The nurse is managing care for a client on the medical unit.

Exhibits

The health care provider prescribes testosterone (Depo-testosterone) via the intramuscular (IM) route for this client to treat hypogonadism. Which of the following sites should the nurse administer this medication? Drag and drop the word from the choices below to best answer the question.

Appropriate site to administer this medication:

Lower left

abdominal area

Deltoid muscle

Under the tong

Answer and Explanation

The Correct Answer is C

A.   Lower left: The lower left is not a recommended site for intramuscular injections.
B.   Abdominal area: The abdomen is typically used for subcutaneous injections, not intramuscular.
C.   Deltoid muscle: The deltoid muscle is a common site for intramuscular injections, especially for smaller volumes.
D.   Under the tongue: The sublingual route is used for certain medications but is not appropriate for intramuscular injections.

Nursing Test Bank

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Free Nursing Study Resources

Correct Answer is B

Explanation

A. Vomiting is not typically associated with extrapyramidal symptoms (EPS). However, prochlorperazine is used to prevent nausea and vomiting, so vomiting would not be related to EPS.
B. Restlessness (also called akathisia) is a common symptom of EPS, which is a movement disorder that can occur as a side effect of antipsychotic medications like prochlorperazine. Other symptoms may include tremors, rigidity, and bradykinesia.
C. Pulmonary edema is not a sign of EPS. It is a serious condition involving fluid accumulation in the lungs, typically related to heart failure or other serious health conditions.
D. Nausea is not a sign of EPS. While prochlorperazine is used to treat nausea, EPS symptoms typically involve abnormal movements or muscle control issues.

A. Metformin interacts with lodine-containing contrast dye, which can increase the risk of acute renal failure. B. Metformin comes in an oral form C. A complication of metformin is weight gain D. Metformin is used as a first-line medication for type 2 diabetes.

Correct Answer is ["A","B","D"]

Explanation

A. Metformin interacts with iodine-containing contrast dye, increasing the risk of acute renal failure. Clients should temporarily stop metformin before undergoing contrast procedures.
B. Metformin is available in an oral form and is commonly prescribed for type 2 diabetes.
C. Weight gain is not a common side effect of metformin; in fact, it is often associated with weight neutrality or mild weight loss.
D. Metformin is typically used as a first-line medication for managing type 2 diabetes.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse administered prochlorperazine (Compazine) IV to a client three hours ago. The nurse understands that a complication of this medication includes extrapyramidal symptoms (EPS). Which of the following signs indicate EPS?

Correct Answer is B

Explanation

A client presents to the clinic with a new diagnosis of type 2 diabetes and wants to know more information on metformin. Which of the following statements are TRUE regarding metformin (Glucophage)? (Select All That Apply.).

Correct Answer is ["A","B","D"]

Explanation

Which of the following routes is affected by the first-pass effect?

A nurse is providing an in-service on the complications of overdosing on morphine, such as the opioid toxicity triad. Which of the following signs and symptoms should the nurse include in her in-service about opioid toxicity triad?

A nurse is providing an in-service on raloxifene (Evista) to a group of female clients. What is the pregnancy risk category of raloxifene (Evista)?

A client is newly diagnosed with erectile dysfunction and has been prescribed sildenafil (Viagra). Which of the following statements should the nurse NOT include in her client education about sildenafil (Viagra)? (Select All That Apply.).

A nurse is teaching a client who has osteoporosis and a new prescription for alendronate (Fosamax). Which of the following instructions should the nurse provide?

A nurse is caring for a client that is newly prescribed with omeprazole (Prilosec). Which of the following options is a correct indication for omeprazole Prilosec)?

A client is prescribed ethinyl estradiol and drospirenone (Yasmin) to prevent pregnancy. The client missed two days of her medication. What is an appropriate client education for this client?