The nurse administers an injection of iron to a patient using the Z-track method. The nurse recognizes which of the following as advantages of this method? (Select all that apply.)
a. Provides faster absorption of the medication
b. Reduces discomfort from the needle
c. Prevents leakage of the medication into subcutaneous tissue
d. Prevents the drug from irritating sensitive tissue
C, D
The Z-track method is recommended for IM injections. The Z-track technique, which pulls the skin laterally before injection, prevents leakage of medication into subcutaneous tissue, seals medication in the muscle, and minimizes irritation.
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Which drug would a nurse expect to produce a favorable response for both positive and negative symptoms?
a. Haloperidol (Haldol) b. Risperidone (Risperdal) c. Fluphenazine (Prolixin) d. Trifluoperazine (Stelazine)
The nurse must complete a focused, physical assessment on a client after coming to the unit from another floor. Before performing the cardiac assessment, the nurse should:
A) Explain the procedure, then wait for permission to continue. B) Ask the client to stay quiet, since the nurse will be listening to the heart. C) Tell the client what the nurse is doing during the assessment. D) Take the baseline vital signs, then determine whether cardiac auscultation is necessary.
The nurse is analyzing several fetal heart rate patterns. The pattern that would be of most concern to the nurse would be:
1. Moderate long-term variability. 2. Early decelerations. 3. Late decelerations. 4. Accelerations.
Identify the factor that can trigger an asthmatic attack.
A. Deep breathing B. Warm air C. Exercise D. Humidity