A nurse is planning to administer morphine 5 mg subcutaneously to a client for pain management. Which of the following actions should the nurse plan to take?

Inject the needle at a 45° to 90° angle.

Use a 23-gauge needle.

Pull the plunger back for 5 seconds.

Displace the skin 2.5 cm (1 in) to the side.

Answer and Explanation

The Correct Answer is A

A. Inject the needle at a 45° to 90° angle: For subcutaneous injections like morphine, the needle should be inserted at a 45° to 90° angle depending on the client’s body size and amount of subcutaneous tissue. This angle ensures proper delivery into the subcutaneous layer.

B. Use a 23-gauge needle: A 23-gauge needle is typically used for intramuscular injections. Subcutaneous injections usually require a smaller needle, such as a 25- to 27-gauge, to reduce tissue trauma and ensure proper absorption.

C. Pull the plunger back for 5 seconds: Aspiration is not recommended for subcutaneous injections because it can cause unnecessary discomfort and is not supported by evidence for this route of administration. It also delays the injection process.

D. Displace the skin 2.5 cm (1 in) to the side: The Z-track method, which involves displacing the skin, is used for intramuscular injections to prevent medication leakage. It is not appropriate or necessary for subcutaneous administration.

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Correct Answer is C

Explanation

A. Resolved sexual dysfunction: Atenolol, a beta-blocker, may actually cause sexual dysfunction as a side effect rather than resolving it. It is not prescribed to treat sexual health issues and may worsen libido or erectile function.

B. Decreased bronchospasms: Atenolol is a cardioselective beta-blocker, but even selective agents can potentially worsen bronchospasms in sensitive individuals, especially those with asthma or COPD. It is not used to treat respiratory symptoms.

C. Decreased blood pressure: Atenolol works by blocking beta-1 receptors in the heart, leading to decreased heart rate and cardiac output, which lowers blood pressure. This is a primary therapeutic effect in the treatment of hypertension.

D. Reduction in vertigo: Atenolol is not indicated for the treatment of vertigo. While it may be used in certain off-label cardiovascular-related neurologic symptoms, it is not typically associated with reducing dizziness or balance disturbances.

A. Cleanse the client's meatus with antiseptic solution. B. Position the sterile drape leaving the perineum exposed. C. Attach a prefilled syringe to the catheter inflation hub. D. Lubricate the catheter with water-soluble gel.

Correct Answer is B

Explanation

A. Cleanse the client's meatus with antiseptic solution: This step is performed after the sterile field is established. Cleansing the meatus is essential to prevent infection, but it is not the first action in the catheter insertion sequence.

B. Position the sterile drape leaving the perineum exposed: Establishing a sterile field is the first priority to maintain aseptic technique throughout the catheterization process. Proper draping helps reduce the risk of contamination.

C. Attach a prefilled syringe to the catheter inflation hub: This is done in preparation for balloon inflation but should occur after the catheter is in the bladder and sterile field is set. Doing it too early may interfere with the sterile setup.

D. Lubricate the catheter with water-soluble gel: Lubrication reduces urethral trauma but is performed after the sterile field is prepared and supplies are arranged. It is not the initial action in the procedure.

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A nurse is planning to administer morphine 5 mg subcutaneously to a client for pain management. Which of the following actions should the nurse plan to take?

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Naxlex Comprehensive Predictor Exams

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