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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Use sterile water to inflate the balloon: There is no balloon in a straight catheterization; this applies to indwelling catheters.
B. Use a sterile specimen container: A sterile specimen container ensures that the sample is not contaminated.
C. Instruct the client to clean from front to back with an antiseptic solution: This is relevant to midstream urine collection but not for straight catheterization.
D. Collect urine from the catheter's port. In straight catheterization, urine is collected directly as it exits the catheter, not from a port.
Correct Answer is B
Explanation
A. Increased blood pressure: Hypovolemia typically causes a decrease in blood pressure, not an increase.
B. Thready pulse: A thready pulse is a common sign of hypovolemia due to decreased blood volume.
C. Dyspnea: While dyspnea can occur, it is not as specific as a thready pulse for hypovolemia.
D. Decreased heart rate: Hypovolemia usually causes an increased heart rate as the body tries to compensate for low blood volume.
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