When administering an intramuscular (IM) injection, the nurse obtains blood during aspiration. What action by the nurse is appropriate?
a. Wait 30 minutes before giving the ordered medication.
b. Notify the healthcare provider of the situ-ation.
c. Continue to administer the ordered medi-cation.
d. Stop the administration and discard the syringe.
D
The injection is stopped, the needle is withdrawn, and the filled syringe is discarded. A new dose of medication is prepared in a new syringe with a new needle for the patient. Waiting 30 minutes is not necessary because the medication is due and can be given as soon as a new syringe is pre-pared. Notifying the healthcare provider is unnecessary. Continuing with the injection is dan-gerous because the medication could be given intravenously instead of intramuscularly.
You might also like to view...
A nurse is comparing several different families' developmental stages, using Duvall's eight-stage family life cycle. Which person serves as a marker for a family's developmental stage in this theory?
1. The youngest child 2. The mother 3. The oldest child 4. The father
Which critique of the program objective "to decrease the incidence of early childhood disease in Center County by providing immunization clinics in all schools between August and December of 2005" is accurate?
1. It is accurate as written. 2. The results are ambiguous. 3. The action verb is not action-oriented. 4. The purpose is not stated.
A client is talking to a nurse about the recent death of her grandmother. She is sad, and tears roll down her cheeks as she talks. The nurse remembers how she felt when her own grandmother died the previous summer
The nurse puts her hand on the client's shoulder and says, "This must be very difficult for you." The nurse is demonstrating empathy based on which of the following? A) The nurse's response reflects an attempt to communicate understanding of the client's feelings. B) The nurse's response and use of reassuring touch reinforce the nurse's concern for the client. C) The nurse demonstrates understanding of how the client feels because of her own grandmother's death. D) The nurse's statement expresses compassion and kindness toward the client.
When diagnosed with hemolytic disease of the newborn (HDN), why does the newborn develop hyperbilirubinemia after birth but not in utero?
a. Excretion of unconjugated bilirubin through the placenta into the mother’s circulation is no longer possible. b. Hemoglobin does not break down into bilirubin in the intrauterine environment. c. The liver of the fetus is too immature to conjugate bilirubin from a lipid-soluble to water-soluble form. d. The destruction of erythrocytes producing bilirubin is greater after birth.