The nurse calculates that 0.74 mi of filgrastim must be administered to a client subcutaneously. The client weights 165 lbs. What length and gauge of needle is best to administer this medication?

2 inches 21 gauge

1 1/2 inch 27 gauge

5/8 inch 25 gauge

1/4 inch 19 gauge

Answer and Explanation

The Correct Answer is C

A. 2 inches 21 gauge: This option is too long and too large in gauge for subcutaneous administration. Typically, a longer needle is not necessary for subcutaneous injections, especially for standard adult adipose tissue.

B. 1 1/2 inch 27 gauge: While this gauge is acceptable, the length is still longer than typically required for subcutaneous injections. A 1 1/2 inch needle is more suited for intramuscular injections.

C. 5/8 inch 25 gauge: This is the most appropriate choice for a subcutaneous injection. A 5/8 inch needle is typically adequate for subcutaneous tissue in adults, and a 25 gauge needle provides a suitable size for comfort while allowing the medication to be administered effectively.

D. 1/4 inch 19 gauge: This option is not suitable for subcutaneous injections. A 1/4 inch length is too short for effective penetration into subcutaneous tissue, and a 19 gauge needle is larger than necessary, which could increase discomfort.

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Correct Answer is B

Explanation

A. Decrease allergic reactions: Nitrate-free periods are not primarily designed to address allergic reactions.

B. Decrease tolerance to effects: Nitrates, including isosorbide mononitrate, can lead to the development of tolerance when used continuously. The nitrate-free period helps to minimize this tolerance, allowing the medication to remain effective over time.

C. Prevent reflex tachycardia: While nitrate use can sometimes cause reflex tachycardia, the nitrate-free interval is not specifically aimed at preventing this.

D. Increase absorption: The nitrate-free period does not influence the absorption of the medication itself.

A. “I will drink milk every day to increase dietary calcium." B. "I will take my pill each day after dinner. C. "I will take my pill each day with my breakfast." D. “I will limit my intake of citrus juices”

Correct Answer is C

Explanation

A) “I will drink milk every day to increase dietary calcium": While increasing dietary calcium can be beneficial, it is not directly related to the administration of bumetanide. The focus should be on the timing and consistency of taking the medication.

B) “I will take my pill each day after dinner”: Taking bumetanide after dinner may not be ideal as it can lead to increased urination during the night, potentially disrupting sleep. It is generally recommended to take diuretics earlier in the day.

C) “I will take my pill each day with my breakfast”: This statement indicates an understanding of the importance of taking the medication at a consistent time each day, preferably in the morning. Taking bumetanide with breakfast helps to avoid nocturnal diuresis and ensures the medication is taken regularly.

D) “I will limit my intake of citrus juices”: While certain dietary considerations may be important, limiting citrus juices is not specifically related to the administration of bumetanide. The primary focus should be on the timing and consistency of taking the medication.

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The nurse calculates that 0.74 mi of filgrastim must be administered to a client subcutaneously. The client weights 165 lbs. What length and gauge of needle is best to administer this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Isosorbide mononitrate modified release formula is structured to provide a nitrate free period. The nurse understands that the rationale for this period is to:

Correct Answer is B

Explanation

The nurse is teaching a client with hypertension about the prescribed bumetanide, a loop diuretic, 1 mg PO daily. Which statement, made by the client would indicate that the teaching has been effective?

Correct Answer is C

Explanation

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