The nurse is administering medications to several patients. Which action should the nurse take?
a. Advise a patient after a corticosteroid inhaler treatment to rinse mouth with water.
b. Administer an intravenous medication through tubing that is infusing blood.
c. Pinch up the deltoid muscle of an adult patient receiving a vaccination.
d. Aspirate before administering a subcutaneous injection in the abdomen.
ANS: A
If the patient uses a corticosteroid, have him or her rinse the mouth out with water or salt water or brush teeth after inhalation to reduce risk of fungal infection. Piercing a blood vessel during a subcutaneous injection is very rare. Therefore, aspiration is not necessary when administering subcutaneous injections. When giving immunizations to adults: to avoid injection into subcutaneous tissue, spread the skin of the selected vaccine administration site taut between the thumb and forefinger, isolating the muscle. Never administer IV medications through tubing that is infusing blood, blood products, or parenteral nutrition solutions.
You might also like to view...
The nurse is assessing the older adult client. As the nurse completes the nursing care plan for the client, which of the following places the client at risk for infection? Standard Text: Select all that apply
1. The client has been voluntarily restricting fluid intake due to issues with incontinence. 2. The client's skin has become thinner and drier, and the client exhibits signs of pruritis. 3. The client has decreased sebum production. 4. The gastric emptying time is delayed. 5. The client has diminished calcium absorption.
Two men who are strangers on opposing teams might grapple together on a football field but they would never think of allowing their bodies to come into contact in the shower after the game. This is an example of what?
1. awareness 2. paralanguage 3. personal space 4. body language
A client tells the nurse they are experiencing pain and noticed some drainage from their left ear. Which objective finding indicates the client may have developed acute otitis media?
A. Clear watery drainage. B. Mucus-like drainage. C. Yellowish-reddish drainage. D. Reddened ear canal.
Considerations when the nurse plans for nutritional needs of a client in liver failure include all except:
a. fatigue and anorexia. b. ascites and abdominal pain. c. hypometabolic state and anabolism. d. fat malabsorption and reduced nutrient storage.