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) The client wears fitted slippers:
Fitted slippers generally provide good support and are less likely to contribute to falls compared to loose or ill-fitting footwear. Therefore, this finding is less likely to be a major contributor to the client’s falls.

B) The client takes alprazolam:
Alprazolam is a benzodiazepine that can cause sedation, dizziness, and impaired coordination. These side effects can significantly increase the risk of falls, especially in older adults. Thus, this medication is a likely contributor to the client's falls.

C) The client has a nonslip bath mat in his shower:
A nonslip bath mat is a safety measure designed to prevent falls in the shower. Its presence suggests a proactive approach to reducing fall risk, so it is less likely to be contributing to the problem.

D) The client uses a raised toilet seat:
A raised toilet seat can be a helpful adaptation for individuals with mobility issues, making it easier to sit down and stand up. It is generally not associated with an increased risk of falls, so this finding is unlikely to be contributing to the client’s falls.

A. Mix the medication at the client's bedside. B. Document that the medication was administered. C. Determine the client's response to the medication. D. Check the client for allergies. E. Full screen mode is in effect during your proctored testing.

Correct Answer is D

Explanation

A) Mix the medication at the client's bedside:
Mixing the medication at the client's bedside is a necessary step in the medication administration process but should be done after ensuring that all safety checks, including allergy checks, have been completed.

B) Document that the medication was administered:
Documentation of medication administration is an important step, but it should only occur after all other steps, including verifying the client's allergies and preparing the medication, have been completed.

C) Determine the client's response to the medication:
Determining the client's response to the medication should be done after administration, not before or during the preparation. This step involves assessing the effectiveness and any adverse effects following medication administration.

D) Check the client for allergies:
Checking the client for allergies is the first and most critical step to prevent potential allergic reactions or adverse effects. It ensures that the medication is safe for the client and prevents harm.

E) Full-screen mode is in effect during your proctored testing:
This statement is not related to the process of administering a medication and does not pertain to the actions required for medication administration.

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