Which nursing action is appropriate when pulling the plunger of the syringe back prior to administering medication and blood is aspirated in the syringe?

Remove the syringe, discard the medication, and start over.

Give the medication as ordered.

Remove the syringe, change the needle, and give the medication.

Omit the dose.

Answer and Explanation

The Correct Answer is A

Choice A reason: Blood aspiration indicates vascular entry; discarding prevents IV administration of a drug meant for another route, avoiding rapid absorption risks or contamination.

Choice B reason: Giving despite blood risks unintended IV delivery; drugs like IM injections aren’t formulated for this, potentially causing toxicity or embolism.

Choice C reason: Changing the needle doesn’t address blood-mixed medication; it remains unsafe for injection, as the dose is compromised and potentially contaminated.

Choice D reason: Omitting skips treatment unnecessarily; the issue is procedural, not the order, and restarting ensures the patient receives the intended therapy safely.

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Correct Answer is D

Explanation

Choice A reason: Blood pressure matters but isn’t primary; opioids rarely cause acute hypotension initially, and respiratory depression is a more immediate life-threatening risk.

Choice B reason: Temperature is unrelated; opioids don’t primarily affect fever, and this assessment doesn’t address the critical safety concern of opioid administration.

Choice C reason: Pulse is secondary; opioids may slow heart rate mildly, but respiratory suppression is the urgent risk, requiring priority monitoring before dosing.

Choice D reason: Respiratory rate is critical; opioids depress the brainstem, risking apnea, and assessing breathing ensures safety before administering this high-risk medication.

A. Give the drug before a meal. B. Confirm with the patient the site of the last injection. C. Inject the insulin in the deltoid muscle. D. Have another licensed nurse double-check the dose.

Correct Answer is D

Explanation

Choice A reason: Administering insulin at proper timing correlates with mealtimes. However, this alone doesn't ensure safe practice.

Choice B reason: Confirming the injection site prevents lipodystrophy but does not address dose accuracy, which is vital for safety.

Choice C reason: Insulin is injected subcutaneously, not in the deltoid muscle. Using incorrect sites disrupts absorption.

Choice D reason: Double-checking insulin dose prevents administration errors, ensuring compliance with medication safety protocols.

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Which nursing action is appropriate when pulling the plunger of the syringe back prior to administering medication and blood is aspirated in the syringe?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient in pain requests the prescribed pain medication, which is an opioid. Which nursing assessment is essential before administering the opioid?

Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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