Which is the priority action of the nurse immediately after administration of an intramuscular injection?

Inform the patient that the injection is complete.

Assess the patient's level of comfort.

Engage the safety sheath over the needle.

Ensure that there is no bleeding at the injection site.

Answer and Explanation

The Correct Answer is C

Choice A reason: Informing the patient is secondary; it addresses communication but not immediate safety risks like needlestick injury, which is a higher priority post-injection per occupational health standards.

Choice B reason: Assessing comfort is important but not urgent; pain evaluation can wait after securing the needle, as safety from sharps exposure outweighs immediate patient feedback in priority.

Choice C reason: Engaging the safety sheath prevents needlestick injuries; it’s the priority action to protect the nurse and others from bloodborne pathogens, aligning with universal precautions post-injection.

Choice D reason: Checking for bleeding is routine but not critical; minor oozing is common and manageable later, while needle safety is an immediate concern to prevent infection risks.

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"]

Explanation

Choice A reason: Multiple pharmacies increase polypharmacy risk; 16 prescriptions across four sources raise chances of duplication or interactions, lacking centralized oversight.

Choice B reason: Five hypertension drugs signal polypharmacy; excessive medications for one condition heighten interaction risks, potentially causing adverse effects or toxicity.

Choice C reason: Daughter’s help with eyedrops aids compliance; this single-task assistance doesn’t inherently increase drug numbers or polypharmacy-related risks.

Choice D reason: Weekly warfarin tests monitor safety; this manages one drug’s effect, not indicating polypharmacy, but rather appropriate therapeutic oversight.

Choice E reason: Allergies affect drug choice, not quantity; this doesn’t contribute to polypharmacy, as it’s a sensitivity issue, not a medication count concern.

A. Place the tablet in the patient's mouth next to the cheek. B. Have the patient swallow the tablet with a sip of water. C. Crush the tablet and dissolve it in a teaspoon of water. D. Place the tablet under the patient's tongue.

Correct Answer is D

Explanation

Choice A reason: Positioning the tablet next to the cheek alters absorption and delays onset. Sublingual placement ensures rapid effect.

Choice B reason: Swallowing bypasses sublingual absorption, reducing efficacy. The route is critical for desired therapeutic outcomes.

Choice C reason: Crushing and dissolving disrupts integrity, compromising rapid sublingual absorption. Proper administration maintains efficacy.

Choice D reason: Sublingual placement allows rapid dissolution and absorption via mucous membranes, ensuring swift therapeutic action.

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

Which is the priority action of the nurse immediately after administration of an intramuscular injection?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which assessment finding indicates that the patient is at risk from polypharmacy? (Select all that apply.)

Correct Answer is ["A"]

Explanation

How will the nurse administer a nitroglycerin sublingual tablet to the patient?

Correct Answer is D

Explanation

After the nurse hands a client a medication, the client says, "What is this red tablet for? I have always taken a yellow pill." What is the most appropriate action for the nurse to take?

Using the label, what is the strength of the medication? (No label; assuming Zestril from prior context.)

Which of the following drug orders will provide the fastest pain relief for the patient?

Using the label, what is the trade name of the medication? (No label provided; assuming Zestril from prior context.)

The physician gives orders to infuse 1 unit (250 mL) of packed red blood cells over 4 hours. Calculate the flow rate in milliliters per hour.

When administering a medication, a nurse should check the label on the drug container against the MAR when removing the drug container from the client's medication drawer, when removing the drug from the medication container, and:

Which nursing action is appropriate when pulling the plunger of the syringe back prior to administering medication and blood is aspirated in the syringe?

The nurse is caring for a client who has difficulty swallowing a large tablet of a prescribed drug. What action should the nurse take first?