When giving a patient a penicillin injection, what should the nurse keep in mind? (Select all that apply.)
a. Aspirate before injecting the medication.
b. The patient must be watched for 30 minutes for adverse reactions.
c. A poor bleeding response is normal.
d. Plunger deficit accounts for needle length.
e. Assess the patient's heart rate and blood pressure.
ANS: A, B, E
With IM injections of penicillin, the nurse should assess the patient's blood pressure and heart rate prior to administration to obtain a baseline. The nurse should always aspirate (pull back the plunger of the syringe to check for blood) to prevent medication from accidentally being injected into a blood vessel. The patient should be advised to wait 30 minutes before leaving an office or clinic to allow time for health care staff to watch for adverse reactions.
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True False