A nurse is planning to administer ceftriaxone IM to an adult client. Which of the following actions should the nurse plan to take?

Administer the medication using a 5/8-inch needle.

Administer the medication using a Z-track technique.

Administer the medication in the deltoid muscle.

Administer the medication at a 45° angle.

Answer and Explanation

The Correct Answer is B

A) Administer the medication using a 5/8-inch needle:
Ceftriaxone is typically administered using a longer needle to ensure proper injection into the muscle. A 5/8-inch needle is more suitable for subcutaneous injections rather than intramuscular (IM) injections.

B) Administer the medication using a Z-track technique:
The Z-track technique is appropriate for IM injections of medications like ceftriaxone, which can be irritating to tissues. This technique helps prevent the medication from leaking into the subcutaneous tissue and minimizes discomfort by creating a zigzag path in the muscle.

C) Administer the medication in the deltoid muscle:
Ceftriaxone is generally administered in larger muscle groups, such as the vastus lateralis or gluteus muscle, rather than the deltoid. The deltoid is more commonly used for vaccines or smaller volume injections.

D) Administer the medication at a 45° angle:
For IM injections, the needle should be inserted at a 90° angle to the skin. A 45° angle is more appropriate for subcutaneous injections.

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Correct Answer is B

Explanation

A) "This hospital might use a different manufacturer, but the medication is the same":
While this response provides reassurance about the consistency of the medication, it does not directly engage with the client’s observation. It may not fully address the client's specific concerns or help in verifying whether the medication is indeed correct.

B) "Describe what the pill looks like":
Asking the client to describe the pill helps in verifying its identity. This response is appropriate because it allows for a comparison between the pill in question and the medication the client is familiar with, ensuring that the right medication is being administered.

C) "This is the medication prescribed by your provider":
This response confirms that the medication is prescribed but does not address why it looks different. It may not provide the necessary reassurance or clarification about the appearance of the medication.

D) "This pill is probably from a different lot number than yours at home":
Although this response could explain the appearance difference, it might not be as reassuring as verifying the medication’s identity. It’s more important to ensure that the client’s concern is addressed directly by comparing the appearance of the medication.

A. Provide educational material written at a 9th grade reading level. B. Begin the session with the least important information. C. Use active listening methods during the session. D. Ask the client open-ended questions during the session. E. Use the teach-back method during the session.

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

Explanation

C) Use active listening methods during the session:
Active listening is crucial in educational sessions as it ensures the nurse fully understands the client’s needs and concerns. It involves attentively listening to the client, responding to their questions, and adapting the teaching to their feedback. This fosters effective communication and enhances learning.

D) Ask the client open-ended questions during the session:
Open-ended questions encourage clients to express their thoughts and provide more detailed responses. This approach helps the nurse assess the client’s understanding and identify any areas where further explanation might be needed. It also promotes a more interactive and engaging teaching process.

E) Use the teach-back method during the session:
The teach-back method involves asking the client to repeat the information in their own words to confirm their understanding. This technique is effective in reinforcing learning and identifying any gaps in the client’s comprehension, ensuring they are well-informed about their medication.

A) Provide educational material written at a 9th-grade reading level:
While providing educational material at an appropriate reading level is important, it is not selected here because the question focuses on strategies to use during the teaching session rather than the written material itself.

B) Begin the session with the least important information:
Beginning with the least important information is not an effective teaching strategy. It is better to start with the most critical points to ensure the client understands the essential aspects of their medication.

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A nurse is planning to administer ceftriaxone IM to an adult client. Which of the following actions should the nurse plan to take?

Nursing Test Bank

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

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