Which criterion should a nurse use to determine the proper length of the needle to administer a subcutaneous (subcut) medication?

Age of the client.

Viscosity of the solution.

Amount of adipose tissue over the muscle.

Quantity of the solution to be administered.

Answer and Explanation

The Correct Answer is C

The proper length of the needle to administer a subcutaneous injection depends on the amount of adipose tissue over the muscle.

The needle should be long enough to reach the subcutaneous layer but not so long that it penetrates the muscle. The needle gauge and length vary depending on the patient’s size and the injection site

Choice A is wrong because the age of the client does not determine the needle length.

However, age may affect the amount of adipose tissue and muscle mass, which are factors to consider when choosing a needle length.

Choice B is wrong because the viscosity of the solution does not determine the needle length. However, viscosity may affect the needle gauge, which is the diameter of the needle.

Thicker solutions may require larger gauge needles to allow easier flow.

Choice D is wrong because the quantity of the solution does not determine the needle length.

However, quantity may affect the syringe size, which is the volume of medication that can be held by the syringe.

The syringe size should match the prescribed dose as closely as possible to ensure accuracy and ease of measurement.

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Correct Answer is ["B","C"]

Explanation

The nurse should use clarifying points made by the patient that are unclear and listening attentively while speaking slowly and clearly as communication techniques when performing a health history.

These techniques help the nurse to gather accurate and comprehensive information from the patient and to establish rapport and trust.

Choice A is wrong because avoiding silences can make the patient feel rushed or interrupted. Silences can be useful to allow the patient to think or express emotions.

Choice D is wrong because sitting approximately two feet away from the client may be too close and invade the personal space of the client. The nurse should maintain a comfortable distance of about 4 to 5 feet from the client, depending on the cultural norms and preferences of the client.

Choice E is wrong because asking the family member to complete the written form may not reflect the true health history of the client. The nurse should obtain the information directly from the client whenever possible, unless the client is unable or unwilling to provide it.

A. Has the client had negative interactions with other clients in the past?. B. Does the client have hostile thoughts about others?. C. Is the client fearful of others on the unit?. D. What are the client’s cultural norms?.

Correct Answer is D

Explanation

What are the client’s cultural norms? This question is important because it helps to assess whether the client’s behavior is influenced by their cultural background and values, which may differ from those of the staff and other clients.

For example, some cultures may value privacy, modesty, or respect for elders more than others, and may avoid eye contact or social interaction as a sign of politeness or deference.

Understanding the client’s cultural norms can help to provide culturally sensitive and appropriate care.

Choice A is wrong because it assumes that the client’s behavior is caused by negative interactions with other clients, which may not be the case.

Choice B is wrong because it assumes that the client’s behavior is caused by hostile thoughts about others, which may not be the case.

Choice C is wrong because it assumes that the client’s behavior is caused by fear of others in the unit, which may not be the case.

These choices are not relevant to planning the client’s care and may reflect bias or stereotyping on the part of the staff.

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Which criterion should a nurse use to determine the proper length of the needle to administer a subcutaneous (subcut) medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is performing a health history. What communication techniques should the nurse use? Select all that apply.

Correct Answer is ["B","C"]

Explanation

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Correct Answer is D

Explanation

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