The nurse is to administer a volume of 2 mL intramuscularly (IM) to a 150-pound client.
Assuming that there are no skin problems, which is the preferred site for the injection?

Deltoid

Dorsogluteal

Ventrogluteal

Vastus lateralis

Choice A rationale: The deltoid muscle may not accommodate larger volumes as comfortably as other sites. Choice B rationale: The dorsogluteal site is not recommended due to the risk of injury to the sciatic nerve. Choice C rationale: The ventrogluteal site is the preferred site for IM injections in adults, providing a safe and well-vascularized muscle. Choice D rationale: The vastus lateralis is a suitable site for infants and young children but may not be the most comfortable for adults receiving a 2 mL injection.

Answer and Explanation

The Correct Answer is C

Choice A rationale: The deltoid muscle may not accommodate larger volumes as comfortably as other sites.

Choice B rationale: The dorsogluteal site is not recommended due to the risk of injury to the sciatic nerve.

Choice C rationale: The ventrogluteal site is the preferred site for IM injections in adults, providing a safe and well-vascularized muscle.

Choice D rationale: The vastus lateralis is a suitable site for infants and young children but may not be the most comfortable for adults receiving a 2 mL injection.

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Correct Answer is D

Explanation

Choice A rationale: S/P (status post) is not the correct abbreviation for the administration route of a glycerin suppository.

Choice B rationale: RS is not the correct abbreviation for the administration route of a glycerin suppository.

Choice C rationale: R is not the correct abbreviation for the administration route of a glycerin suppository.

Choice D rationale: PR (per rectum) is the correct abbreviation for the administration route of a glycerin suppository.

A. suctioning once every eight hours is a part of routine pulmonary nursing care. B. the physician has prescribed suctioning every hour. C. the client has thick sputum, and routinely coughs and swallows his sputum. D. the client has gurgling respirations, and is unable to cough.

Correct Answer is D

Explanation

Choice A rationale: Suctioning is not typically performed as part of routine pulmonary nursing care every eight hours. It is indicated based on the client's clinical need.

Choice B rationale: Suctioning frequency should be determined by the client's condition and physician's orders, not a fixed hourly schedule.

Choice C rationale: Routine coughing and swallowing of sputum do not necessarily warrant suctioning. Suctioning is indicated when the client is unable to manage secretions effectively.

Choice D rationale: Suctioning is appropriate when the client has gurgling respirations and is unable to cough effectively, indicating the need to clear the airway.

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The nurse is to administer a volume of 2 mL intramuscularly (IM) to a 150-pound client. Assuming that there are no skin problems, which is the preferred site for the injection?

Nursing Test Bank

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Correct Answer is D

Explanation

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The nurse is to administer a volume of 2 mL intramuscularly (IM) to a 150-pound client.
Assuming that there are no skin problems, which is the preferred site for the injection?