A nurse is preparing to administer heparin subcutaneously to a client.
Which of the following is an appropriate action by the nurse?
Use a 1-inch needle to inject the medication.
Use a 22-gauge needle to inject the medication.
Massage the injection site after administration of the medication.
Inject the medication into the abdomen above the level of the iliac crest.
The Correct Answer is D
“Inject the medication into the abdomen above the level of the iliac crest.” When administering heparin subcutaneously, it is appropriate to inject the medication into the abdomen above the level of the iliac crest 1.
Choice A is not correct because a 1-inch needle may be too long for subcutaneous injection.
A shorter needle, such as a 3/8 to 5/8 inch needle, is typically used for subcutaneous injections.
Choice B is not correct because a 22-gauge needle may be too large for subcutaneous injection.
A smaller gauge needle, such as a 25- or 27-gauge needle, is typically used for subcutaneous injections.
Choice C is not correct because massaging the injection site after administering heparin can increase the risk of bruising and should be avoided.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The statement “I won’t seal my lips around the mouthpiece and take slow, deep breaths” indicates a need for further teaching.
When using a nebulizer, the client should place the mouthpiece in their mouth between their teeth and close their lips around it 1.
They should also take slow, deep breaths to ensure that the medication is properly inhaled 1.
Choice A is incorrect because washing the mouthpiece with warm soapy water each day is a recommended action 2.
Choice B is incorrect because storing the nebulizer at room temperature is acceptable.
Choice D is incorrect because it is not necessary to keep medication in the nebulizer at all times.
Correct Answer is A
Explanation
“Inject air into the regular insulin first.” When mixing regular insulin and NPH insulin in the same syringe, the nurse should instruct the client to inject air into the NPH insulin vial first, then inject air into the regular insulin vial.
After that, the client should draw up the regular insulin into the syringe first, followed by the NPH insulin.
Choice B is not correct because NPH insulin should not be shaken vigorously as it can damage the insulin molecules.
Choice C is not correct because the regular insulin should be drawn up into the syringe first.
Choice D is not correct because regular insulin is a clear solution and should not appear cloudy.
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