The nursing student is administering an IM influenza vaccine. The nurse preceptor knows to intervene when the nursing student makes which of the following statements?

"I can give the IM injection 2 inches from the umbilicus."

"I will utilize the Z-track method for all IM injections."

"I will administer the IM injection at a 90-degree angle."

"I will administer the vaccine in the client's deltoid because it is less than 1 mL in volume."

Answer and Explanation

The Correct Answer is A

A. "I can give the IM injection 2 inches from the umbilicus.": The abdominal area (around the umbilicus) is a common site for subcutaneous injections, not intramuscular ones; IM injections for vaccines should be placed into an appropriate muscle (e.g., deltoid, ventrogluteal, vastus lateralis), so this location is not appropriate for an IM vaccine.

B. "I will utilize the Z-track method for all IM injections.": The Z-track technique is recommended for certain irritating or staining medications to prevent tracking into subcutaneous tissue, but it is not necessary for routine IM vaccines; using it universally is unnecessary and may complicate simple vaccine administration.

C. "I will administer the IM injection at a 90 degree angle.": Intramuscular injections are given at a 90° angle to ensure the needle reaches muscle tissue; this statement reflects proper technique for IM delivery.

D. "I will administer the vaccine in the client's deltoid because it is less than 1 mL in volume.": The deltoid is an appropriate IM site for adult vaccinations when the volume is small (usually ≤1 mL) and muscle mass is adequate, so this statement aligns with usual vaccine-site selection.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is ["A","B","C","D","H"]

Explanation

A. connecting: Chosen as the item that best represents acceptance from the Kubler-Ross model -reconnecting with others or reestablishing a new sense of meaning is consistent with the final stage.

B. denial: Represents the initial stage characterized by shock, disbelief, or refusal to accept the reality of loss.

C. anger: Reflects frustration, resentment, or hostility directed toward the situation, others, or oneself during the grieving process.

D. depression: A stage involving deep sadness, withdrawal, and decreased interest in usual activities as the reality of loss is processed.

E. aggression: Describes hostile or violent behavior, which is not one of the five Kubler-Ross stages and refers more to acting out than to a recognized grief stage.

F. controlling: Refers to attempts to manage or micromanage situations and is not one of the five stages of grief.

G. distancing: Means withdrawing or avoiding others; while it can appear in grief, it isn’t listed as one of the classic five stages.

H. bargaining: Involves attempts to negotiate or make deals (often with a higher power) in hopes of reversing or delaying the loss and is one of the five stages.

A. Recap the needle after giving an injection. B. Use needleless devices whenever possible. C. Remove needle and dispose in sharps box. D. Never force needles into the sharps disposal. E. Use clearly marked sharps disposal containers.

Correct Answer is ["B","D","E"]

Explanation

A. Recap the needle after giving an injection: Avoid recapping needles because it increases the risk of accidental needlestick injuries; safe practice is to dispose of the needle/syringe immediately without recapping.

B. Use needleless devices whenever possible: Utilizing needleless systems and safety-engineered devices reduces the number of opportunities for percutaneous injury and is a recommended prevention strategy.

C. Remove needle and dispose in sharps box: After completing the procedure, the entire needle/syringe assembly should be placed directly into a puncture-resistant, clearly marked sharps container without recapping or removing the needle from the syringe.

D. Never force needles into the sharps disposal: Do not force items into the sharps container -forcing can lead to accidental puncture or spills; use an appropriate-sized container that is accessible and not overfilled.

E. Use clearly marked sharps disposal containers: Clearly labeled, puncture-resistant sharps containers placed at point of use are essential for safe, timely disposal and to minimize handling.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nursing student is administering an IM influenza vaccine. The nurse preceptor knows to intervene when the nursing student makes which of the following statements?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Select the 5 stages of grief to the selected answers column. You will select only 5 answers.

Correct Answer is ["A","B","C","D","H"]

Explanation

A nurse is following safety principles to reduce the risk of needlestick injury. Which actions will the nurse take? Select all that apply. One, some, or all options may be correct.

Correct Answer is ["B","D","E"]

Explanation

A 78-year-old client with arthritis in the left knee is utilizing a cane. The nurse has determined that the client is using the cane properly when

The nurse is discussing home medications with the client. The nurse knows that metabolism of medications occur mostly in the

There are terms a nurse will need to know as they work in the clinical arena. When receiving shift report, the off-going nurse mentions that the client is having their blood glucose checked AC HS. The nurse knows that AC HS refers to:

Stage the following:

The nurse is assessing the way a client ambulates. Which aspects are the nurse assessing during ambulation? Select all that apply. One, some, or all may be correct

A client has been diagnosed with impaired physical mobility. Which SMART goal is correct for this client?

Which of the following are considered HIGH RISK medications?