In order to minimize discomfort when giving an injection to a client, the nurse should:

spread the skin taut while inserting the needle.

apply heat to the area before the injection.

hold the barrel of the syringe still while injecting the medication.

test for blood return before injecting the medication.

Answer and Explanation

The Correct Answer is A

Choice A rationale: Spreading the skin taut while inserting the needle can minimize discomfort by reducing the sensation of the needle puncturing the skin.

Choice B rationale: Applying heat to the area before the injection is not a common practice and may not significantly reduce discomfort during the injection.

Choice C rationale: Holding the barrel of the syringe still while injecting the medication is important for accuracy but does not specifically address minimizing discomfort.

Choice D rationale: Testing for blood return before injecting the medication is a technique used with intramuscular but it does not minimize pain during injection.

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Free Nursing Study Resources

Correct Answer is C

Explanation

Choice A rationale: Pursed-lip breathing is a compensatory mechanism to improve oxygenation and is not as severe an indication as cyanosis.

Choice B rationale: Clubbing of the nails is a chronic sign of oxygenation issues but may not be an acute and immediate indication of deterioration.

Choice C rationale: Cyanosis, the bluish discoloration of the skin and mucous membranes, is a serious indication of inadequate oxygenation.

Choice D rationale: Poor skin turgor is not a direct indicator of oxygenation status.

A. dilute potassium elixir in juice prior to administration. B. monitor intake and output every shift C. assess the client for muscle weakness and flaccid paralysis. D. encourage intake of orange juice or a banana with each meal E. obtain a physician's order for cardiac monitoring

Correct Answer is ["C","E"]

Explanation

Choice A rationale: Diluting potassium elixir in juice is not a priority intervention for a critically elevated potassium level. Immediate actions are needed.

Choice B rationale: Monitoring intake and output is important, but it is not the highest priority when the potassium level is critically elevated.

Choice C rationale: Assessing the client for muscle weakness and flaccid paralysis is a high priority because hyperkalemia can lead to serious cardiac and neuromuscular complications.

Choice D rationale: Encouraging intake of orange juice or a banana may be appropriate for managing mild hypokalemia, but it is not the priority for a client with critically elevated potassium.

Choice E rationale: Obtaining a physician's order for cardiac monitoring is crucial, as hyperkalemia can lead to life-threatening cardiac dysrhythmias.

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In order to minimize discomfort when giving an injection to a client, the nurse should:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nursing assessment finding that represents the most serious indication of a client's deteriorating oxygenation status is:

Correct Answer is C

Explanation

A client has a serum potassium level of 6.3 mEq/L. The nurse recognizes that the highest priority intervention(s) for this client are to: (SELECT ALL THAT APPLY)

Correct Answer is ["C","E"]

Explanation

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