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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is B
Explanation
A. Remove the newborn's diaper: This may increase the risk of skin irritation or contamination from stool and urine. A better approach is to expose as much skin as possible while protecting the genital area appropriately.
B. Close the newborn's eyes before applying the mask: Closing the eyes before applying the phototherapy mask helps prevent eye damage from the intense light. It ensures that the eye pads stay properly positioned and prevents drying, irritation, or corneal injury.
C. Feed the newborn 1 oz (30 mL) of glucose water after feedings: Frequent breastfeeding or formula feeding is preferred to promote bowel movements and bilirubin excretion. Glucose water may also displace essential nutrients from milk and is not recommended.
D. Apply a moisturizing lotion to the newborn's skin: Lotions or ointments should be avoided during phototherapy because they can absorb heat from the light and lead to burns or skin irritation. The newborn’s skin should be kept clean and dry without topical products.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.