When giving a patient a penicillin injection, the nurse must keep in mind which of the following? (Select all that apply.)
1. Aspirate before injecting medication.
2. Patient must be watched for 30 minutes for adverse reactions.
3. Poor bleeding response is normal.
4. Plunger deficit accounts for needle length.
1, 2
With IM injections, the nurse should always aspirate (pull back the plunger of the syringe to check for blood) to prevent medication from accidentally being injected into a blood vessel. The patient should be advised to wait 30 minutes before leaving an office or clinic to allow time for health care staff to watch for adverse reactions.
You might also like to view...
What statement made by a parent indicates an understanding about helping a 13-year-old manage his allowance?
a. "I set amounts he can earn for particular chores." b. "I give him a certain amount of money for each day." c. "I put money into his bank account each month." d. "I told him to ask me when he needs money."
The LPN/LVN is assisting with the data collection of a patient recently admitted to the mental health unit. During the interview, the patient makes a statement that concerns the nurse
Which of the following statements would be most likely to prompt immediate attention? A. "When I get out of here I am going to overdose on my mother's medication." B. "When I get discharged, I am thinking I might try suicide again." C. "I don't feel any better since I got here." D. "If I get the chance, I just might run away."
Which of the following nursing interventions would be most effective in trying to maintain catheter patency for the client with an indwelling catheter?
1. Place the drainage bag on the railing at the head of the bed. 2. Coil excess tubing on the bed. 3. Leave the catheter untaped so it can move freely at all times. 4. Restrict fluid intake.
A patient is admitted to the burn unit with burns to the head, face, and hands. Initially, wheezes are heard, but an hour later, the lung sounds are decreased and no wheezes are audible. What is the best action for the nurse to take?
a. Encourage the patient to cough and auscultate the lungs again. b. Notify the health care provider and prepare for endotracheal intubation. c. Document the results and continue to monitor the patient's respiratory rate. d. Reposition the patient in high-Fowler's position and reassess breath sounds.