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.

Answer and Explanation

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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Correct Answer is ["A","C"]

Explanation

A client who has an understanding of the manifestations of hyperglycemia would know that their breath may have a fruity odor.

This is due to the presence of ketones, which are produced when the body breaks down fat for energy instead of using glucose.

Choice A is also correct.

Blurry vision can be a symptom of hyperglycemia.

High blood sugar levels can cause the lens of the eye to swell, leading to changes in vision.

Choice B is incorrect because hyperglycemia can cause an increase in appetite, not a decrease.

Choice D is incorrect because hyperglycemia can cause an increase in thirst, not a decrease.

This is due to the body’s attempt to flush out excess glucose through increased urination, which can lead to dehydration and increased thirst.

A. "Don't you trust a female AP assigned to your care?". B. "I understand your request to have only male staff members attend to your care.". C. "It's not appropriate to make such a request. All staff members are trained to provide professional care regardless of gender.". D. "I'll arrange for a male AP to do your personal care since you asked for it.".

Correct Answer is B

Explanation

“I understand your request to have only male staff members attend to your care.” This response acknowledges the client’s request and shows that the nurse is willing to listen to his concerns.
Choice A is not the correct answer because it can be perceived as confrontational and may make the client feel uncomfortable.
Choice C is not the correct answer because it dismisses the client’s request and may make him feel unheard.
Choice D is not the correct answer because it implies that the nurse will immediately comply with the client’s request without further discussion or consideration of other options.

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A nurse is preparing to administer heparin subcutaneously to a client. Which of the following is an appropriate action by the nurse?

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Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching about the manifestations of hyperglycemia with a client who has diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is ["A","C"]

Explanation

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Correct Answer is B

Explanation

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A nurse is preparing to administer heparin subcutaneously to a client.

Which of the following is an appropriate action by the nurse?