A nurse is preparing to administer 2.5 mL of medication intramuscularly to an adult client. Which of the following is the safest site for the nurse to use?

Ventrogluteal

Dorsogluteal

Vastus lateralis

Rectus femoris

Answer and Explanation

The Correct Answer is A

A. Ventrogluteal: The ventrogluteal site is preferred for intramuscular injections in adults because it is well away from major nerves and blood vessels, can safely accommodate larger volumes (up to 3 mL), and has a thick muscle mass, reducing the risk of injury.

B. Dorsogluteal: The dorsogluteal site is associated with a higher risk of sciatic nerve injury and is less preferred for intramuscular injections, especially for larger volumes. Its use is generally discouraged in adults.

C. Vastus lateralis: The vastus lateralis is safe for intramuscular injections, particularly in infants and toddlers, and can accommodate moderate volumes. However, in adults, the ventrogluteal site is safer and more comfortable for larger injections.

D. Rectus femoris: The rectus femoris is rarely used for intramuscular injections in adults because it is less accessible, more painful, and carries a higher risk of injury to underlying structures. It is generally reserved for self-injection or special circumstances.

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Correct Answer is A

Explanation

A. Hospice care improves quality of life through palliative care: Hospice focuses on providing comfort, symptom management, and emotional support for clients with terminal illnesses. The primary goal is enhancing quality of life rather than curing the underlying disease.

B. Hospice care provides 24-hr, in-home care: While hospice offers support and on-call services, it does not guarantee continuous 24-hour in-home care. Family caregivers remain the primary providers of daily care, with hospice staff available for assistance as needed.

C. Hospice care is intended to postpone death: Hospice care is not designed to prolong life but to ensure comfort and dignity at the end of life. Interventions are focused on symptom relief rather than curative treatments.

D. Hospice care encourages the family to coordinate health care services: Hospice staff coordinate care, relieving the family of managing complex medical needs. Families are supported rather than being responsible for coordinating all services themselves.

A. Plan the incorporation of new behaviors into daily life. B. Promote the client's dependence on the caregiver. C. Solve problems using a model applicable to the client's perspective. D. Mutually decide on the goals for the client's treatment

Correct Answer is D

Explanation

A. Plan the incorporation of new behaviors into daily life: This is part of the working phase of the therapeutic relationship, where interventions are implemented and the client practices new behaviors. It is not the focus of the orientation phase.

B. Promote the client's dependence on the caregiver: The goal of therapeutic relationships is to foster autonomy, trust, and self-efficacy, not dependence. Encouraging dependence can hinder the client’s progress and is not appropriate at any phase.

C. Solve problems using a model applicable to the client's perspective: Problem-solving occurs primarily during the working phase, once trust is established and goals are clear. It is not the main objective during the orientation phase.

D. Mutually decide on the goals for the client's treatment: The orientation phase focuses on building trust, establishing rapport, and collaboratively identifying goals for treatment. Engaging the client in goal setting ensures clarity, promotes cooperation, and sets the foundation for a therapeutic relationship.

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A nurse is preparing to administer 2.5 mL of medication intramuscularly to an adult client. Which of the following is the safest site for the nurse to use?

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