A 41-year-old client with a history of panic disorder begins to present with a severe panic attack. The HCP orders a one-time dose of lorazepam 2mg IM STAT. The nurse knows that which is true of IM injections:

It doesn't matter where the IM injection is given.

IM injections should be given using the Z-Track method.

The site will not be sore at all after this type of injection.

IM injections are given at a 15-degree angle.

Answer and Explanation

The Correct Answer is B

A. It doesn't matter where the IM injection is given: Site selection matters -factors such as medication type, injection volume, patient age, and muscle mass determine the appropriate IM site (e.g., deltoid, ventrogluteal, vastus lateralis).

B. IM injections should be given using the Z-Track method: The Z-track technique is recommended for certain IM medications to displace subcutaneous tissue and prevent medication from tracking back into subcutaneous tissue, reducing irritation and leakage.

C. The site will not be sore at all after this type of injection: Some soreness or local tenderness is common after IM injections due to muscle penetration and the medication; absence of soreness is not typical for all IM injections.

D. IM injections are given at a 15-degree angle: IM injections are administered at a 90-degree angle to ensure the needle reaches muscle tissue; more shallow angles are used for subcutaneous injections.

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Correct Answer is A

Explanation

A. It is for those expected to live less than 6 months: Hospice eligibility typically requires a medical prognosis that life expectancy is about six months or less if the disease follows its usual course; this time frame guides enrollment eligibility.
B. It is for those needing assistance with pain management: Pain and symptom management are central services provided by hospice, but eligibility also depends on prognosis and focus on comfort rather than curative treatment.
C. It is for those having a terminal illness, such as cancer: Hospice serves people with terminal illness, but enrollment usually requires both a qualifying diagnosis and the prognostic timeframe rather than diagnosis alone.
D. It is for those with completion of an advance directive: Having an advance directive is helpful for care planning but is not a requirement or primary eligibility criterion for hospice services.

A. Teach the client to reposition while in bed every 2 hours. B. Insert an indwelling urinary catheter. C. Encourage the client to consume a diet rich in protein prior to being NPO for surgery. D. Administer an anti-diarrheal. E. Teach the client to use an incentive spirometer as often as they are able every hour.

Correct Answer is ["A","C","E"]

Explanation

A. Teach the client to reposition while in bed every 2 hours: Regular repositioning relieves pressure on bony prominences and reduces the risk of pressure injuries.

B. Insert an indwelling urinary catheter: Routine use of an indwelling catheter increases risk of urinary tract infection and should be avoided unless there is a clear clinical indication; it is not a first-line preventive measure for immobility complications.

C. Encourage the client to consume a diet rich in protein prior to being NPO for surgery: Adequate protein and nutrition support tissue integrity and wound healing; encouraging nutrient intake while allowed supports recovery and helps prevent malnutrition-related complications.

D. Administer an anti-diarrheal: Anti-diarrheals are not a standard preventive intervention for immobility complications and would not be routinely indicated unless the client has problematic diarrhea.

E. Teach the client to use an incentive spirometer as often as they are able every hour: Incentive spirometry promotes deep breathing, improves lung expansion, and helps prevent atelectasis and pulmonary complications associated with immobility.

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A 41-year-old client with a history of panic disorder begins to present with a severe panic attack. The HCP orders a one-time dose of lorazepam 2mg IM STAT. The nurse knows that which is true of IM injections:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client diagnosed with terminal cancer asks the nurse what the criteria is for hospice care. Which information should the nurse share with the client?

Correct Answer is A

Explanation

Correct Answer is ["A","C","E"]

Explanation

A client has recently arrived in the ED. Upon assessment, which observation by the nurse will indicate the client is at risk for pressure injury formation?

A nurse on a busy step-down floor has finished the head-to-toe assessment on a client. The nurse is ready to perform medication administration and knows that documentation of medications happens when?

Which of the following are considered HIGH RISK medications?

A nurse caring for an 88-year-old client on a medical/surgical floor knows that there are many factors that can affect skin breakdown and lead to pressure ulcer formation. Select which answers can help to prevent pressure ulcers. Select all that apply. One, some, or all options may be correct.

A 41-year-old client with a history of panic disorder begins to present with a severe panic attack. The HCP orders a one-time dose of lorazepam 2mg IM STAT. The nurse knows that which is true of IM injections:

A 14-year-old client was recently diagnosed with type 1 diabetes. The client is prescribed 10 units of regular insulin and 15 units of NPH insulin each morning. How should the nurse instruct this client to give themself the prescribed doses of insulin?

The client appears to be very close to death. The nurse would anticipate which of the following physical symptoms to be associated with impending death? Select all that apply. One, some, or all options may be correct.

The nurse is teaching the use of crutches. The nurse knows that the client requires further teaching when making the following statement?