A nurse is preparing to administer penicillin IM to an adult client. Which of the following angles should the nurse use for injection into the client's ventrogluteal muscle?

60°

45°

75°

90°

Answer and Explanation

The Correct Answer is D

D. A 90° angle (perpendicular to the skin surface) is typically used for IM injections into muscles where the needle needs to penetrate deeply into the muscle tissue.

A. 60° angle is commonly used for IM injections in the deltoid muscle or thigh. However, it may not be optimal for the ventrogluteal site, which typically requires a different approach due to its deeper location and muscle structure.

B. A 45° angle is typically used for subcutaneous injections, where the needle is inserted into the fatty layer just below the skin surface.

C. This angle is steeper than 60° and is sometimes used for IM injections into muscles with thicker tissue or larger muscle mass.

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Correct Answer is C

Explanation

A. Leaving small air bubbles in the new infusion tubing is incorrect. Air bubbles should be primed out of the tubing before use to prevent air embolism.

B. Inserting the new device distal to the old IV site is incorrect. The new IV site should be placed proximal to the old site to avoid complications from previous catheter use and ensure proper circulation.

C. Wearing clean gloves during the new IV insertion is correct. Clean gloves are appropriate when inserting a new short peripheral IV device. Sterile gloves are generally required for more invasive procedures, but when changing the device itself, clean gloves are sufficient.

D. Shaving the hair on the client's skin before inserting the new IV is incorrect. Shaving the skin is not recommended because it can cause small nicks that increase the risk of infection. Clipping the hair, if necessary, is the preferred method.

A. Avoids using the fingers of her dominant hand as puncture sites. B. Avoids using the thumbs as puncture sites C. Uses the side of a fingertip as the puncture site D. Uses the ball of a finger as the puncture site

Correct Answer is C

Explanation

C. This method is recommended because it is less painful, as the sides of the fingertips have fewer nerve endings compared to the pads or 'balls' of the fingers.

A. Avoiding the use of the thumbs is not necessary unless they are calloused or used frequently for other tasks that could affect sensitivity.

B. Avoiding the use of the dominant hand's fingers are not necessary unless they are calloused or used frequently for other tasks that could affect sensitivity.

D. Using the ball of the finger is not recommended for blood glucose monitoring because it can be more painful and may lead to less blood flow, resulting in difficulty obtaining an adequate blood sample.

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A nurse is preparing to administer penicillin IM to an adult client. Which of the following angles should the nurse use for injection into the client's ventrogluteal muscle?

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