A 64-year-old quadriplegic patient needs an IM injection of antibiotic. What is the best site for the administration?
a. Deltoid
b. Dorsal gluteal
c. Ventrogluteal
d. Vastus lateralis
ANS: D
Vastus lateralis is a large muscle that is easily accessible from the supine position. Because this patient no longer walks, the ventrogluteal muscle will begin to atrophy and is not the ideal location. The dorsal gluteal site is a location for a subcutaneous injection, and this patient requires an IM injection. The deltoid is easily accessible, but this muscle is not well developed in many adults.
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All of the following would be good explanations of "holistic nursing" except
a. Holistic nursing focuses on the specific dis-ease or disorder a person has in order to treat it effectively b. Holistic nursing aims to treat the whole per-son, not just a specific disease or disorder the person may have c. Holistic nursing focuses on the individual patient and uses many techniques such as empathetic listening, music, and imagery as well as specific clinical skills d. Holistic nursing weaves the technical skills of nursing with the social science skills that enhance communication and rapport between the nurse and the person receiving care
Persons with which of the following diagnoses respond well to therapeutic interventions and may have no further problems? (Select all that apply.)
a. Psychosis b. Depression c. Anxiety disorders d. Schizophrenia e. Phobias f. Erratic behavioral disorder
Which of the following does the Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) service include in its routine screening that may not be included in a typical private physician preschool physical?
a. Comprehensive health and developmental history b. Immunizations c. Laboratory testing d. Lead toxicity screenings e. Unclothed physical examination
A researcher e-mails an online survey about multi-tasking and overcommitedness both on and off the job, as they relate to quality of life, to a random selection of 20,000 RNs in all 50 states; this represents about 1% of the population of RNs
The return rate on the tool is 5%. The goal of this sampling method is to obtain a representative sample. Which of the following are correct statements relative to the sample's representativeness? (Select all that apply.) a. Since the topic has to do with having too many things going at once, it is likely that the results will be skewed, since RNs who are vastly overcommitted will not complete the survey. b. The sample is automatically representative if randomly selected names were used for the survey e-mailing. c. If the e-mailed subset of the population was randomly selected and the return meets the number required by power analysis, the return is representative. d. Subjects whose perceived quality of life is either very high or very low may be more inclined to participate, since they have an interest in finding more out about this relationship. e. If the 1,000 subjects who return the survey constitute an insufficient number to demonstrate statistical significance, this means that the sample was not truly representative. f. The sample is so huge, it would certainly be representative of the entire population.