A nurse is preparing to administer ceftriaxone 3 mL intramuscularly to an adult client. Which of the following actions should the nurse plan to take?

Select a 5/8-inch needle.

Choose a 25-gauge needle.

Locate the ventrogluteal site.

Inject at a 45° angle.

Answer and Explanation

The Correct Answer is C

A. Select a 5/8-inch needle: A 5/8-inch needle is too short for an IM injection in an adult, as it may not reach the muscle tissue adequately.
B. Choose a 25-gauge needle: A 25-gauge needle is too small for an IM injection, as it may make the administration of a 3 mL volume difficult and painful.
C. Locate the ventrogluteal site: The ventrogluteal site is a preferred site for IM injections because it is free of major nerves and blood vessels and can accommodate larger volumes like 3 mL.
D. Inject at a 45° angle: IM injections should be administered at a 90° angle to ensure the medication is delivered into the muscle tissue.

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Correct Answer is C

Explanation

A. Lemon sherbet: Lemon sherbet is not considered a clear liquid; it is more of a semi-solid. This contains dairy (milk or milk derivatives) and might have pulp, disqualifying it from a clear liquid diet.
B. Carrot juice: Carrot juice is not a clear liquid; it contains pulp and is opaque.
C. Grape juice: Grape juice is a clear liquid and is appropriate for a clear liquid diet.
D. Skim milk: While skim milk is a good source of protein and calcium, it's a dairy product and not considered a clear liquid.

A. Urine output 20 mL/hr B. Bradycardia C. Sodium 142 mEq/L D. Cool skin

Correct Answer is A

Explanation

A. Urine output 20 mL/hr: Oliguria, or low urine output (less than 30 mL/hr), is a common sign of dehydration.
B. Bradycardia: Dehydration typically causes tachycardia (increased heart rate) as the body compensates for decreased blood volume.
C. Sodium 142 mEq/L: A sodium level of 142 mEq/L is within the normal range (135-145 mEq/L) and does not indicate dehydration.
D. Cool skin: Dehydration usually results in warm, dry skin due to decreased perfusion and sweating.

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A nurse is preparing to administer ceftriaxone 3 mL intramuscularly to an adult client. Which of the following actions should the nurse plan to take?

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