Nokea
Which anatomical site and method should the nurse use to administer an injection of iron to a client?
- A. Deltoid muscle using an air lock
- B. Gluteal muscle using Z-track technique
- C. Anterolateral thigh with 5/8-inch needle
- D. Subcutaneous tissue of the abdomen with 5/8-inch needle
Correct Answer: B
Rationale: The correct technique for administering parenteral iron is deep in the gluteal muscle using Z-track technique to minimize the possibility of staining or irritating the tissues. Administering iron subcutaneously or with a short needle and using the deltoid muscle is contraindicated because of iron's irritating nature.
You may also like to solve these questions
The sense of hearing is assessed using which standardized test?
- A. The Taylor test
- B. The Rinne test
- C. The Babinski test
- D. The APGAR test
Correct Answer: B
Rationale: The Rinne test is a standardized test used to assess hearing by comparing air and bone conduction using a tuning fork.
The nurse is caring for a client with an injury to the thalamus. The nurse should plan to:
- A. Give higher doses of pain medication.
- B. Keep patches on the client's eyes to prevent corneal abrasion.
- C. Monitor the temperature of the bathwater.
- D. Avoid turning the client.
Correct Answer: C
Rationale: The thalamus regulates body temperature, so an injury may impair thermoregulation. Monitoring bathwater temperature prevents burns or discomfort. Pain medication, eye patches, or avoiding movement are not directly related to thalamic injury.
A nulliparous client says that she and her husband plan to use a diaphragm with spermicide to prevent conception. Which of the following should the nurse include as the action of spermicides when teaching the client?
- A. Destruction of spermatozoa before they enter the cervix.
- B. Prevention of spermatozoa from entering the uterus.
- C. A change in vaginal pH from acidic to alkaline.
- D. Slowing of the movement of the migrating spermatozoa.
Correct Answer: A
Rationale: Spermicides destroy spermatozoa before they can enter the cervix, preventing fertilization.
Which of the following signs and symptoms is an early indication that a client has developed hypocalcemia?
- A. Tingling in the fingers
- B. Depressed reflexes
- C. Ventricular dysrhythmias
- D. Memory changes
Correct Answer: A
Rationale: Tingling in the fingers is an early sign of hypocalcemia due to neuromuscular irritability. Depressed reflexes, dysrhythmias, and memory changes are later or less specific.
Which is an intrinsic risk factor that places the client at risk for pressure ulcers?
- A. Pressure
- B. Shearing
- C. Impaired tissue perfusion
- D. Friction
Correct Answer: C
Rationale: Impaired tissue perfusion is an intrinsic risk factor for pressure ulcers, as it reduces oxygen and nutrient delivery to tissues, increasing susceptibility to breakdown.