incompatibilities with other medications c. name of the medication d. purpose of the medication e.. possible adverse effects f. manufacturer of the medication 20. The nurse is providing education about reducing the risk of exposure to blood borne pathogens during venipuncture. Which statements by a student indicates the need for additional education? Select all that apply. a. "To reduce my chances of being stuck by a contaminated needle, I should recap the used needle promptly." b. "The only way to protect myself from hepatitis B infection is to observe standard precautions with every venipuncture." c. "I should use self-retracting needles whenever possible." d. "I should always identify which patients have hepatitis B or HIV prior to any procedure that may expose me to their blood or body fluids." e. "I should make sure my hepatitis B vaccinations are complete." 21.There have been an increase of needle stick injuries in the intensive care unit. When preparing to address this occurrence in a staff meeting, what should the nurse manager include in an education presentation to prevent needle stick injuries? Select all that apply. a. disposing of used needles in biohazard container b. recapping all needles after use c. using self-retracting safety needles d. wearing gloves for performing venipuncture e. Using needleless adapters for medication administration 22. A client has been receiving chemotherapy. Upon assessing the client during morning rounds, the nurse notes the client is now bleeding from intravenous and venipuncture sites. Stool is positive for occult blood. The client is requesting to sit in a chair for a meal. The nurse implements the following interventions: (Select all that apply.) a. Monitor vital signs once a shift. b. Assess level of consciousness. c. Assist the client to a chair. d. Apply pressure to the bleeding sites. e. Check intake and output records.

Answer 1

19. b, d, and e

• incompatibilities with other medications'
• purpose of the medications
• possible adverse effects

option a, c, and f are to be checked by the nurse themselves.

20. a, d

option 'a' because recapping is not recommended as it can cause needle stick injuries.

option 'd' as all blood, body fluids, secretions, and excretions except sweat should be considered infectious.

21. a, c, d, and e

option 'b' is not recommended as it can cause needle stick injuries.

22. b, d, and e

option a is incorrect as vital signs should be checked every 4 hours

option c is incorrect as the patient should be kept in a high fowlers position to promote breathing.