Nokea
When giving parenteral medications, the nurse will use Standard Precautions, which include what action?
- A. Bending the needle to prevent reuse
- B. Recapping needles to prevent needle sticks
- C. Discarding all syringes and needles in the trash can
- D. Discarding all syringes and needles in a puncture-resistant container
Correct Answer: D
Rationale: Standard Precautions require discarding syringes and needles in a puncture-resistant container to prevent needle-stick injuries. Bending or recapping needles and using a trash can are unsafe.
You may also like to solve these questions
A patient is to receive a penicillin intramuscular (IM) injection in the ventrogluteal site. The nurse will use which angle for the needle insertion?
- A. 15 degrees
- B. 45 degrees
- C. 60 degrees
- D. 90 degrees
Correct Answer: D
Rationale: The proper angle for IM injections is 90 degrees to ensure the medication reaches the muscle layer. The other angles are incorrect for IM administration.
The nurse is about to give a rectal suppository to a patient. Which technique would facilitate the administration and absorption of the rectal suppository?
- A. Having the patient lie on the right side, unless contraindicated
- B. Having the patient hold his or her breath during insertion of the medication
- C. Lubricating the suppository with a small amount of petroleum-based lubricant before insertion
- D. Encouraging the patient to lie on the left side for 15 to 20 minutes after insertion
Correct Answer: D
Rationale: Positioning the patient on the left side and using a water-soluble lubricant facilitates insertion and absorption of a rectal suppository. The patient should remain on the left side for 15-20 minutes. Petroleum-based lubricants are not used, and breath-holding is not necessary.
The nurse is preparing to give an aqueous intramuscular (IM) injection to an average-sized adult. Which actions are appropriate? (Select all that apply.)
- A. Choose a 26- or 27-gauge, 1/4 to 1/2-inch needle.
- B. Choose a 20- to 25-gauge, 1- to 1 1/2-inch needle.
- C. Choose the dorsogluteal site, the preferred site for IM injections for adults.
- D. Insert the needle at a 45-degree angle.
- E. Insert the needle at a 90-degree angle.
- F. Before injecting the medication, withdraw the plunger to check for blood return.
Correct Answer: B,E,F
Rationale: For IM injections in adults, use a 20- to 25-gauge, 1- to 1 1/2-inch needle, insert at a 90-degree angle, and check for blood return to avoid intravascular injection. The dorsogluteal site is not preferred due to nerve risks; the ventrogluteal site is recommended. A 26- or 27-gauge needle is too small, and a 45-degree angle is for subcutaneous injections.
The nurse needs to administer insulin subcutaneously to an obese patient. Which is the proper technique for this injection?
- A. Using the Z-track method
- B. Inserting the needle at a 5- to 15-degree angle until resistance is felt
- C. Pinching the skin at the injection site, and then inserting the needle to below the tissue fold at a 90-degree angle
- D. Spreading the skin tightly over the injection site, inserting the needle, and then releasing the skin
Correct Answer: C
Rationale: For subcutaneous injections in obese patients, pinching the skin and inserting the needle at a 90-degree angle ensures delivery into the subcutaneous tissue. The Z-track method is for IM injections, a 5- to 15-degree angle is incorrect, and spreading the skin is not appropriate for subcutaneous administration.
A patient is receiving eyedrops that contain a beta-blocker medication. The nurse will use what method to reduce systemic effects after administering the eyedrops?
- A. Wiping off excess liquid immediately after instilling the drops
- B. Having the patient close the eye tightly after the drops are instilled
- C. Having the patient try to keep the eye open for 30 seconds after the drops are instilled
- D. Applying gentle pressure to the patient's nasolacrimal duct for 30 to 60 seconds after instilling the drops
Correct Answer: D
Rationale: Applying gentle pressure to the nasolacrimal duct for 30-60 seconds reduces systemic absorption of eyedrops by preventing drainage into the nasal cavity. The other methods do not effectively reduce systemic effects.