A nurse is preparing to administer an insulin injection for a client. Which of the following actions should the nurse take?
Rapidly inject the insulin using a 20-gauge 1-inch needle.
Insert the needle into the right thigh at a 90" angle.
Administer the insulin using a tuberculin syringe at a 15° angle.
Slowly inject the insulin using the Z-track method.
The Correct Answer is B
B. The correct angle for insulin injections is typically 90 degrees when administering into areas with adequate subcutaneous tissue, such as the abdomen or thigh.
A. Insulin injections should not be administered rapidly, as this can cause discomfort or bruising at the injection site. Additionally, a 20-gauge needle is too large for insulin injections, which typically require smaller gauge needles.
C. Insulin injections are typically administered using insulin syringes, not tuberculin syringes. Additionally, the recommended angle for insulin injections is 90 degrees, not 15 degrees.
D. The Z-track method is a technique used to minimize medication leakage or staining of the skin when administering certain medications, particularly those with irritating properties or medications given intramuscularly.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Hydrochlorothiazide can cause electrolyte imbalances, particularly hypokalemia (low potassium levels), hyponatremia (low sodium levels), and hypomagnesemia (low magnesium levels). Monitoring serum electrolyte levels, including potassium, sodium, and magnesium, is essential to detect and manage any abnormalities that may occur as a result of hydrochlorothiazide therapy.
B. Thyroid levels are not typically affected by hydrochlorothiazide therapy. Therefore, monitoring thyroid levels is not necessary in clients taking hydrochlorothiazide for hypertension.
C. Hydrochlorothiazide is not known to affect coagulation studies such as prothrombin time (PT), activated partial thromboplastin time (aPTT), or international normalized ratio (INR).
D. Hydrochlorothiazide is not typically associated with significant hematologic effects that would necessitate routine monitoring of the complete blood count. Therefore, monitoring CBC is not routinely indicated for clients taking hydrochlorothiazide for hypertension.
Correct Answer is ["A","B","C","D","E"]
Explanation
A. Headache is a common side effect of nitroglycerin, and if it becomes severe or persistent, the client should remove the patch and seek medical advice.
B. Nitroglycerin can cause dizziness or lightheadedness, especially when changing positions. If the client experiences dizziness, lying down with feet elevated can help alleviate symptoms and prevent falls.
C. Nitroglycerin patches typically take about 30 to 45 minutes to begin working after application. This information helps the client understand the expected onset of action of the medication.
D. Nitroglycerin patches should be applied to a clean, hairless area of the skin, usually on the chest or upper arm, to ensure optimal absorption of the medication.
E. Nitroglycerin patches are typically worn for 12 to 14 hours at a time and then removed for a nitrate- free period to prevent tolerance. Following this schedule helps maintain the effectiveness of the medication.
F. To prevent skin irritation or tolerance to the medication, it is recommended to rotate the application site of the nitroglycerin patch with each new patch. This helps ensure consistent absorption and effectiveness of the medication.
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