A nurse is preparing to administer an IM injection to a client who has gonorrhea.
Which of the following actions should the nurse take?
Inject the medication at least 5 cm (2 in) from the umbilicus.
Use the Z-track technique to administer the medication.
Give the medication without aspirating prior to injection.
Administer the medication with a 27-gauge '/,-inch needle.
The Correct Answer is B
Choice A rationale:
Injecting the medication at least 5 cm (2 in) from the umbilicus is not a standard guideline for IM injections. The site of injection depends on factors such as the volume of medication and patient’s age and muscle mass.
Choice B rationale:
Using the Z-track technique to administer the medication is correct. This technique helps to seal the medication in muscle tissue, reducing leakage into subcutaneous tissue.
Choice C rationale:
Giving the medication without aspirating prior to injection is not recommended. Aspiration ensures that the needle is not in a blood vessel before injecting.
Choice D rationale:
Administering the medication with a 27-gauge '/,-inch needle may not be appropriate for an IM injection, especially for adults. A longer and larger gauge needle is typically used for IM injections.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Oxycodone overdose typically results in constricted (not dilated) pupils due to its action on the central nervous system.
Choice B rationale:
Oxycodone overdose can cause respiratory depression, leading to slow and shallow breathing (bradypnea), not rapid breathing (tachypnea)
Choice C rationale:
Oxycodone does not typically cause tachycardia. It can cause bradycardia due to its action on the central nervous system.
Choice D rationale:
Sedation is a common effect of oxycodone and can be more pronounced in cases of overdose due to the drug’s depressant effect on the central nervous system.
Correct Answer is C
Explanation
Choice A rationale:
Rifampin does not typically cause insomnia.
Choice B rationale:
Rifampin can cause a red or orange discoloration of body fluids, including urine, not blue or green.
Choice C rationale:
It is recommended to take rifampin on an empty stomach, either 1 hour before or 2 hours after a meal.
Choice D rationale:
Unusual hair growth is not a known side effect of rifampin.
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