A nurse is preparing a medication from a vial for a subcutaneous injection for a client.
Which of the following actions should the nurse perform?
Hold the vial with the top facing upward while injecting air into the vial.
Hold the syringe at a 45° angle to verify dosage.
Hold the syringe so that bubbles collect at the level of the plunger.
Inject air into the vial with the eye of the needle immersed in the fluid.
The Correct Answer is D
Choice A rationale:
the nurse should hold the vial upside down and insert the needle into the center of the rubber stopper.
Choice B rationale:
Holding the syringe at a 45° angle to verify dosage is not a standard practice during the preparation of medication from a vial. The syringe should be held upright at 90° to accurately measure the desired dosage.
Choice C rationale:
Holding the syringe so that bubbles collect at the level of the plunger is incorrect. The nurse should hold the syringe so that bubbles collect at the level of the needle tip. Bubbles should be expelled from the syringe before withdrawing the medication to ensure accurate dosage.
Choice D rationale:
Injecting air into the vial with the eye of the needle immersed in the fluid is correct. This action prevents the formation of bubbles and ensures accurate dosage.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Hyperextending the client's back is not necessary and may cause discomfort or harm. Proper positioning is essential for the client's comfort and safety.
Choice B rationale:
Encouraging the client to try to defecate for an extended period may lead to unnecessary strain and discomfort. It's important to promote optimal conditions for toileting without excessive strain.
Choice C rationale:
Keeping the bed flat while the client is on the fracture pan is a correct action. Maintaining the bed's flat position facilitates proper use of the fracture pan and enhances the client's comfort.
Choice D rationale:
Placing the shallow end of the fracture pan under the client's buttocks is the correct way to position the pan for effective use. Proper use of the fracture pan is essential for its intended function in clients with immobility or limited mobility due to a cast.
Correct Answer is A
Explanation
Choice A rationale:
Helping the client find a local support group is an appropriate intervention. Support groups provide emotional support, shared experiences, and coping strategies for individuals facing terminal illness, promoting a sense of community.
Choice B rationale:
Discussing the client's prior coping mechanisms is relevant and can provide insight into effective strategies. However, it might not be the first step in the immediate response to a new diagnosis of terminal cancer.
Choice C rationale:
Developing a list of goals with the client might be premature at this stage, as the client may need time to process the diagnosis and express their concerns and priorities.
Choice D rationale:
Teaching the client to use progressive relaxation techniques is a valuable intervention for managing anxiety and promoting relaxation. However, immediate emotional support and connection through a support group may be more appropriate initially.
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