Subcutaneous Heparin Administration.
A nurse is preparing to administer heparin subcutaneously to a client.
Which of the following actions should the nurse plan to take to minimize bleeding following the injection?
Use the Z-track method to administer the medication.
Grasp skin between thumb and forefinger throughout the injection.
Aspirate the syringe prior to injecting the heparin.
Gently massage the site following the injection.
The Correct Answer is B
When administering heparin subcutaneously, the nurse should grasp the skin between the thumb and forefinger throughout the injection to minimize bleeding following the injection.
Choice A is wrong because Use the Z-track method to administer the medication, is not the correct answer because the Z-track method is a technique used for intramuscular injections, not subcutaneous injections.
Choice C is wrong because Aspirate the syringe prior to injecting the heparin, is not the correct answer because aspiration is not necessary when administering heparin subcutaneously.
Choice D is wrong because Gently massage the site following the injection, is not the correct answer because massaging the injection site can increase the risk of bruising and bleeding.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Combining furosemide with certain aminoglycoside antibiotics like amikacin may increase the risk of hearing loss.
The nurse should monitor this client for hearing loss related to a medication interaction.
Choice A is wrong because there is no known interaction between losartan and atorvastatin that can cause hearing loss.
Choice B is wrong because there is no known interaction between propranolol and raloxifene that can cause hearing loss.
Choice C is wrong because there is no known interaction between digoxin and levothyroxine that can cause hearing loss.
Correct Answer is D
Explanation
Improved cognition should indicate to the nurse that the treatment with a hypertonic solution for hyponatremia is effective.
Hyponatremia can cause confusion and other neurological symptoms, so an improvement in cognition would suggest that the treatment is working to correct the electrolyte imbalance.
Choice A is wrong because Chvostek’s sign is a clinical sign of hypocalcemia, not hyponatremia.
Choice B is wrong because while vomiting can be a symptom of hyponatremia, a decrease in vomiting alone does not necessarily indicate that the treatment is effective.
Choice C is wrong because while hyponatremia can cause cardiac arrhythmias, the absence of arrhythmias alone does not necessarily indicate that the treatment is effective.
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