A nursing instructor is observing a nursing student prepare and administer medications to adult clients. Which action by the nursing student requires intervention by the Instructor?
Injecting one mL of air into a vial before withdrawing 20 mg furosemide from a vial labeled 20 mg/mL
Instructing a client to place a buccal medication under the client's tongue and allowing it to absorb.
Pouring the ordered medication "Robitussin 2 tsp. now to the 10 ml mark on a medication cup.
Selecting a 1 ml syringe with a 5/8 inch needle to be used for giving 0.5 mL of heparin subcutaneously.
The Correct Answer is B
Choice A rationale: Injecting one mL of air into a vial before withdrawing 20 mg furosemide is an appropriate technique to equalize pressure in the vial.
Choice B rationale: Instructing a client to place a buccal medication under the client's tongue this is a method for administering sublingual medications. Buccal medications are placed between the cheek and the gum and allowed to dissolve slowly.
Choice C rationale: Pouring liquid medication to the 10 ml mark on a medication cup is acceptable, as long as the cup is held at eye level and the lowest point of the meniscus is used to measure the volume.
Choice D rationale: Selecting a 1 ml syringe with a 5/8 inch needle is suitable for giving heparin subcutaneously, as this ensures accuracy and minimizes tissue trauma.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale: Placing the client in reverse Trendelenburg position is not the first priority; protecting the wound is more critical.
Choice B rationale: Administering IV antibiotics STAT is not the first priority in the presence of evisceration.
Choice C rationale: Using sterile gloves to replace the protruding parts is not the first intervention; covering the wound takes precedence.
Choice D rationale: Applying a sterile normal saline dressing is the first priority to cover and protect the exposed abdominal contents.
Correct Answer is C
Explanation
Choice A rationale: Heat therapy is generally contraindicated for a wound that is bleeding, as it can increase bleeding.
Choice B rationale: Heat therapy may not be appropriate for a client with impaired sensation due to the risk of burns.
Choice C rationale: The client who is experiencing spasms of the calf muscles can benefit from heat therapy, which can help relax the muscles and reduce pain. Heat therapy increases blood flow and oxygen delivery to the affected area, which promotes healing and reduces inflammation.
Choice D rationale: Heat therapy is contraindicated for the client who has an active, localized inflammation (D), because heat can worsen the inflammation and increase the risk of infection.
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