A nurse is preparing to administer an IM injection to a client using a medication from an ampule. Which of the following actions should the nurse plan to take?

Administer the medication using a filter needle.

Break the ampule by bending the top to the side.

Flick the bottom of the ampule several times.

Withdraw medication from the center of the ampule.

None

Answer and Explanation

The Correct Answer is A

A. Using a filter needle is indeed a recommended practice when withdrawing medication from an ampule. This is because filter needles are designed to prevent glass particles from being drawn into the syringe after breaking the ampule.

B. Ampules should not be bent to open them. The proper method involves using a gauze or an ampule opener to snap the neck of the ampule away from the body. Bending the ampule can lead to shards of glass, risking injury to the nurse or contamination of the medication.

C. The ampule should be tapped gently to ensure all medication is in the lower portion before opening.

D. Withdrawing medication from the center of the ampule is the correct action because it ensures that the needle does not touch the broken glass edges, which could contaminate the medication or dull the needle.

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Correct Answer is B

Explanation

B. It occurs when there is an abnormally high concentration of potassium in the bloodstream, typically above 5.0 mEq/L. Symptoms of hyperkalemia can include chest pain, palpitations, muscle weakness, and potentially life-threatening cardiac arrhythmias.

A. Hypercalcemia refers to elevated levels of calcium in the blood, not potassium.

C. Hypokalemia is the opposite condition where there is a lower-than-normal level of potassium in the blood.

D Hyponatremia refers to a low sodium level in the blood.

A. Locate the middle third of the anterior thigh between the greater trochanter of the femur and the lateral femoral condyle. B. Place one finger across the acromion process and measure 3 fingerbreadths below to the midpoint and center of the lateral aspect of the upper arm. C. Find the center of the anterior aspect of the thigh. D. Locate the center of the arm between the elbow and the shoulder.

Correct Answer is B

Explanation

B. This method is recommended because the deltoid muscle is a large, rounded, triangular muscle that covers the shoulder joint.

A. This description is for locating the vastus lateralis muscle, which is commonly used for intramuscular injections in infants and young children, not adults.

C. This technique is used for locating the rectus femoris muscle, another site for intramuscular injections in infants and young children, not adults.

D. This location is too low, which could miss the muscle tissue and reduce the effectiveness of the vaccine.

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A nurse is preparing to administer an IM injection to a client using a medication from an ampule. Which of the following actions should the nurse plan to take?

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