A nurse is preparing an injection using a single dose glass ampule. Which of the following actions should the nurse take?
Shake the ampule to move the solution below the neck.
Snap the top of the ampule towards hands.
Wear sterile gloves when withdrawing the medication from the ampule.
Use a filter needle to draw up the medication.
The Correct Answer is D
A. Shaking the ampule is not necessary and can create air bubbles in the solution.
B. Snapping the top of the ampule towards the hands is not recommended, as it can cause injury. The top should be snapped away from the nurse.
C. Sterile gloves may be worn for other aspects of the procedure, but it is not necessary to wear them specifically when withdrawing medication from the ampule.
D. Using a filter needle helps prevent glass particles from entering the syringe when withdrawing medication from an ampule.
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Correct Answer is ["B","D","E"]
Explanation
A. Drawing legs up into a fetal position may indicate discomfort or agitation.
B. Facial muscle relaxation is indicative of a therapeutic response to the massage.
C. An increased respiratory rate may suggest distress or discomfort.
D. Drooping shoulders suggest relaxation and a positive response to the massage.
E. Maintaining an expected pulse rate indicates that the massage is not causing undue stress or discomfort.
Correct Answer is D
Explanation
A. DIC is not a genetic disorder but is often secondary to other conditions.
B. In DIC, platelet count decreases rather than increases.
C. While heparin may be used in the treatment of DIC, it is not a lifelong therapy, and its use depends on the specific clinical situation.
D. DIC involves abnormal coagulation, with consumption of clotting factors and fibrinogen, leading to both bleeding and thrombosis.
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