The nurse is giving an intramuscular (IM) injection. Upon aspiration, the nurse notices blood return in the syringe. What should the nurse do?

Give the injection and hold pressure over the site for 3 minutes.

Administer the injection at a slower rate.

Withdraw the needle and prepare the injection again.

Pull the needle back slightly and inject the medication.

Answer and Explanation

The Correct Answer is C

A. Continuing with the injection after seeing blood return increases the risk of injecting into a blood vessel, which is not safe for IM injections.
B. Administering at a slower rate does not address the issue of possible intravascular injection.
C. If blood is aspirated, the correct procedure is to withdraw the needle, dispose of the medication, and prepare a new dose to prevent intravascular administration, as IM injections are meant to be given into muscle tissue, not into a vein.
D. Pulling the needle back slightly is not recommended because it does not ensure that the needle is completely out of the blood vessel.

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Correct Answer is B

Explanation

A. Childhood obesity may indicate dietary and lifestyle issues but does not directly reflect sociocultural factors affecting developmental problems.
B. Prolonged poverty can significantly impact a child's development by limiting access to resources such as nutrition, education, and healthcare, thus signaling a potential developmental issue.
C. Family relocation can cause stress and adjustment challenges but is not as directly associated with long-term developmental problems as prolonged poverty.
D. Loss of stamina may be a physical issue but does not necessarily correlate with sociocultural factors that would indicate developmental concerns.

A. "Atelectasis affects only those with chronic conditions such as emphysema." B. "Hyperventilation will open up my alveoli, preventing atelectasis." C. "It is important to do breathing exercises every hour to prevent atelectasis." D. "If I develop atelectasis, I will need a chest tube to drain excess fluid."

Correct Answer is C

Explanation

A. Atelectasis can occur in anyone, not just those with chronic conditions; this statement is incorrect.
B. While hyperventilation may temporarily open alveoli, it is not a preventative measure for atelectasis.
C. Breathing exercises, such as incentive spirometry or deep breathing, are effective in preventing atelectasis by promoting lung expansion and alveolar ventilation.
D. A chest tube is typically used to remove air or fluid from the pleural space, not for the treatment of atelectasis, which is often managed with respiratory therapies.

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The nurse is giving an intramuscular (IM) injection. Upon aspiration, the nurse notices blood return in the syringe. What should the nurse do?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which sociocultural finding in the history of a patient will alert the nurse to a possible developmental problem?

Correct Answer is B

Explanation

A nurse teaches a patient about atelectasis. Which statement by the patient indicates an understanding of atelectasis?

Correct Answer is C

Explanation

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