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
None
The Correct Answer is D
A. A filter needle is used when withdrawing medication from an ampule, but it is not used to administer the injection. After withdrawal, the filter needle should be replaced with a regular IM needle for administration.
B. The ampule should be broken by snapping the neck away from the body, not by bending it to the side, to prevent injury.
C. The nurse should gently tap the top of the ampule, not the bottom, to move the solution downward before opening.
D. The correct technique is to insert the needle into the center of the ampule to withdraw medication, ensuring that the bevel remains below the fluid line to avoid drawing up air.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
B. Sharps containers should be replaced when they are 3/4 full to prevent overfilling, which could increase the risk of needlesticks when trying to dispose of sharps. Ensuring sharps containers are not overfilled helps maintain a safe environment by reducing the risk of accidental puncture injuries during disposal.
A. Used razors should be disposed of in puncture-resistant sharps containers, not in regular wastebaskets. Sharps containers are specifically designed to safely contain sharp objects to prevent accidental injuries.
C. Using two hands to recap a needle is unsafe and increases the risk of accidental needlestick injuries. It's important to educate healthcare workers to avoid recapping needles whenever possible.
D. Breaking needles before disposal is unsafe and increases the risk of injury. Needles should be disposed of intact in a puncture-resistant sharps container.
Correct Answer is B
Explanation
B. One of the significant changes that occur with aging is a decline in kidney function. This includes a decrease in renal blood flow, glomerular filtration rate (GFR), and the ability of the kidneys to concentrate urine. These changes can impair the body's ability to conserve water and maintain electrolyte balance, increasing the risk of dehydration.
A. As individuals age, there is actually a decrease in the percentage of body water relative to lean body mass. This is because aging is associated with an increase in adipose tissue and a decrease in muscle mass, which affects the overall body composition.
C Saliva production typically decreases with age, rather than increases. Reduced saliva production can contribute to dry mouth and may affect hydration status indirectly, but it is not a primary factor in increasing dehydration risk in older adults.
D. While changes in blood pressure can occur with aging, such as an increase in systolic blood pressure due to arterial stiffening, this does not directly contribute to an increased risk of dehydration. Blood pressure changes are more related to cardiovascular health rather than fluid balance.
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