Nokea
When preparing to administer an IM injection that is irritating to the subcutaneous tissue, what is the best action to prevent tracking of the medication?
- A. Use a small gauge needle
- B. Apply ice on the injection site
- C. Administer at a 45° angle
- D. Use the Z-track technique
Correct Answer: D
Rationale: The Z-track technique is the best action to prevent tracking of the medication when administering an IM injection that is irritating to the subcutaneous tissue. This technique involves pulling the skin to the side before administering the injection and then releasing the skin after the injection. By doing so, a zig-zag pathway is created, preventing the medication from leaking into the subcutaneous tissue and reducing irritation.
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The client was asked to read the Snellen chart. Which of the following is being tested?
- A. Optic
- B. Olfactory
- C. Oculomotor
- D. Trochlear
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
During a client's first hospitalization, which of the following actions ensures the safety of the client?
- A. Keep unnecessary furniture out of the way
- B. Keep the lights on at all times
- C. Keep side rails up at all times
- D. Keep all equipment out of view
Correct Answer: A
Rationale: During a client's first hospitalization, it is essential to keep unnecessary furniture out of the way to prevent obstacles and ensure a safe environment. This action helps reduce the risk of accidents or falls, promoting the client's safety and well-being. Keeping the lights on at all times may not be necessary and can disrupt the client's rest. Keeping side rails up at all times can restrict the client's movement and independence unnecessarily. Keeping all equipment out of view may hinder the healthcare team's ability to monitor and access necessary tools for providing care.
What is the most important purpose of performing a bed bath?
- A. To cleanse, refresh, and give comfort to the client who must remain in bed
- B. To expose the necessary parts of the body
- C. To develop skills in bed bath
- D. To check the body temperature of the client in bed
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client who is unconscious needs frequent mouth care. When performing mouth care, what is the best position for the client?
- A. Fowler's position
- B. Side-lying
- C. Supine
- D. Trendelenburg
Correct Answer: B
Rationale: When providing mouth care to an unconscious client, the side-lying position is the best choice. This position helps prevent aspiration by allowing any fluids to drain out of the mouth easily, reducing the risk of choking or aspiration pneumonia. Placing the client in a side-lying position also promotes comfort and safety during the procedure.
What term refers to the manner of walking?
- A. Gait
- B. Range of motion
- C. Flexion and extension
- D. Hopping
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.