Nokea
A client has been prescribed enoxaparin. Which of the following instructions should the nurse include?
- A. You need to obtain routine blood tests to monitor the effects of this medication.
- B. You should administer the medication into your thigh.
- C. You should inject the medication once daily.
- D. You need to use a 1-inch needle to administer the medication.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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A healthcare professional is preparing to administer an IM injection to a client. Which of the following techniques should the healthcare professional use to reduce discomfort?
- A. Use a 25-gauge needle.
- B. Administer the injection slowly.
- C. Massage the site after the injection.
- D. Apply ice to the injection site before administration.
Correct Answer: B
Rationale: Administering the injection slowly is the recommended technique to reduce discomfort associated with IM injections. This approach allows the medication to disperse more gradually into the muscle, minimizing the sensation of pressure or pain during administration. Administering the injection slowly can also help prevent tissue damage and reduce the likelihood of injection site reactions.
A healthcare professional is preparing to perform nasotracheal suctioning for a client. Which of the following actions should the healthcare professional take?
- A. Suction during inhalation.
- B. Apply intermittent suction during insertion.
- C. Place the client in a supine position.
- D. Insert the catheter while the client is inhaling.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Following a total hip arthroplasty, what intervention should the healthcare provider implement for the client?
- A. Place a pillow between the client's legs.
- B. Elevate the head of the bed to 45 degrees.
- C. Position the client on the operative side.
- D. Keep the client's legs adducted.
Correct Answer: A
Rationale: Placing a pillow between the client's legs is crucial post hip arthroplasty surgery to prevent hip dislocation. This intervention helps maintain proper alignment and prevents legs from crossing midline, reducing the risk of hip prosthesis dislocation. Elevating the head of the bed to 45 degrees, positioning the client on the operative side, or keeping the client's legs adducted are not recommended postoperative interventions for a total hip arthroplasty, as they can increase the risk of complications and compromise the surgical site.
What is the primary goal of palliative care?
- A. To cure the client's illness.
- B. To prolong the client's life.
- C. To provide comfort and improve the quality of life.
- D. To prepare the client for surgery.
Correct Answer: C
Rationale: The primary goal of palliative care is to provide comfort and improve the quality of life for clients with serious illnesses. Palliative care aims to address physical, emotional, and spiritual needs to enhance overall well-being rather than focusing on curing the underlying illness, prolonging life, or preparing for surgery. It emphasizes symptom management, pain relief, and support for patients and their families to ensure a better quality of life during the course of their illness.
Which of the following techniques should be used to insert an indwelling urinary catheter for a female client?
- A. Use sterile technique.
- B. Insert the catheter 2-3 inches into the urethra.
- C. Inflate the balloon after insertion.
- D. Lubricate the catheter tip before insertion.
Correct Answer: D
Rationale: Lubricating the catheter tip before insertion is crucial for female urinary catheterization. This step helps reduce discomfort for the patient and facilitates smooth catheter insertion into the urethra. Using sterile technique maintains asepsis during the procedure, inserting the catheter 2-3 inches ensures proper placement, and inflating the balloon after insertion secures the catheter in place without causing trauma. Proper technique is fundamental for patient comfort, preventing infection, and ensuring the success of the catheterization procedure.