A nurse is teaching a client who has multiple allergies about using an epinephrine auto-injector.
Which of the following instructions should the nurse include?
Avoid massaging the site after injection.
Inject the medication into the abdomen.
Administer the medication through clothing if necessary.
Aspirate prior to administration of the medication.
The Correct Answer is C
The nurse should instruct the client to administer the medication through clothing if necessary.

In an emergency, an epinephrine auto-injector can be given through clothing.
Choice A is wrong because massaging the site after injection is not mentioned as something to avoid in the instructions for using an epinephrine auto-injector.
Choice B is wrong because the medication should be injected into the outer thigh, not the abdomen.
Choice D is wrong because aspiration prior to administration of the medication is not mentioned as a necessary step in the instructions for using an epinephrine auto-injector.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation

Some people believe that saw palmetto may help reduce symptoms of benign prostate hypertrophy (BPH).
The nurse should suggest that the client discuss this supplement with their provider.
Choice Ais wrong because black cohosh is not commonly used to treat BPH.
Choice Bis wrong because feverfew is not commonly used to treat BPH.
Choice D is wrong because garlic is not commonly used to treat BPH.
Correct Answer is C
Explanation
- A. Assist the client to a left lateral position.
- This is generally used for clients at risk of aspiration, and it's not indicated based on the lithium level.
- B. Implement fluid restrictions.
- Fluid restrictions are usually implemented when there is a risk of fluid overload or hyponatremia, and not in this case. In fact, dehydration can raise lithium levels to toxic levels, so proper hydration is important.
- C. Request a dosage increase from the provider.
- While 0.6 mEq/L is within the therapeutic range, some providers may want to see a level slightly higher for maintenance. So requesting a dosage increase from the provider is the correct action.
- D. Prepare the client for hemodialysis.
- Hemodialysis is used to remove lithium from the blood in cases of severe lithium toxicity, which is indicated by levels significantly higher than 1.5 mEq/L. This is not needed when the lithium level is 0.6 mEq/L.
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