The nurse must give a client an intramuscular injection of a medication which is very irritating to the subcutaneous tissues. To attempt to reduce irritation of the tissues, which action should the nurse take?
Use a small gauge needle
Use the Z-track method
Administer at a 45-degree angle
Apply ice to the injection site
The Correct Answer is B
Choice A rationale: Using a small gauge needle may reduce pain but does not specifically address tissue irritation.
Choice B rationale: The Z-track method is used to reduce irritation and prevent leakage of irritating medications into the subcutaneous tissues.
Choice C rationale: Administering at a 45-degree angle is a common angle for intramuscular injections but does not specifically address tissue irritation.
Choice D rationale: Applying ice to the injection site is not a standard practice for reducing tissue irritation with intramuscular injections.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"B"}
Explanation
Choice A rationale: Stage I pressure ulcers involve intact skin with non-blanchable redness, and there is no mention of intact skin in the scenario.
Choice B rationale: Stage II pressure ulcers involve partial thickness skin loss, typically presenting as an abrasion, blister, or shallow crater, which aligns with the description provided.
Choice C rationale: Stage III pressure ulcers involve full-thickness skin loss with damage to or necrosis of subcutaneous tissue but do not match the described scenario.
Choice D rationale: Stage IV pressure ulcers involve full-thickness skin loss with extensive destruction, tissue necrosis, or damage to muscle, bone, or supporting structures, which does not align with the description of partial thickness skin loss in the scenario.
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Correct Answer is ["A","E"]
Explanation
Choice A rationale: Renal impairment can affect drug excretion and clearance, impacting pharmacokinetics.
Choice B rationale: Muscle sprain is not directly related to pharmacokinetics. Choice C rationale: Hearing impairment is not directly related to pharmacokinetics.
Choice D rationale: Vaginal infection may not have a direct impact on pharmacokinetics unless it is systemic.
Choice E rationale: Liver failure can affect drug metabolism, leading to altered pharmacokinetics.
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