A client is scheduled to have heparin sodium 5000 units subcutaneously. What is the most appropriate nursing intervention?
1. Inject via an infusion device.
2. Inject ½ inch (1.25 cm) from the umbilicus.
3. Massage the injection site after administration.
4. Avoid aspirating prior to injecting the medication.
Answer: 4. Avoid aspirating prior to injecting the medication.
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The transport nurse is accompanying her patient in transit by helicopter from one facility to another. Which of the following is an intervention the nurse would most likely be making at this time?
A) Contacting the RN on the receiving unit to note a change in the patient's vital signs B) Administering antiemetic medication to the patient to prevent air sickness C) Endotracheal intubation D) Communication with the patient's family regarding details of the transport
The patient receives lidocaine as a local anesthetic before insertion of a chest tube. After the procedure the patient tells the nurse, "The area is still numb. How long will this last?" What is the nurse's best response?
A) 15 minutes B) 1 hour C) 2 hours D) 4 hours
The parents of an 8-year-old with cancer are telling the nurse their problems and successes when caring for their child. In response, the nurse arranges for social services to meet with the parents to help them obtain financial assistance
The nurse is acting in which role? A) Educator B) Advocate C) Case manager D) Direct care provider
The nurse is assessing a new orientee's knowledge of when to take vital signs. The following statement indicates a need for more education
a. I should take vital signs upon admission. b. I should take vital signs when there is any change in condition. c. I should take vital signs at the beginning and end of a blood transfusion. d. I should take vital signs if a patient reports feeling different.