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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?

A.

Select a 5/8-inch needle.

B.

Choose a 25-gauge needle.

C.

Locate the ventrogluteal site.

D.

Inject at a 45° angle.

Answer and Explanation

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.
 


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Related Questions

Correct Answer is A

Explanation

A. Potassium 2.5 mEq/L: Hypokalemia is a critical finding that can cause severe cardiac and muscular complications, making it the priority.
B. Sodium 142 mEq/L: This sodium level is within the normal range (135-145 mEq/L) and does not indicate an immediate threat.
C. Urine specific gravity 1.025: This specific gravity indicates concentrated urine, which is expected in dehydration, but it is not the most critical finding.
D. Blood glucose 110 mg/dL: This blood glucose level is within the normal range and does not indicate an immediate threat.

Correct Answer is D

Explanation

A. Decreased bowel sounds: Hypocalcemia typically causes increased neuromuscular excitability, which can lead to increased bowel sounds.
B. Dry, sticky mucous membranes: Dry, sticky mucous membranes are more indicative of dehydration or hypernatremia.
C. Hypoactive deep-tendon reflexes: Hypocalcemia usually causes hyperactive deep-tendon reflexes, not hypoactive.
D. Numbness of extremities: Numbness and tingling in the extremities are common symptoms of hypocalcemia due to increased neuromuscular excitability.

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