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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["100"]
Explanation
Calculating the IV Infusion Rate
Problem: Administer 300 mg of clindamycin IV over 30 minutes. The available solution is 300 mg in 50 mL of 0.9% NaCl.
Steps:
Convert minutes to hours:
30 minutes x (1 hour / 60 minutes) = 0.5 hours
Calculate the infusion rate:
50 mL / 0.5 hours = 100 mL/hour
Answer: The nurse should set the IV pump to deliver 100 mL/hour.
Correct Answer is B
Explanation
A) Discontinue medication if nausea occurs:
While nausea can be a side effect of cyclobenzaprine, it is not typically a reason to discontinue the medication immediately. The client should contact their healthcare provider if they experience nausea or other side effects, but discontinuation should be based on medical advice.
B) Avoid driving until effects are known:
Cyclobenzaprine is a muscle relaxant that can cause drowsiness, dizziness, or impaired cognitive function. It is important for clients to avoid driving or operating heavy machinery until they are aware of how the medication affects them and if they can do so safely.
C) Monitor for increased muscle spasms:
Cyclobenzaprine is prescribed to reduce muscle spasms, so an increase in muscle spasms would be contrary to the intended effect of the medication. Clients should monitor for effectiveness and report any increase in symptoms to their healthcare provider.
D) Expect urine to turn orange:
Cyclobenzaprine does not typically cause urine to change color. Urine discoloration is not a common side effect of this medication. Clients should be informed about possible side effects, but urine discoloration is not associated with cyclobenzaprine.
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