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.

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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Correct Answer is A

Explanation

A. Vastus lateralis: The vastus lateralis muscle is the preferred site for IM injections in newborns because it is well-developed at birth and can safely accommodate the injection.
B. Deltoid: The deltoid muscle is not well-developed in newborns and is not recommended for IM injections in this age group.
C. Dorsogluteal: The dorsogluteal site is not recommended for newborns due to the risk of injury to the sciatic nerve and the relatively underdeveloped muscle.
D. Ventrogluteal: Although a good site for older children and adults, the ventrogluteal site is not typically used for newborns

A. "You can expect fecal output within 24 hours." B. "You may experience a small amount of bleeding around the stoma." C. "You can expect the stoma to be purplish in color for the first week. D. "You will need to increase your dietary intake of raw vegetables."

Correct Answer is B

Explanation

A. "You can expect fecal output within 24 hours." Fecal output usually occurs within 2-4 days after surgery, not within 24 hours.
B. "You may experience a small amount of bleeding around the stoma." A small amount of bleeding around the stoma is normal, especially right after surgery.
C. "You can expect the stoma to be purplish in color for the first week." A healthy stoma should be pink to red. A purplish color could indicate poor blood supply and should be reported.
D. "You will need to increase your dietary intake of raw vegetables." Raw vegetables can cause gas and obstruction; clients are usually advised to avoid them initially.

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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?

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