As part of a postsurgical client's regimen for deep vein thrombosis prevention, she is to receive 5000 units of heparin subcutaneously b.i.d. How can the nurse reduce this client's risk of bruising at the injection sites?
A) By aspirating slightly once, the needle is inserted
B) By gently massaging the injection site for a few seconds after injection
C) By changing the needle after withdrawing the drug from the vial
D) By using the Z-track injection technique consistently
C
Feedback:
Certain modifications are necessary to prevent bruising in the area of heparin injection. The nurse changes the needle after filling the syringe with the dose of heparin; that is, before injecting the client. The nurse does not aspirate the plunger once the needle is in place. Massaging the site is contraindicated because this can increase the tendency for local bleeding. The Z-track technique is used exclusively for IM injections.
You might also like to view...
A nurse assesses a client who is recovering from an ileostomy placement. Which clinical manifestation should alert the nurse to urgently contact the health care provider?
a. Pale and bluish stoma b. Liquid stool c. Ostomy pouch intact d. Blood-smeared output
Which of the following glycoproteins is responsible for treating such diseases as bone marrow failure following chemotherapy and hematopoietic neoplasms such as leukemia?
A) Growth factors and cytokines B) Neutrophils and eosinophils C) T lymphocytes and natural killer cells D) Natural killer cells and granulocytes
Current trends in telecommunications and increased mobility of nurses have led to approval of a mutual recognition model of nursing regulation, . .
. . .in which nurses are allowed to practice in states that are compact states without obtaining a license in each state. On which website would a nurse find a list of current compact states? a. National League for Nursing (NLN) b. National Council of State Boards of Nursing (NCSBN) c. American Association of Colleges of Nursing (AACN) d. Commission on Collegiate Nursing Education (CCNE)
The nurse is implementing care and treatments for assigned clients. What actions should the nurse prepare to complete during this phase of the nursing process?
1. Evaluating the outcome of the interventions 2. Reassessing the client 3. Documenting the history and physical 4. Supervising delegated care 5. Implementing the nursing intervention