The nurse is preparing a subcutaneous (SC) injection medication for an average-sized client.
The needle should be inserted at Select. degrees, and the skin should be Select.

15, taut.

45, pinched.

90, stretched.

45, Z-tracked.

Answer and Explanation

The Correct Answer is B

Choice A rationale

A 15-degree angle is typically used for intradermal injections, where the medication is deposited just beneath the epidermis to form a bleb, not for subcutaneous injections which target the adipose tissue layer. Taut skin is also incorrect for subcutaneous.

Choice B rationale

For an average-sized client receiving a subcutaneous injection, a 45-degree angle facilitates optimal medication deposition into the subcutaneous adipose tissue layer. Pinching the skin helps to elevate the subcutaneous tissue away from underlying muscle, reducing the risk of intramuscular injection.

Choice C rationale

A 90-degree angle is typically used for intramuscular injections in most adults, aiming to deposit medication deep into muscle tissue. Stretching the skin is generally more appropriate for intramuscular injections rather than subcutaneous.

Choice D rationale

Z-tracking is a technique primarily used for intramuscular injections of irritating medications to prevent leakage back into subcutaneous tissue. It is not a standard technique for subcutaneous injections, which use a different angle and skin manipulation.

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Correct Answer is ["35"]

Explanation

Step 1 is to calculate the total drops to be infused. 100 mL × 15 gtt/mL = 1500 gtt.

Step 2 is to calculate the flow rate in drops per minute. 1500 gtt ÷ 30 minutes = 50 gtt/min. The final calculated answer is 50 gtt/min

Correct Answer is ["1.2"]

Explanation

Step 1 is to locate the medication label. It is stated that Label #4 contains SoluMedrol.

Step 2 is to identify the concentration of SoluMedrol on Label #4. Assuming Label #4 indicates SoluMedrol 125 mg/2 mL (This is a common concentration; specific label details are not provided in the prompt, so a typical concentration is assumed for calculation purposes).

Step 3 is to calculate the volume to be administered. Volume (mL) = (Ordered dose ÷ Available concentration). Volume (mL) = (75 mg ÷ 125 mg/2 mL). Volume (mL) = (75 mg ÷ 125 mg) × 2 mL. Volume (mL) = 0.6 × 2 mL. Volume (mL) = 1.2 mL. The nurse will administer 1.2 mL.

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The nurse is preparing a subcutaneous (SC) injection medication for an average-sized client. The needle should be inserted at Select. degrees, and the skin should be Select.

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Naxlex Comprehensive Predictor Exams

The physician orders Kefzol 2 g in 100 mL of NS IVPB to infuse over 30 minutes. Tubing drop factor is 15 gtt/mL. Calculate the flow rate in drops per minute. (ROUND TO WHOLE NUMBER: LABEL CORRECTLY TO RECEIVE CREDIT)

Correct Answer is ["35"]

Explanation

The physician has ordered SoluMedrol 75 mg IM. How many milliliters will the nurse administer? (Use LABEL #4 - SoluMedrol: ROUND TO TENTHS PLACE: LABEL CORRECTLY TO RECEIVE CREDIT)

Correct Answer is ["1.2"]

Explanation

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The nurse is preparing a subcutaneous (SC) injection medication for an average-sized client.
The needle should be inserted at Select. degrees, and the skin should be Select.