Nokea
A healthcare provider is preparing to administer an intramuscular injection to an adult client. Which of the following injection sites should the healthcare provider select?
- A. Deltoid muscle
- B. Dorsogluteal muscle
- C. Vastus lateralis muscle
- D. Rectus femoris muscle
Correct Answer: A
Rationale: The deltoid muscle is a common site for intramuscular injections in adults due to its accessibility and muscle mass. It is located in the upper arm and provides a sufficient area for injection. The deltoid muscle is preferred for administering vaccines and other medications that require IM administration.
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Which position should the nurse use for a patient who is immobile to promote lung expansion and prevent respiratory complications?
- A. Supine position with the head of the bed elevated
- B. Prone position with the head turned to the side
- C. Lateral position with the affected side down
- D. Semi-Fowler's position with the knees slightly flexed
Correct Answer: D
Rationale: Semi-Fowler's position with knees flexed promotes lung expansion in immobile patients by easing diaphragm movement, reducing respiratory complication risks like pneumonia. Supine restricts breathing, prone is impractical, and lateral may compress lungs. Nurses adopt this to optimize oxygenation, supporting recovery and comfort in those unable to shift positions independently.
Studies have shown that about 40% of patients fall out of bed despite the use of side rails; this has led to which of the following conclusions?
- A. Side rails are ineffective
- B. Side rails should not be used
- C. Side rails are a deterrent that prevent a patient from falling out of bed
- D. Side rails are a reminder to a patient not to get out of bed
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which of the following statement is TRUE about informed consent?
- A. A one time procedure
- B. The nurse can sign for the client
- C. The client needs to understand the procedure
- D. Not needed in emergency cases
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client has a new prescription for a metered-dose inhaler (MDI). Which of the following statements indicates an understanding of the teaching?
- A. I will shake the inhaler before use.
- B. I will breathe out forcefully after inhaling the medication.
- C. I will take the medication with food.
- D. I will use a spacer with the inhaler.
Correct Answer: A
Rationale: Shaking the inhaler before use is crucial to ensure proper mixing of the medication inside the inhaler. This action helps to disperse the medication evenly, allowing for consistent dosing during inhalation. Breathing out forcefully, taking the medication with food, and using a spacer are not related to the correct use of a metered-dose inhaler and may not lead to optimal medication delivery.
High-pitched gurgles heard over the right lower quadrant are:
- A. A sign of increased bowel motility
- B. A sign of decreased bowel motility
- C. Normal bowel sounds
- D. A sign of abdominal cramping
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.