The nurse is preparing to administer heparin sodium subcutaneously. Which nursing action is the most appropriate?
1. Apply heat after the injection.
2. Use a 21- to 23-gauge, 1-inch (2.5 cm) needle.
3. Use a 25- to 26-gauge, ?-inch (1.5 cm) needle.
4. Aspirate before injection of the medication.
Ans: 3. Use a 25- to 26-gauge, ?-inch (1.5 cm) needle.
Explanation: For subcutaneous heparin sodium injection, a 25- to 26-gauge, ?-inch (1.5 cm) needle is used to prevent tissue trauma and inadvertent intramuscular injection. The application of heat may affect the absorption of the heparin sodium and cause bleeding. A 1-inch (2.5 cm) needle would inject the heparin sodium into the muscle. Aspiration before injection is an incorrect technique with heparin sodium administration because it could cause bleeding in the tissues.
You might also like to view...
A health care organization is using the quality concepts of lean thinking and decentralization as part of their redesign efforts
Which initiatives would this organization undertake? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Any changes to processes in the facility will be approved at the vice president level. 2. Nurses who have made over five medication errors in the last 12 months will be terminated. 3. Outcome data will be analyzed to identify successful interventions. 4. The primary focus will be on a few major initiatives. 5. Previous quality improvement efforts may or may not be discarded.
The physician has ordered 1 g of aminophylline in 1000 mL of D5W. It is to infuse at 12 mcg/kg/min per infusion pump. The patient weighs 110 lb. What is the correct IV rate in mL/hr? Round off to the closest whole number
A) 35 B) 36 C) 37 D) 38
A nurse caring for a client taking a drug that can cross the blood-brain barrier determines the client is experiencing possible neurotoxicity when which symptoms are observed?
1. Visual changes 2. Loss of balance 3. Sedation 4. Depression 5. Nausea and vomiting
Which intervention should the nurse implement to identify allergic or other adverse reactions when first administering an herbal product?
1. Take less than the recommended dose initially 2. Use only one herbal product at a time 3. Check with a reputable pharmacist 4. Never take them with prescription medications