When preparing medication from a vial for a subcutaneous injection for a client, which of the following actions should the nurse take?

Hold the syringe so that bubbles collect at the level of the plunger.

Hold the vial with the top facing upward while injecting air into the vial.

Inject air into the vial with the eye of the needle immersed in the fluid.

Hold the syringe at a 45° angle to verify dosage.

Answer and Explanation

The Correct Answer is B

When preparing medication from a vial for subcutaneous injection for a client, the nurse should hold the vial with the top facing upward while injecting air into the vial.
This is because injecting air into the vial equalizes the pressure inside and makes it easier to withdraw the medication 1.
Choice A is wrong because holding the syringe so that bubbles collect at the level of the plunger is not necessary when preparing medication from a vial.
Choice C is wrong because injecting air into the vial with the eye of the needle immersed in the fluid can contaminate the medication.
Choice D is wrong because holding the syringe at a 45° angle is not necessary when verifying dosage.

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Correct Answer is C

Explanation

“This test will provide information about the function of your liver.” An alanine aminotransferase (ALT) test measures the level of ALT in the blood, which is an enzyme found primarily in the liver.

Elevated levels of ALT can indicate liver damage or disease.

Choice A, “This test will indicate if you are at risk for developing blood clots,” is not correct as an ALT test does not provide information about blood clot risk.

Choice B, “This test will determine if your heart is performing properly,” is not correct as an ALT test does not provide information about heart function.

Choice D, “This test is used to check how your kidneys are working,” is not correct as an ALT test does not provide information about kidney function.

A. Leave it until the end of the shift. B. Remove the drain. C. Empty the reservoir. D. Notify the surgeon about the blood loss.

Correct Answer is ["C"]

Explanation

Leaving the drain until the end of the shift is not appropriate because it could lead to complications such as:

Hematoma formation:Blood accumulation in the tissues surrounding the drain can put pressure on surrounding structures,potentially impairing blood flow and causing tissue damage.
Infection:A reservoir containing blood provides a favorable environment for bacterial growth,increasing the risk of infection.
Drain occlusion:Clotted blood can block the drain,preventing effective drainage and leading to fluid buildup and potential infection.
Decreased wound healing:Excessive blood loss can delay wound healing by depriving the tissues of necessary oxygen and nutrients.

Removing the drain without the surgeon's order is not appropriate because:

Premature removal:It could disrupt the healing process and lead to complications such as fluid collection or infection.
Assessment limitation:Removing the drain would eliminate the ability to monitor ongoing blood loss and could mask potential complications.

A Jackson-Pratt drain works by creating suction when the bulb is squeezed and emptied¹. The bulb should be emptied before it is more than half full to avoid the discomfort of the weight of the drain pulling on the internal tubing and to maintain the suction

Notifying the surgeon about the blood loss is wrong because it is not an urgent situation unless there are signs of excessive bleeding, such as bright red blood, clots, or a sudden increase in the amount of drainage²³. The surgeon should be notified if the drainage is more than 100 ml in 24 hours or if the color changes from serosanguineous (pink) to sanguineous (red)

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When preparing medication from a vial for a subcutaneous injection for a client, which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is scheduled to have his alanine aminotransferase (ALT) level checked. The client asks the nurse to explain the laboratory test. Which of the following is an appropriate response by the nurse?

Correct Answer is C

Explanation

While assessing the client's abdomen, you note that the Jackson-Pratt drain's reservoir is expanded and half full of blood. Which is the appropriate action for you to take at this time?.

Correct Answer is ["C"]

Explanation

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