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 A
Explanation
Choice A rationale: Inhaling slowly to raise the ball to the desired level and attempting to keep the ball raised for several seconds is the correct technique for using an incentive spirometer.
Choice B rationale: Blowing into the mouthpiece with a long slow expiration is not the correct technique for using an incentive spirometer.
Choice C rationale: Beginning breathing with a rapid, forceful inspiration is not the recommended technique for using an incentive spirometer.
Choice D rationale: Exhaling slowly to raise the ball and quickly inhaling is not the correct technique for using an incentive spirometer.
Correct Answer is C
Explanation
Choice A rationale: Telling the nurse manager is not the first action; the immediate focus should be on the client's well-being.
Choice B rationale: Notifying the physician is important, but the immediate concern is addressing the client's condition.
Choice C rationale: Checking the client's blood pressure is the first action to assess the client's response to the medication error.
Choice D rationale: Filing an incident report is important for documenting the error but is not the immediate action in this situation.
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