The nurse prepares to administer an intramuscular injection to a patient who is on anticoagulation therapy. Which techniques does the nurse perform to prevent excessive bleeding? (Select all that apply.)
a. Using the smallest possible injection needle
b. Injecting the drug slowly, over at least a 60-second period
c. Applying pressure to the site for at least 5 minutes after the injection
d. Ensuring that the needle is placed within a previous injection puncture site
e. Cleansing the skin at the injection site for at least 30 seconds before the injection
f. Applying warm compresses to the site for at least 15 minutes after the injection
A, C
Using the smallest needle possible results in less tissue trauma and less risk for bleeding. Apply-ing pressure over the injection site for at least 5 minutes after administration compresses sur-rounding blood vessels and reduces the risk for bleeding. Injecting the drug slowly can increase the risk for bleeding by traumatizing tissues longer. Placing the needle in the same puncture site as a previous injection can increase the risk for bleeding by enlarging the hole and not allowing the previously damaged tissue to heal. Cleansing the skin can reduce infection risk but does nothing to reduce bleeding risk. Applying warm compresses is more likely to increase bleeding risk by dilating blood vessels in the area. Cold compresses or ice applied to the area would reduce bleeding risk.
You might also like to view...
What are the indications for a liver transplant? (Select all that apply.)
a. Congenital biliary abnormalities b. Hepatic malignancy c. Chronic hepatitis d. Cirrhosis due to alcoholism e. Gallbladder disease
Which of the following advice should the nurse give a client with impaired physical mobility to prevent maceration and decrease the potential for bacterial growth?
A) Massage frequently. C) Change position frequently. B) Keep the skin clean and dry. D) Use pressure-relieving devices.
The nurse is assessing a frail older patient in a skilled facility. Which manifestations should the nurse consider as expected for this patient? Standard Text: Select all that apply
1. Low energy 2. Poor endurance 3. Energetic gait speed 4. Low activity tolerance 5. Generalized weakness
Patients with pulmonary fibrosis show decreased lung tissue compliance and diminished forced vital capacity (FVC). Pulmonary fibrosis is a type of:
A. Obstructive disease B. Restrictive disease C. Hyperreactive airway disease D. None of the above