A nurse is preparing to administer intramuscular epinephrine to a client who is experiencing anaphylaxis. Which of the following sites should the nurse use?

Ventrogluteal

Vastus lateralis

Dorsogluteal

Deltoid

Answer and Explanation

The Correct Answer is B

B. This location is preferred because it provides rapid and higher peak plasma epinephrine levels compared to other sites, which is crucial during an anaphylactic emergency.

A While this can be a safe IM injection site in some adults, it's not the preferred location for epinephrine during anaphylaxis. The muscle mass in the ventrogluteal area might be less reliable for quick absorption of the medication in an emergency situation.

C. avoided due to its proximity to major nerves (sciatic nerve) and blood vessels, which can lead to complications such as nerve damage or accidental injection into a blood vessel.

D. The deltoid is generally not recommended because it has a smaller muscle mass compared to the ventrogluteal or vastus lateralis sites.

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Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"C"}

Explanation

The nurse should plan to first administer 0.9% sodium chloride followed by Insulin

Rationale

Intravenous fluid resuscitation takes priority in the management of DKA due to the severe dehydration that occurs due to osmotic diuresis.

The next step is to administer intravenous insulin infusion as per the prescribed rate.

A. Remind the client of the importance of medication adherence. B. Tell the client to avoid places where there are large crowds of people. C. Initiate a referral for the client to a home health agency. D. Instruct the client to avoid eating raw vegetables.

Correct Answer is C

Explanation

C. This action demonstrates advocacy by ensuring the client has access to necessary support services that can help them maintain independence and receive adequate care in their home environment.

A Reminding the client about medication adherence is important for the client's health management, but they do not directly advocate for the client's autonomy and support system.

B. While this advice is prudent for reducing infection risk, it may limit the client's social interactions and independence. Advocacy involves balancing health promotion with the client's autonomy and quality of life.

D. Raw vegetables may carry a risk of foodborne infections, which can be more severe for individuals with compromised immune systems, such as those with AIDS.

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A nurse is preparing to administer intramuscular epinephrine to a client who is experiencing anaphylaxis. Which of the following sites should the nurse use?

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Naxlex Comprehensive Predictor Exams

Exhibits The nurse should plan to first administer dropdown followed by dropdown

Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"C"}

Explanation

A nurse is teaching a client who has AIDS and wishes to continue self-care at home despite living alone. Which of the following actions by the nurse demonstrates client advocacy?

Correct Answer is C

Explanation

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