Injectable iron should be administered by which injection method?
a. Subcutaneous
b. Intradermal
c. Z-track intramuscular injection
d. IV piggyback
ANS: C
For medications that are irritating or may stain the skin (e.g., iron), the "Z-track technique" of IM injection is employed. The Z-track uses the skin itself as a "door" to seal in the drug and prevent it from leaking back out from muscle tissue.
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The nurse is conducting a mental status exam on a patient with schizophrenia. The patient reveals to the nurse that he hears voices in his head. What is the nurse's priority assessment?
1. Determine if the voices are fantasy hallucinations. 2. Determine if the voices are command hallucinations. 3. Determine if the patient has a disturbance in orientation. 4. Determine if the patient has a disturbance in thought process.
A 62-year-old patient with emphysema states that he typically has two alcoholic drinks each evening to "help him relax." Your best response would be to
a. reassure him that by limiting his alcoholic intake to two drinks, he should not experience any serious effects on his respiratory functioning. b. caution him that he is at risk for pneumoconiosis. c. inform him that alcohol may decrease his carbon dioxide levels. d. inform him that alcohol decreases the efficiency of his lung's defense mechanisms.
Which statement describes the purpose of evaluation? Select all that apply
A) to examine the client's behavioral responses to nursing interventions B) to appraise the extent to which client goals were attained or problems resolved C) to appraise involvement and collaboration of the client, family members, nurses, and health care team members in health care decisions D) to ensure the plan of care was followed as it was originally prepared E) to collect subjective and objective data to make judgments about nursing care delivered
Nurse Oliver should expect a client with hypothyroidism to report which health concerns?
a. Increased appetite and weight loss b. Puffiness of the face and hands c. Nervousness and tremors d. Thyroid gland swelling