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 ["A","B","E"]
Explanation
a) The FDA is responsible for overseeing the testing of drugs for harmful effects, including preclinical trials and clinical trials, to ensure that drugs do not cause unsafe side effects.
b) The FDA ensures that drugs have accurate labeling, including correct dosage, potential side effects, contraindications, and proper use.
c) The FDA does not guarantee that a drug will be free from adverse reactions. While they regulate and monitor drugs, adverse reactions can still occur after approval, and it is the responsibility of healthcare professionals and the manufacturer to monitor for these post-marketing.
d) The FDA does not ensure drug affordability; the pricing of drugs is influenced by many factors, including market forces, healthcare policies, and manufacturer decisions.
e) The FDA ensures that drugs are effective by overseeing clinical trials to demonstrate that the drug has the intended therapeutic effects for its indicated use.
Correct Answer is D
Explanation
a) Encouraging self-application is beneficial in some cases, but it is not always appropriate. The nurse must ensure the medication is applied correctly and safely, especially if the patient has mobility or cognitive impairments.
b) Wearing treatment gloves is important when handling certain medications, but it is not required for all topical applications. Some medications, such as nitroglycerin ointment, require gloves to prevent nurse exposure, but others do not.
c) Changing gloves between skin preparation and medication application is not a universal requirement. In most cases, the same pair of gloves can be used unless contamination occurs.
d) Performing effective hand hygiene before and after applying the medication is the most essential action to prevent infection and cross-contamination.
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