Which nursing action is appropriate when pulling the plunger of the syringe back prior to administering medication and blood is aspirated in the syringe?
Remove the syringe, discard the medication, and start over.
Give the medication as ordered.
Remove the syringe, change the needle, and give the medication.
Omit the dose.
The Correct Answer is A
Choice A reason: Blood aspiration indicates vascular entry; discarding prevents IV administration of a drug meant for another route, avoiding rapid absorption risks or contamination.
Choice B reason: Giving despite blood risks unintended IV delivery; drugs like IM injections aren’t formulated for this, potentially causing toxicity or embolism.
Choice C reason: Changing the needle doesn’t address blood-mixed medication; it remains unsafe for injection, as the dose is compromised and potentially contaminated.
Choice D reason: Omitting skips treatment unnecessarily; the issue is procedural, not the order, and restarting ensures the patient receives the intended therapy safely.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: IM injections use a 90-degree angle; this ensures deep muscle penetration for average-weight adults, optimizing drug absorption into vascular tissue.
Choice B reason: 45 degrees is for subcutaneous injections; it’s too shallow for IM, risking fat deposition instead of muscle, reducing efficacy in this context.
Choice C reason: 15 degrees is far too shallow; it’s not a standard angle, likely depositing drug in skin layers, failing to reach muscle for intended absorption.
Choice D reason: 25 degrees mimics subcutaneous; it doesn’t reach muscle depth, compromising IM delivery and therapeutic effect in an average-weight client.
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.
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