The nurse is administering a subcutaneous injection to a client. Which of the following actions should the nurse take?

Clean skin using a side to side motion.

Keep skin pinched while injecting medication.

Apply firm pressure to the injection site.

Insert the needle at a 45 or 90-degree angle.

Answer and Explanation

Correct Answer : B,D

A. Clean skin using a side to side motion. The skin should be cleaned in a circular motion from the center outward to reduce the risk of infection.

B. Keep skin pinched while injecting medication. Pinching the skin helps create a small "pocket" for the injection, making it easier to administer the medication subcutaneously.

C. Apply firm pressure to the injection site. Applying firm pressure is not recommended immediately after the injection as it can cause discomfort and does not affect absorption. Gentle pressure is usually recommended.

D. Insert the needle at a 45 or 90-degree angle. For subcutaneous injections, a 45-degree angle is often recommended for thinner individuals, while a 90-degree angle is appropriate for those with more tissue.

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Correct Answer is B

Explanation

A. “I drink one glass of wine before bed to help me sleep.” This statement indicates a potentially unhealthy coping strategy. Using alcohol as a sleep aid can lead to dependency and does not address the underlying grief. It is not considered an appropriate coping mechanism.

B. “I joined an art group that my partner attended at my church.” This statement indicates a healthy coping strategy. Joining an art group provides social support, a sense of community, and a constructive outlet for emotions. It also honors the memory of the partner in a positive way.

C. “I am leaving my partner’s belongings in the same place.”This statement may indicate difficulty in moving forward and could suggest that the client is struggling to accept the loss. While it is normal to keep some belongings for sentimental reasons, leaving everything unchanged might hinder the grieving process.

D. “I can make it through most of the day before I feel like crying.” While it's normal to experience a range of emotions during grief, excessive suppression of emotions can hinder the healing process. It's important for the client to allow themselves to grieve and express their emotions in healthy ways.

A. The client who is recovering from a motor vehicle collision. B. The client that is recently divorced. C. The client experiencing the symptoms of menopause. D. The client newly diagnosed with lung cancer.

Correct Answer is B

Explanation

A. The client who is recovering from a motor vehicle collision. This situation involves an acute stressor related to trauma, which is significant but not a developmental stressor.

B. The client that is recently divorced. Divorce is a significant life event that can contribute to developmental stress, especially if it involves major life changes and adjustment issues.

C. The client experiencing the symptoms of menopause. Menopause is a normal developmental phase, though it can be stressful. However, it is less likely to be classified as a significant risk factor compared to other life events.

D. The client newly diagnosed with lung cancer. A new cancer diagnosis is a major stressor and can contribute to significant emotional and psychological stress, but it is more of an acute stressor than a developmental one.

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The nurse is administering a subcutaneous injection to a client. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

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