A nurse is preparing to administer an intramuscular injection of penicillin G benzathine to a client who has syphilis. Which of the following actions should the nurse take?

Use a 25-gauge needle and inject the medication into the deltoid muscle.

Use a tuberculin syringe and inject the medication into the ventrogluteal muscle.

Use an insulin syringe and inject the medication into the vastus lateralis muscle.

Use a 20-gauge needle and inject the medication into the dorsogluteal muscle.

Answer and Explanation

The Correct Answer is D

D) Correct. The nurse should use a 20-gauge needle and inject the medication into the dorsogluteal muscle, as penicillin G benzathine is a thick and viscous suspension that requires a large-bore needle and a large muscle mass for injection.

A) Incorrect. The nurse should not use a 25-gauge needle and inject the medication into the deltoid muscle, as this needle is too small and this muscle is too small for penicillin G benzathine injection.

B) Incorrect. The nurse should not use a tuberculin syringe and inject the medication into the ventrogluteal muscle, as this syringe is too small and this muscle is not recommended for penicillin G benzathine injection.

C) Incorrect. The nurse should not use an insulin syringe and inject the medication into the vastus lateralis muscle, as this syringe is too small and this muscle is not recommended for penicillin G benzathine injection.

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Correct Answer is B

Explanation

B) Correct. The client should check with their doctor before taking any herbal supplements or remedies, as some of them may interact with warfarin and increase the risk of bleeding or clotting.

A) Incorrect. The client should not avoid eating foods that are high in vitamin K, but rather maintain a consistent intake of them, as vitamin K is an antidote for warfarin and can affect its therapeutic effect.

C) Incorrect. This statement is relevant for preventing bleeding complications while taking warfarin, but it does not indicate an understanding of potential drug interactions.

D) Incorrect. This statement is relevant for monitoring the effects of warfarin on cardiovascular function, but it does not indicate an understanding of potential drug interactions.

A. How often do you check your blood pressure at home? B. Do you take any over-the-counter medications or supplements? C. What are the side effects of your antihypertensive medications? D. How do you store your medications at home? E. Acetaminophen

Correct Answer is B

Explanation

B) Correct. The nurse should ask about any over-the-counter medications or supplements that the client is taking, as they may interact with the prescribed antihypertensive medications or affect blood pressure control.

A) Incorrect. This question is relevant for monitoring blood pressure, but not for assessing adherence to the prescribed therapy.

C) Incorrect. This question is relevant for evaluating the client's knowledge of their medications, but not for assessing adherence to the prescribed therapy.

D) Incorrect. This question is relevant for ensuring proper medication safety, but not for assessing adherence to the prescribed therapy.

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A nurse is preparing to administer an intramuscular injection of penicillin G benzathine to a client who has syphilis. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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