A nurse is preparing to administer an intramuscular injection for a client of average weight. At what angle would the nurse insert the needle?
90-degree
45-degree
15-degree
25-degree
The Correct Answer is A
Choice A reason: IM injections use a 90-degree angle; this ensures deep muscle penetration for average-weight adults, optimizing drug absorption into vascular tissue.
Choice B reason: 45 degrees is for subcutaneous injections; it’s too shallow for IM, risking fat deposition instead of muscle, reducing efficacy in this context.
Choice C reason: 15 degrees is far too shallow; it’s not a standard angle, likely depositing drug in skin layers, failing to reach muscle for intended absorption.
Choice D reason: 25 degrees mimics subcutaneous; it doesn’t reach muscle depth, compromising IM delivery and therapeutic effect in an average-weight client.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Retailers use trade or generic names; trade isn’t exclusive here, as generics are sold too, making this a shared rather than unique trait.
Choice B reason: Chemical names define molecular structure (e.g., acetaminophen); trade names (e.g., Tylenol) are brand-specific, not tied to chemistry recognition.
Choice C reason: Orders use trade or generic names (e.g., Zestril or lisinopril); trade isn’t the only option, as generics are equally valid in prescriptions.
Choice D reason: Trade names are trademarked (e.g., Viagra); this legal protection distinguishes them from generic or chemical names, ensuring brand exclusivity.
Correct Answer is D
Explanation
Choice A reason: Blood pressure matters but isn’t primary; opioids rarely cause acute hypotension initially, and respiratory depression is a more immediate life-threatening risk.
Choice B reason: Temperature is unrelated; opioids don’t primarily affect fever, and this assessment doesn’t address the critical safety concern of opioid administration.
Choice C reason: Pulse is secondary; opioids may slow heart rate mildly, but respiratory suppression is the urgent risk, requiring priority monitoring before dosing.
Choice D reason: Respiratory rate is critical; opioids depress the brainstem, risking apnea, and assessing breathing ensures safety before administering this high-risk medication.
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