When administering insulin by subcutaneous injection to a very thin patient, which adjustment in injection technique should you use to reduce the risk for complications?
a. Selecting a 30-gauge needle rather than a 28-gauge needle
b. Switching the injection site to the thigh rather than the abdomen
c. Applying pressure for at least 5 minutes after removing the needle
d. Placing the needle at a 45-degree angle rather than at a 90-degree angle
ANS: D
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A patient is admitted with acute, painful muscle spasms and suffers from intermittent porphyria, an inherited enzyme deficiency. Which of the following muscle relaxants is contraindicated due to the patient's history of porphyria?
A) Baclofen (Lioresal) B) Carisoprodol (Soma) C) Diazepam (Valium) D) Dantrolene (Dantrium)
The responsibility of the nurse caring for a victim of child abuse in the emergency room would include which of the following?
A) Prohibiting parents from visiting until more facts are obtained B) Prohibiting the babysitter from staying to offer support C) Suggesting to the attending physician that the child be admitted for observation D) Asking the child what was happening that led to the abuse
A client needs discharge teaching regarding the use of a walker before going home. The client's room is small and adjacent to a soda machine and small lounge area. In planning a teaching session, which is the best thing the nurse can do?
1. Wait until just prior to discharge, then do the teaching in the hospital lobby. 2. Close the door to the client's room and make sure there is no clutter on the floor before the teaching session begins. 3. Take the client to a larger area (treatment room, for example) for teaching, then evaluate on the way back to the client's room. 4. Make sure a physical therapist is available to do the teaching and can see the client before discharge.
The nurse is taking vital signs on adolescents and keeps in mind which of the following facts about baseline vital signs?
a. Adolescent females have a slightly lower systolic blood pressure and a slightly higher pulse and body temperature than males. b. The pulse of the adolescent female is often slightly irregular compared to the regular pulse of the male. c. It is not unusual to find a pathological murmur in the male and a physiological murmur in the female. d. The male body temperature, pulse, and blood pressure are usually higher than the female's.