The nurse is to administer a volume of 2 mL intramuscularly (IM) to a 150-pound client.
Assuming that there are no skin problems, which is the preferred site for the injection?

Deltoid

Dorsogluteal

Ventrogluteal

Vastus lateralis

Choice A rationale: The deltoid muscle may not accommodate larger volumes as comfortably as other sites. Choice B rationale: The dorsogluteal site is not recommended due to the risk of injury to the sciatic nerve. Choice C rationale: The ventrogluteal site is the preferred site for IM injections in adults, providing a safe and well-vascularized muscle. Choice D rationale: The vastus lateralis is a suitable site for infants and young children but may not be the most comfortable for adults receiving a 2 mL injection.

Answer and Explanation

The Correct Answer is C

Choice A rationale: The deltoid muscle may not accommodate larger volumes as comfortably as other sites.

Choice B rationale: The dorsogluteal site is not recommended due to the risk of injury to the sciatic nerve.

Choice C rationale: The ventrogluteal site is the preferred site for IM injections in adults, providing a safe and well-vascularized muscle.

Choice D rationale: The vastus lateralis is a suitable site for infants and young children but may not be the most comfortable for adults receiving a 2 mL injection.

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Correct Answer is B

Explanation

Choice A rationale: A sodium level of 142 mEq/L is within the normal range.

Choice B rationale: A potassium level of 3.2 mEq/L is below the normal range, indicating potential hypokalemia and requiring attention, especially if the client is on a diuretic.

Choice C rationale: A hematocrit level of 44% is within the normal range.

Choice D rationale: A chloride level of 100 mEq/L is within the normal range.

A. Encourage eating potassium-rich foods. B. Restrict sodium in the diet C. Decrease water intake D. Monitor vital signs E. Monitor intake and output.

Correct Answer is ["B","D","E"]

Explanation

Choice A rationale: Hypernatremia involves elevated sodium levels, so encouraging potassium-rich foods is not directly related to addressing hypernatremia.

Choice B rationale: Restricting sodium in the diet is appropriate to help manage and reduce hypernatremia. This can prevent further complications of hypernatremia, such as dehydration, confusion, seizures, and coma.

Choice C rationale: This is not an appropriate intervention for hypernatremia, as water intake can help dilute the sodium levels and restore the fluid balance in the body.

Decreasing water intake can worsen the hypernatremia and cause dehydration. Choice D rationale: This is an appropriate intervention for hypernatremia, as high sodium levels can affect the fluid balance and blood pressure in the body. Monitoring

vital signs can help detect any changes or abnormalities that may indicate worsening of the condition or need for further treatment.

Choice E rationale: Monitoring intake and output helps assess fluid balance and response to interventions for hypernatremia.

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The nurse is to administer a volume of 2 mL intramuscularly (IM) to a 150-pound client. Assuming that there are no skin problems, which is the preferred site for the injection?

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Naxlex Comprehensive Predictor Exams

The nurse notes that a diuretic is listed on the client's medication administration record (MAR). It is most important for the nurse to report to the physician a serum:

Correct Answer is B

Explanation

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Correct Answer is ["B","D","E"]

Explanation

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The nurse is to administer a volume of 2 mL intramuscularly (IM) to a 150-pound client.
Assuming that there are no skin problems, which is the preferred site for the injection?