A nurse is providing discharge teaching to a client who will be self-administering insulin at home. Which of the following information should the nurse include regarding needle disposal?
Explanation & Rationale
Rationale: A. "Secure the cap tightly over the needle before you discard it.": Recapping used needles increases the risk of accidental needlestick injuries due to hand-to-needle contact. Occupational safety guidelines recommend avoiding recapping unless absolutely necessary and using a one-handed scoop technique if performed. Routine recapping prior to disposal is not advised. B. "Remove the needle from the syringe before you place it in the trash.": Separating the needle from the syringe increases handling of contaminated sharps and raises the risk of accidental injury. Used needles should not be placed directly into household trash, even if detached. Safe practice requires disposing of intact sharps immediately into a puncture-resistant container. C. "You can discard needles in an empty bleach bottle with a lid.": Home sharps disposal requires a heavy-duty, puncture-resistant, leak-proof container with a secure lid. An empty bleach bottle made of thick plastic with a tight-fitting cap meets these criteria and reduces the risk of needlestick injuries to household members or sanitation workers. D. "Place your storage container in a recycle bin when it is full.": Sharps containers should never be placed in recycling bins because this exposes sanitation workers to potential injury and biohazard contamination. Disposal must follow community guidelines for medical sharps, which often involve designated drop-off sites or approved waste programs.