A nurse is planning to administer ceftriaxone IM to an adult client. Which of the following actions should the nurse plan to take?
Administer the medication using a 5/8-inch needle.
Administer the medication using a Z-track technique.
Administer the medication in the deltoid muscle.
Administer the medication at a 45° angle.
The Correct Answer is B
A) Administer the medication using a 5/8-inch needle:
Ceftriaxone is typically administered using a longer needle to ensure proper injection into the muscle. A 5/8-inch needle is more suitable for subcutaneous injections rather than intramuscular (IM) injections.
B) Administer the medication using a Z-track technique:
The Z-track technique is appropriate for IM injections of medications like ceftriaxone, which can be irritating to tissues. This technique helps prevent the medication from leaking into the subcutaneous tissue and minimizes discomfort by creating a zigzag path in the muscle.
C) Administer the medication in the deltoid muscle:
Ceftriaxone is generally administered in larger muscle groups, such as the vastus lateralis or gluteus muscle, rather than the deltoid. The deltoid is more commonly used for vaccines or smaller volume injections.
D) Administer the medication at a 45° angle:
For IM injections, the needle should be inserted at a 90° angle to the skin. A 45° angle is more appropriate for subcutaneous injections.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) Platelets 190,000/mm³:
A platelet count of 190,000/mm³ is within the normal range (typically 150,000 to 450,000/mm³). This result does not indicate a need for immediate concern in the context of warfarin therapy.
B) PT 45 seconds:
A prothrombin time (PT) of 45 seconds is significantly elevated. This indicates that the blood's clotting ability is excessively prolonged, which could increase the risk of bleeding complications in a client taking warfarin. Immediate notification to the provider is necessary to potentially adjust the dosage or investigate further.
C) Hgb 16 g/dL:
A hemoglobin level of 16 g/dL is within the normal range for adults (typically 13.8 to 17.2 g/dL for males and 12.1 to 15.1 g/dL for females). This result does not warrant concern in relation to warfarin therapy.
D) Hct 44%:
A hematocrit level of 44% is within the normal range (generally 40% to 50% for males and 36% to 48% for females). This result does not indicate an issue related to warfarin therapy.
Correct Answer is B
Explanation
A) Administer the medication using a 5/8-inch needle:
Ceftriaxone is typically administered using a longer needle to ensure proper injection into the muscle. A 5/8-inch needle is more suitable for subcutaneous injections rather than intramuscular (IM) injections.
B) Administer the medication using a Z-track technique:
The Z-track technique is appropriate for IM injections of medications like ceftriaxone, which can be irritating to tissues. This technique helps prevent the medication from leaking into the subcutaneous tissue and minimizes discomfort by creating a zigzag path in the muscle.
C) Administer the medication in the deltoid muscle:
Ceftriaxone is generally administered in larger muscle groups, such as the vastus lateralis or gluteus muscle, rather than the deltoid. The deltoid is more commonly used for vaccines or smaller volume injections.
D) Administer the medication at a 45° angle:
For IM injections, the needle should be inserted at a 90° angle to the skin. A 45° angle is more appropriate for subcutaneous injections.
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