The nurse is getting ready to administer an IM injection. The client tells the nurse that during a previous hospitalization the nurse hit the sciatic nerve during an IM injection and he doesn't want an injection in that location again. Which sites could the nurse use to accommodate the client's request? Select all that apply.
Deltoid
Ventral aspect of forearm
Dorsogluteal
Ventrogluteal
Vastus Lateralis
Correct Answer : A,D,E
A. Deltoid: The deltoid (upper arm) is a standard IM site for small volumes usually 1 mL or less. It is far removed from the sciatic nerve.
B. Ventral aspect of forearm: This site is used for Intradermal (ID) injections (like TB skin tests) or IV access, not for Intramuscular (IM) injections.
C. Dorsogluteal: This is the specific site the patient is complaining about. The dorsogluteal site (upper outer quadrant of the buttock) poses a significant risk of injury to the sciatic nerve and superior gluteal artery. It is generally no longer recommended for use due to these risks.
D. Ventrogluteal: The ventrogluteal site (hip) involves the gluteus medius and minimus muscles. It is the safest and preferred site for deep IM injections because it is free of major nerves and blood vessels.
E. Vastus Lateralis: The vastus lateralis (side of the thigh) is a large, well-developed muscle that is safe for IM injections and distant from the sciatic nerve.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D","E"]
Explanation
A. Discard the vial since it should not be used again:A multiuse vial is specifically designed to be used multiple times, often for up to 28 days after opening (depending on the medication and facility policy), provided aseptic technique is maintained.
B. Label the vial with the date first used:Labeling the vial with the date it was opened is crucial for ensuring the medication is not used past its expiration date (usually 28 days after opening).
C. Label the vial with the facility's phone number:The facility's phone number is irrelevant to the safe use and tracking of the medication vial.
D. Label the vial with the time opened:While the date is essential, the time opened is also critical for establishing the exact 28-day (or other specified period) expiration time for the opened vial.
E. Label the vial with the nurse's initials:Adding the initials of the nurse who opened it provides accountability and a point of contact for any questions regarding the vial's history.
Correct Answer is A
Explanation
A. powder:Many medications, particularly antibiotics and certain injectables, are manufactured as a stable powder (lyophilized or desiccated) to ensure a long shelf life. Once they are reconstituted (dissolved) with a diluent, the resulting liquid solution often has a short stability period (e.g., 7 to 28 days) and must be stored under specific conditions (refrigeration) to maintain potency before it expires.
B. capsule:Capsules are solid oral medications intended to maintain their potency until they are swallowed and dissolved by gastric acid in the stomach. They do not lose potency merely by being in their packaged form.
C. liquid:Medications already formulated as a stable liquid solution maintain their labeled potency until the manufacturer's expiration date, regardless of whether they were recently opened, unless they were improperly stored.
D. tablet:Tablets are solid, compressed medications that are highly stable and designed to retain full potency until their manufacturer-specified expiration date.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
