A nurse administered ketorolac 30 mg IM to a client who is postoperative.
Which of the following information should the nurse document? (Select all that apply)
Gauge and length of needle.
Medication expiration date.
Dose of medication administered.
Site of injection.
Time of administration.
Correct Answer : A,C,D,E
Choice A rationale:
The gauge and length of needle used for an IM injection are important to document. This information can help track which supplies were used and can be useful for future reference.
Choice B rationale:
While it’s important to check the medication expiration date before administration, it’s not typically documented after administering medication.
Choice C rationale:
The dose of medication administered should always be documented. This helps ensure accurate medical records and allows healthcare providers to track how much of a medication a patient has received.
Choice D rationale:
The site of injection should be documented. This can help prevent complications such as repeated use of the same injection site.
Choice E rationale:
The time of administration should be documented. This helps keep track of when the patient received their medication, which is crucial for medications that need to be given at specific intervals.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Asking the client to demonstrate dose delivery can be part of patient education and helps ensure that the client understands how to use the PCA device. This action does not require intervention.
Choice B rationale:
The nurse administering a PCA dose for the client requires intervention. PCA stands for “Patient-Controlled Analgesia,” meaning that only the patient should administer doses to themselves. This prevents overdosing and ensures that pain medication is administered according to the patient’s needs.
Choice C rationale:
Reassuring the client that the PCA device will not cause an overdose is appropriate because PCA devices are designed with safety measures to prevent overdosing.
Choice D rationale:
Monitoring for oversedation is an important part of care for a client using a PCA device. This action does not require intervention.
Correct Answer is D
Explanation
Choice Arationale:
Aspiration (pulling back on the syringe before injection) is not recommended when administering enoxaparin. This could cause bruising.
Choice Brationale:
You should not massage the site following the injection as this could cause bruising.
Choice Crationale:
With enoxaparin and other low molecular weight heparins, you do not need to expel the air bubble before injecting the medication. The air bubble ensures that all the medication is delivered.
Choice D rationale:
Enoxaparin should be injected into abdominal tissue. This helps ensure proper absorption and reduces the risk of bruising.
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
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.