A nurse is preparing to administer tetanus and diphtheria toxoids (Td) to a client. What technique the nurse should plan to use?
The Correct Answer is ["intramuscular injection technique"]
The Td vaccine is typically administered into the muscle, most commonly in the deltoid muscle of the upper arm for adults. The IM injection technique involves inserting the needle into the muscle and injecting the vaccine into the muscle tissue.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
range-of-motion exercises are within the scope of practice for an AP and do not require specialized nursing knowledge or assessment skills. The AP can assist the client in performing these exercises to promote circulation, maintain joint mobility, and prevent complications associated with immobilization.
Determining the circulation status of the affected extremities, evaluating the need for restraints, and providing education to the client's family about the purpose of restraints require nursing assessment, critical thinking, and communication skills. These tasks should be performed by a licensed nurse who can make clinical judgments and ensure the safety and well-being of the client.
Correct Answer is D
Explanation
Ensure that the client has given informed consent.
Obtaining informed consent is a critical step before any medical procedure. It ensures that the client understands the nature of the procedure, its risks, benefits, and alternatives, and voluntarily consents to it. It is essential to ensure that the client has given their informed consent before proceeding with the EGD.
The other options do not directly pertain to the EGD procedure:
- Administering an oral contrast solution is typically not part of the preparation for an EGD.
- Informing the client about the duration of the procedure is important for the client's understanding, but it is not the primary action for the nurse to take.
- Ensuring that the client's bladder is full is not a standard preparation for an EGD.
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