The practical nurse (PN) plans to administer an IM injection into the mid anterior thigh. Which muscle group should be identified as the site of administration?-
Rectus abdominis.
Rectus femoris.
Gluteus medius.
Gluteus maximus.
The Correct Answer is B
A. Rectus abdominis: The rectus abdominis is a muscle in the abdomen, not the thigh. It is not used for intramuscular injections, as it does not provide the necessary mass or safe anatomical location for such injections.
B. Rectus femoris: The rectus femoris is located in the mid anterior thigh and is a common site for intramuscular injections, especially when other sites are not ideal. It provides easy access, sufficient muscle mass, and fewer major nerves or blood vessels.
C. Gluteus medius: The gluteus medius is located in the upper outer quadrant of the buttock, commonly used for dorsogluteal or ventrogluteal injections, not for injections into the anterior thigh.
D. Gluteus maximus: The gluteus maximus forms the bulk of the buttocks and is used for dorsogluteal injections. It is not located in the anterior thigh and is associated with greater risk of hitting major nerves like the sciatic nerve.
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Related Questions
Correct Answer is B
Explanation
A. Rectus abdominis: The rectus abdominis is a muscle in the abdomen, not the thigh. It is not used for intramuscular injections, as it does not provide the necessary mass or safe anatomical location for such injections.
B. Rectus femoris: The rectus femoris is located in the mid anterior thigh and is a common site for intramuscular injections, especially when other sites are not ideal. It provides easy access, sufficient muscle mass, and fewer major nerves or blood vessels.
C. Gluteus medius: The gluteus medius is located in the upper outer quadrant of the buttock, commonly used for dorsogluteal or ventrogluteal injections, not for injections into the anterior thigh.
D. Gluteus maximus: The gluteus maximus forms the bulk of the buttocks and is used for dorsogluteal injections. It is not located in the anterior thigh and is associated with greater risk of hitting major nerves like the sciatic nerve.
Correct Answer is C
Explanation
A. Acknowledge the client's concerns and notify the healthcare provider of the client's wishes: While it is important to acknowledge the client's feelings, immediately notifying the healthcare provider is not the first or most critical action. The client first needs a clear explanation of the purpose of the advance directive.
B. Ask a family member to describe the client's stated wishes regarding end-of-life care: Involving family members at this stage may undermine the client's autonomy. The focus should be on informing and empowering the client to make his own decisions.
C. Explain that the form identifies his personal health care wishes for any future event: It is important to clarify that advance directives are not just for those who are dying but help ensure that healthcare decisions align with the client’s wishes if he becomes unable to communicate in the future. Clear communication can ease misunderstandings and support informed decision-making.
D. Document his refusal in his electronic medical record using his exact words: While documentation is important, it should occur after ensuring that the client fully understands the purpose of the form. Providing education first supports client rights and informed consent.
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