A nurse is preparing to administer heparin subcutaneously to a client.
Which of the following is an appropriate action by the nurse?
Use a 1-inch needle to inject the medication.
Use a 22-gauge needle to inject the medication.
Massage the injection site after administration of the medication.
Inject the medication into the abdomen above the level of the iliac crest.
The Correct Answer is D
“Inject the medication into the abdomen above the level of the iliac crest.” When administering heparin subcutaneously, it is appropriate to inject the medication into the abdomen above the level of the iliac crest 1.
Choice A is not correct because a 1-inch needle may be too long for subcutaneous injection.
A shorter needle, such as a 3/8 to 5/8 inch needle, is typically used for subcutaneous injections.
Choice B is not correct because a 22-gauge needle may be too large for subcutaneous injection.
A smaller gauge needle, such as a 25- or 27-gauge needle, is typically used for subcutaneous injections.
Choice C is not correct because massaging the injection site after administering heparin can increase the risk of bruising and should be avoided.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
NPH insulin is an intermediate-acting insulin that usually starts to work about 1 to 3 hours after injection and peaks 4 to 12 hours later12.
Peak time is when insulin has its strongest effect on lowering blood glucose1.
Choice A: 30 minutes to 3 hours is not the answer because NPH insulin usually starts to work about 1 to 3 hours after injection and peaks 4 to 12 hours later12.
Choice B: 2 to 6 hours is not the answer because NPH insulin usually starts to work about 1 to 3 hours after injection and peaks 4 to 12 hours later12.
Choice C: 4 to 5 hours is not the answer because NPH insulin usually starts to work about 1 to 3 hours after injection and peaks 4 to 12 hours later12.
Correct Answer is B
Explanation
The nurse should administer 2 tablets.
Since each tablet contains 1.5 mg of dexamethasone, to administer a dose of 3 mg, the nurse should give 3 mg / 1.5 mg/tablet = 2 tablets.
Choice A is incorrect because 1 tablet would only provide a dose of 1.5 mg.
Choice C is incorrect because 3 tablets would provide a dose of 4.5 mg.
Choice D is incorrect because 4 tablets would provide a dose of 6 mg.
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