The nurse is preparing to administer a rectal suppository.
In what position should the nurse place the client?

Sims.

Dorsal recumbent.

Prone.

Supine.

Answer and Explanation

The Correct Answer is A

Choice A rationale

The Sims position, also known as left lateral position with the right knee flexed, is ideal for rectal suppository administration. This position allows for optimal visualization and access to the anus, while gravity aids in the retention of the suppository by minimizing premature expulsion.

Choice B rationale

The dorsal recumbent position, where the patient lies on their back with knees flexed and feet flat on the bed, is not optimal for rectal suppository administration. This position makes rectal access difficult and does not utilize gravity to aid in suppository retention, potentially leading to discomfort.

Choice C rationale

The prone position, where the patient lies on their stomach, is not suitable for rectal suppository administration. This position severely limits access to the rectal area, making insertion difficult and uncomfortable for both the patient and the nurse.

Choice D rationale

The supine position, where the patient lies flat on their back, is not ideal for rectal suppository administration. Similar to dorsal recumbent, this position makes adequate visualization and comfortable access to the anus challenging, potentially increasing patient discomfort and insertion difficulty.

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

Explanation

Choice A rationale

The anterior thighs are a permissible site for subcutaneous injections because they offer a good layer of subcutaneous fat, which allows for proper absorption of the medication. The vastus lateralis muscle, located in this region, is often used, providing a safe and accessible area for injection due to its distance from major nerves and blood vessels.

Choice B rationale

The area 2 inches around the umbilicus, while containing subcutaneous tissue, is generally avoided for routine subcutaneous injections due to the presence of numerous blood vessels and nerve endings, which can increase the risk of pain, bruising, and potential complications. It's often reserved for specific medications like insulin.

Choice C rationale

The posterior upper arm, specifically the triceps area, is a common and appropriate site for subcutaneous injections. This region provides a sufficient layer of subcutaneous tissue for medication absorption and is relatively free of major nerves and blood vessels, minimizing discomfort and potential complications for the patient.

Choice D rationale

The lateral aspect of the thigh is a frequently used and recommended site for subcutaneous injections. Similar to the anterior thigh, this area offers a large surface of subcutaneous fat, facilitating optimal drug absorption and reducing the likelihood of injecting into muscle or hitting critical neurovascular structures.

Choice E rationale

The forearms, particularly the ventral aspect, are generally not preferred sites for routine subcutaneous injections due to the thinner subcutaneous tissue layer and the proximity of numerous blood vessels and nerves. This area is more commonly used for intradermal injections, where a shallower injection is required.

A. 0.5 ml. B. 1 ml. C. 2 ml. D. 1.5 ml.

Correct Answer is B

Explanation

Choice A rationale

Administering only 0.5 mL subcutaneously is a common volume for certain medications, but it is not the maximum. Larger volumes can sometimes be administered, depending on the site and medication characteristics, without causing undue tissue distention or discomfort.

Choice B rationale

The subcutaneous tissue layer has a limited capacity for fluid absorption, and volumes exceeding 1 mL can cause tissue distention, discomfort, and potentially impair absorption due to increased pressure. This volume minimizes local tissue irritation and ensures optimal medication uptake into the systemic circulation.

Choice C rationale

Administering 2 mL subcutaneously is generally discouraged due to the potential for significant tissue distention, discomfort, and pain. Such a large volume can also lead to poor absorption and increased risk of local adverse reactions, making it an impractical and often unsafe choice for routine subcutaneous injections.

Choice D rationale

While 1.5 mL is closer to the maximum, it often pushes the limits of comfortable and effective subcutaneous administration. This volume may cause considerable discomfort, particularly in clients with limited subcutaneous tissue, and can compromise absorption rates.

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The nurse is preparing to administer a rectal suppository. In what position should the nurse place the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Permissible sites for subcutaneous injections are? (SELECT 3 CORRECT OPTIONS)

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

Explanation

What is the maximum amount of medication that is usually administered subcutaneously?

Correct Answer is B

Explanation

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The nurse is preparing to administer a rectal suppository.
In what position should the nurse place the client?