A nurse is preparing to administer an insulin injection for a client. Which of the following actions should the nurse take?
Rapidly inject the insulin using a 20-gauge 1-inch needle.
Insert the needle into the right thigh at a 90" angle.
Administer the insulin using a tuberculin syringe at a 15° angle.
Slowly inject the insulin using the Z-track method.
The Correct Answer is B
B. The correct angle for insulin injections is typically 90 degrees when administering into areas with adequate subcutaneous tissue, such as the abdomen or thigh.
A. Insulin injections should not be administered rapidly, as this can cause discomfort or bruising at the injection site. Additionally, a 20-gauge needle is too large for insulin injections, which typically require smaller gauge needles.
C. Insulin injections are typically administered using insulin syringes, not tuberculin syringes. Additionally, the recommended angle for insulin injections is 90 degrees, not 15 degrees.
D. The Z-track method is a technique used to minimize medication leakage or staining of the skin when administering certain medications, particularly those with irritating properties or medications given intramuscularly.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
B. Headache, particularly a pounding headache or throbbing sensation, is a well-known side effect of nitroglycerin use. It occurs due to the vasodilatory effects of nitroglycerin, which can lead to dilation of blood vessels in the head and neck.
A. Ringing in the ears, also known as tinnitus, is not a common adverse effect of nitroglycerin. Tinnitus is typically associated with certain medications, exposure to loud noises, or underlying medical conditions such as inner ear disorders. It is not a recognized adverse effect of nitroglycerin.
C. Nitroglycerin is not known to increase blood pressure. In fact, it typically causes vasodilation and can lead to a decrease in blood pressure, especially when used sublingually or transdermally. Hypotension, rather than hypertension, is a potential adverse effect of nitroglycerin therapy.
D. Polyuria, or excessive urination, is not a recognized adverse effect of nitroglycerin. Polyuria may occur as a result of other medications or underlying medical conditions affecting renal function, but it is not directly associated with nitroglycerin use.
Correct Answer is A
Explanation
A. Celecoxib is contraindicated in individuals with a history of hypersensitivity reactions, including anaphylaxis, angioedema, or urticaria, to sulfonamides. Sulfonamide antibiotics are structurally related to sulfonamide nonantibiotics, including celecoxib, and cross-sensitivity reactions may occur in some individuals.
B. Penicillin allergy is not a contraindication for celecoxib. There is no cross-reactivity between penicillin antibiotics and celecoxib, as they are different classes of medications.
C. Concurrent use of chondroitin is not a contraindication for celecoxib. Chondroitin is a dietary supplement commonly used for joint health, and there are no known interactions or contraindications between chondroitin and celecoxib.
D. Concurrent use of calcium supplements is not a contraindication for celecoxib. There are no known interactions between calcium supplements and celecoxib, and they can be safely used together if indicated.
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