A nurse is preparing to administer ceftriaxone 3 mL intramuscularly to an adult client. Which of the following actions should the nurse plan to take?
Select a 5/8-inch needle.
Choose a 25-gauge needle.
Locate the ventrogluteal site.
Inject at a 45° angle.
The Correct Answer is C
A. Select a 5/8-inch needle: A 5/8-inch needle is too short for an IM injection in an adult, as it may not reach the muscle tissue adequately.
B. Choose a 25-gauge needle: A 25-gauge needle is too small for an IM injection, as it may make the administration of a 3 mL volume difficult and painful.
C. Locate the ventrogluteal site: The ventrogluteal site is a preferred site for IM injections because it is free of major nerves and blood vessels and can accommodate larger volumes like 3 mL.
D. Inject at a 45° angle: IM injections should be administered at a 90° angle to ensure the medication is delivered into the muscle tissue.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Pause the enema and give the client pain medication. Pain medication is not appropriate for mild cramping caused by an enema.
B. Discontinue the enema. Stopping the enema entirely may not be necessary and could prevent the procedure from being effective.
C. Continue the enema and reassure the client. Continuing the enema without adjustment may cause increased discomfort.
D. Lower the height of the solution bag. Lowering the height of the enema bag can reduce the flow rate, easing cramping and discomfort.
Correct Answer is A
Explanation
A. Chvostek's sign: Chvostek's sign is a facial muscle spasm elicited by tapping the facial nerve and is indicative of hypocalcemia.
B. Brudzinski's sign: Brudzinski's sign is associated with meningitis, not hypocalcemia.
C. Cullen's sign: Cullen's sign indicates intra-abdominal bleeding, not hypocalcemia.
D. Kernig's sign: Kernig's sign is associated with meningitis, not hypocalcemia.
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