The nurse is teaching an overweight patient to administer subcutaneous heparin. Which statement by the patient indicates understanding of the teaching?
"I should insert the needle and inject the medication without aspirating for blood."
"I should put firm pressure on the injection site to decrease the risk for bleeding."
"I will insert the needle at a 10-degree angle when injecting."
"The subcutaneous route is used because absorption is faster this way."
The Correct Answer is A
A. When administering subcutaneous heparin, aspiration should be avoided because it can cause tissue damage and increase the risk of hematoma formation. This statement correctly reflects safe administration technique.
B. Firm pressure on the injection site is not recommended after heparin administration because it can increase the risk of bruising and bleeding. Instead, gentle pressure should be applied if necessary.
C. Subcutaneous injections should be given at a 45- to 90-degree angle, depending on the patient’s body mass. A 10-degree angle is too shallow and may result in improper medication delivery.
D. The subcutaneous route does not provide faster absorption than other routes such as intravenous or intramuscular. Instead, it allows for slow, steady absorption, which is desirable for anticoagulants like heparin.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. The ages and relationships of household members are subjective data because they are reported by the patient and not directly measured or observed.
B. Usual dietary patterns and intake are also subjective data, as they rely on patient self-reporting rather than measurable, verifiable findings.
C. A list of herbal supplements regularly used is subjective because it depends on the patient’s recall and self-reporting rather than objective measurement.
D. Lab values are considered objective data because they are measurable, verifiable, and obtained through diagnostic testing rather than patient self-reporting. Objective data are based on observable and quantifiable factors, making them more reliable for clinical decision-making.
Correct Answer is D
Explanation
a) Applying the medication liberally is incorrect because the amount of medication applied should be based on the prescribed dose. Overapplication can lead to excessive absorption and potential systemic effects.
b) Cleaning the skin with alcohol before applying the medication is not always necessary and can cause irritation. Some medications require specific preparation, but alcohol is not a universal requirement.
c) Using sterile technique is generally unnecessary for topical medication application unless the skin is broken or there is an open wound requiring sterility.
d) Wearing gloves is essential to prevent medication absorption through the nurse’s skin and to reduce the risk of contamination or infection.
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