After insertion of the needle into the patient's ventrogluteal muscle, the nurse aspirates and notices a very small amount of blood in the syringe. What action should the nurse take?
a. Inject the medication slowly but smoothly.
b. Withdraw the needle, expel the blood from the syringe, reinsert the needle, and inject the medication.
c. Withdraw the needle, change the needle, insert the needle, and inject the medication.
d. Withdraw the needle, dispose of the medication and syringe, and prepare another dose of medication.
D
Aspiration of blood into the syringe indicates possible placement into a vein. If blood appears in the syringe, remove the needle, dispose of the medication and syringe properly, and prepare another dose of medication for injection.
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The nurse should instruct a client with conjunctivitis to:
1. use an eye patch until the redness disappears. 2. keep their hands away from the eyes and not rub their eyes. 3. wash around the eyes with mild soap and water. 4. use over-the-counter eyedrops to reduce the redness in the eyes.
A client has been diagnosed with a deficiency of complement proteins. Which assessment is the item of highest priority for the nurse to perform?
a. Joint stiffness and range of motion b. Enlarged lymph nodes and night sweats c. Rhinorrhea and conjunctivitis d. Lung sounds, cough, and oxygen satura-tion
A 6-month-old infant is due for routine immunizations. The parent reports the infant was exposed to pertussis 2 days ago. The nurse should:
a. give the 6 month immunizations as scheduled. b. hold the 6 month immunizations until the next visit. c. hold the 6 month immunizations for 3 weeks. d. notify the physician.
Which differentiating sign is required to make the diagnosis of pyelonephritis from that of cystitis?
a. Difficulty starting the stream of urine b. Spasmodic pain that radiates to the groin c. Increased glomerular filtration rate d. Urinalysis confirmation of white blood cell casts