Nokea
The nurse is preparing an injection of IM haloperidol from a glass ampule. Which of the following actions by the nurse are appropriate? Select all that apply.
- A. Attaches an 18-gauge injection needle to a syringe for withdrawal of medication
- B. Breaks the ampule neck away from the nurse's body to prevent injury from the glass
- C. Disposes of the empty glass ampule in a sharps container
- D. Injects air into the glass ampule prior to withdrawing the medication
- E. Rests and steadies the needle on the ampule's outer rim to withdraw medication
Correct Answer: B,C
Rationale: Breaking the ampule away from the body (B) and disposing in a sharps container (C) are safe practices. An 18-gauge needle (A) is too large, injecting air (D) is unnecessary, and resting the needle on the rim (E) risks contamination.
You may also like to solve these questions
A client has developed diabetes insipidus after removal of a pituitary tumor. Which finding would the nurse expect?
- A. Polyuria
- B. Hypertension
- C. Polyphagia
- D. Hyperkalemia
Correct Answer: A
Rationale: Clients with diabetes insipidus have excessive urinary output due to a lack of antidiuretic hormone. Answers B, C, and D are not exhibited with diabetes insipidus, so they are incorrect.
The nurse is talking with a client who has type 1 diabetes mellitus and is receiving newly prescribed continuous subcutaneous insulin infusion therapy via an infusion pump. Which of the following statements by the client would indicate a correct understanding of the therapy?
- A. I will no longer need to test my blood glucose level throughout the day.
- B. I will no longer require an extra dose of insulin before my meals.
- C. My blood glucose levels should be more consistent throughout the day.
- D. The infusion set of my insulin pump should be changed daily.
Correct Answer: C
Rationale: Insulin pumps (C) provide steady insulin delivery, improving glucose stability. Glucose monitoring (A) and bolus doses (B) are still needed, and infusion sets are changed every 2-3 days, not daily (D).
The nurse is caring for a toddler with atopic dermatitis. The nurse should instruct the parents to
- A. Dress the child warmly to avoid chilling
- B. Keep the child away from other children for the duration of the rash
- C. Clean the affected areas with tepid water and detergent
- D. Wrap the child's hand in mittens or socks to prevent scratching
Correct Answer: D
Rationale: Wrap the child's hand in mittens or socks to prevent scratching. This prevents worsening of lesions and secondary infections.
The nurse is reinforcing teaching to the parent of a child recently diagnosed with attention deficit hyperactivity disorder, combined type. Which statement by the parent requires intervention?
- A. I should offer only two options when my child is choosing things like clothes or meals.
- B. I will need to advocate for an individualized educational plan for my child.
- C. My child will most likely outgrow this disorder in early adulthood, around age 20.
- D. When talking with my child, I should focus and not be multi-tasking.
Correct Answer: C
Rationale: ADHD often persists into adulthood, so stating it will be outgrown by age 20 (C) is incorrect and requires intervention. Limiting choices (A), advocating for an IEP (B), and focusing during conversations (D) are appropriate.
The nursing assistant is caring for an adult who has a fractured femur and is in Buck's extension traction awaiting surgery. The nurse is observing the nursing assistant administer morning care. Which action by the nursing assistant needs correction?
- A. The nursing assistant leaves the weights in place while bathing the client.
- B. The nursing assistant turns the client's head to the side while administering oral hygiene.
- C. The nursing assistant makes the bed from head to foot.
- D. The nursing assistant turns the client on the side for back care.
Correct Answer: D
Rationale: Turning the client on the side disrupts Buck's traction alignment, which requires constant pull. Weights should stay in place, head turning is safe, and bed-making direction is irrelevant.