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 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.

A. Montelukast B. Fluticasone C. Alprazolam D. Omeprazole E. Acetaminophen

Correct Answer is ["A","B"]

Explanation

A) Correct. Montelukast is a leukotriene receptor antagonist that can reduce inflammation and bronchoconstriction in clients with COPD.

B) Correct. Fluticasone is an inhaled corticosteroid that can decrease airway inflammation and improve lung function in clients with COPD.

C) Incorrect. Alprazolam is a benzodiazepine that can cause respiratory depression and worsen hypoxemia in clients with COPD.

D) Incorrect. Omeprazole is a proton pump inhibitor that can treat gastroesophageal reflux disease (GERD), which may be a comorbidity of COPD, but it is not directly related to COPD management.

E) Incorrect. Acetaminophen is an analgesic and antipyretic that can relieve pain and fever, but it has no effect on COPD.

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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?

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