Nokea
All of the following interventions are correct when using the Z-track method of drug injection except:
- A. Prepare the injection site with alcohol
- B. Use a needle that is at least 1" long
- C. Aspirate for blood before injection
- D. Rub the site vigorously after the injection to promote absorption
Correct Answer: D
Rationale: When using the Z-track method of drug injection, it is important to prepare the injection site with alcohol to ensure cleanliness, use a needle that is at least 1" long to reach the muscle tissue, and aspirate for blood before injection to verify correct needle placement. However, rubbing the site vigorously after the injection is not recommended as it can cause medication to leak into subcutaneous tissue, compromising the medication's intended absorption and efficacy.
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What is the primary purpose of a platelet count?
- A. Assessing clot formation potential
- B. Assessing bleeding risk
- C. Detecting antigen-antibody response
- D. Identifying cardiac enzymes presence
Correct Answer: B
Rationale: A platelet count is primarily used to assess the risk of bleeding. Platelets play a crucial role in blood clotting, so a low platelet count can lead to an increased risk of bleeding. Monitoring platelet levels helps healthcare providers evaluate a patient's ability to form clots and manage bleeding.
A 38-year-old patient's vital signs at 8 a.m. are axillary temperature 99.6°F (37.6°C); pulse rate 88; respiratory rate 30. Which findings should be reported?
- A. Respiratory rate only
- B. Temperature only
- C. Pulse rate and temperature
- D. Temperature and respiratory rate
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which of the following conditions may necessitate fluid restriction?
- A. Fever
- B. Chronic Obstructive Pulmonary Disease
- C. Renal Failure
- D. Dehydration
Correct Answer: C
Rationale: Renal failure often necessitates fluid restriction to prevent fluid overload. In renal failure, the kidneys are unable to effectively filter and excrete excess fluids, leading to fluid accumulation in the body. Restricting fluid intake helps manage this condition by preventing further fluid buildup and complications such as edema and electrolyte imbalances.
If a healthcare provider administers an injection to a patient who refuses, they have committed:
- A. Assault and battery
- B. Negligence
- C. Malpractice
- D. None of the above
Correct Answer: A
Rationale: When a healthcare provider administers treatment, such as an injection, against a patient's refusal or will, it constitutes assault and battery. Assault refers to the intentional act that causes a person to fear that they will be touched without consent, while battery involves the actual harmful or offensive contact. In this scenario, administering the injection without the patient's consent is both an assault (causing fear of unwanted contact) and a battery (unwanted physical contact). Therefore, the correct answer is 'Assault and battery.' Negligence refers to a failure to exercise the appropriate level of care expected in a situation, while malpractice involves professional negligence or misconduct.
When discussing hair loss with Mrs. Lim, who begins to cry, the best response would be:
- A. Don't worry. It's only temporary
- B. Why are you crying? I didn't get to the bad news yet
- C. Your hair is really pretty
- D. I know this will be difficult for you, but your hair will grow back after the completion of chemotherapy
Correct Answer: D
Rationale: When a patient is emotionally affected, it is essential to acknowledge their feelings while providing reassurance and information. Option D demonstrates empathy by acknowledging the difficulty Mrs. Lim is facing and offers hope by reassuring her that her hair will grow back after chemotherapy, which can provide comfort and support during a challenging time.