You are to give an adult a tetanus toxoid IM injection. Which are the proper gauge needle and injection angle?
1. 18 gauge, 90 degrees
2. 21 gauge, 90 degrees
3. 24 gauge, 45 degrees
4. 21 gauge, 45 degrees
ANS: 2
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Why would the nurse encourage the patient who is recovering from a modified radical mastectomy to exercise the affected arm?
a. To reduce pain b. To stimulate appetite c. To reduce lymphedema d. To increase muscle tension
A nurse is reviewing pediatric physical assessment techniques. Which statement about performing a pediatric physical assessment is correct?
a. Physical examinations proceed systematically from head to toe unless developmental considerations dictate otherwise. b. The physical examination should be done with parents in the examining room for children of any age. c. Measurement of head circumference is done until the child is 5 years old. d. The physical examination is done only when the child is cooperative.
The nurse is caring for a child receiving chemotherapy for leukemia. The child's granulocyte count is 600/mm3 and platelet count is 45,000/mm3. What oral care should the nurse recommend for this child?
a. Rinsing mouth with water b. Daily toothbrushing and flossing c. Lemon glycerin swabs for cleansing d. Wiping teeth with moistened gauze or Toothettes
A client has had a severe brain injury, and has been in a rehab hospital for several months. Recently, the client developed pneumonia. She is currently on IV antibiotic therapy for this. Which level of prevention addresses the pneumonia?
A) Acute B) Secondary C) Primary D) Tertiary