A nurse is preparing to administer a deep IM injection to a client. Which site is suited for a deep IM injection?
a. Abdomen
b. Dorsogluteal
c. Deltoid
d. Vastus lateralis
ANS: B
The dorsogluteal site is suited for deep IM or Z-track injections.
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A nurse cares for a client with hepatopulmonary syndrome who is experiencing dyspnea with oxygen saturations at 92%. The client states, "I do not want to wear the oxygen because it causes my nose to bleed. Get out of my room and leave me alone!"
Which action should the nurse take? a. Instruct the client to sit in as upright a position as possible. b. Add humidity to the oxygen and encourage the client to wear it. c. Document the client's refusal, and call the health care provider. d. Contact the provider to request an extra dose of the client's diuretic.
A nurse is examining a patient on dialysis. Which of the following should she especially look for in this patient?
A) The presence of a third heart sound B) Pitting edema C) Inflammation or infection near the access site D) Crackles on auscultation of lungs
Which of the following is a true statement about sleeping in older adults?
a. Older adults tend to fall asleep quickly but are awakened throughout the night. b. Sleep disturbances in the older adult can be caused by cardiovascular disease, arth-ritis, or diabetes. c. Benzodiazepine agents are the medica-tions of choice for sleep disorders. d. Selective serotonin-reuptake inhibitors (SSRIs) can alleviate sleep disturbances caused by depression.
A nurse works in an assisted living setting. The nurse is administering a selective serotonin reuptake inhibitor to an 84-year-old client
The nurse is aware that the daily dose of this medication for the older adult client would be _____ the adult dose. a. the same as b. higher than c. about half d. about one-fourth