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°.
90°.
75°. .
The Correct Answer is C
Choice A rationale:
An angle of 60° is not typically used for IM injections. It is more commonly used for subcutaneous injections.
Choice B rationale:
An angle of 45° is also more commonly used for subcutaneous injections, not IM injections.
Choice C rationale:
An angle of 90° is the correct angle for an IM injection into the ventrogluteal muscle. This allows for the needle to penetrate deep into the muscle tissue.
Choice D rationale:
An angle of 75° is not typically used for any type of injection. It could potentially cause injury to the client if used for an IM injection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Repeating the potassium level is not the first action to take. The nurse already has a recent lab value.
Choice B rationale:
The nurse should withhold the medication. The normal range for potassium is 3.5-5.0 mEq/L. A level of 5.5 mEq/L is high, so giving more potassium could lead to hyperkalemia.
Choice C rationale:
Monitoring for paresthesia is important in hyperkalemia, but it is not the first action. The nurse should first prevent further increase in potassium levels.
Choice D rationale:
Administering a hypertonic solution is not relevant in this situation. It does not directly address the high potassium level.
Correct Answer is D
Explanation
Choice A rationale:
Respiratory acidosis is characterized by a high PaCO2 and a low pH. The client’s ABG results do not match this pattern.
Choice B rationale:
Metabolic acidosis is characterized by a low HCO3 and a low pH. The client’s ABG results do not match this pattern.
Choice C rationale:
Respiratory alkalosis is characterized by a low PaCO2 and a high pH. The client’s ABG results do not match this pattern.
Choice D rationale:
Metabolic alkalosis is characterized by a high HCO3 and a high pH. The client’s ABG results match this pattern. Normal values for pH, PaCO2, and HCO3 are 7.35-7.45, 35-45 mm Hg, and 22-26 mEq/L respectively.
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