The nurse is administering heparin via the subcutaneous route. Which intervention
should the nurse implement?
a. Prepare the medication using a
... [Show More] 25-gauge, ½ inch needle
b. After injecting the needle, aspirate and observe for blood
c. After removing the needle, massage the area gently
d. Administer the medication in the client's "love handles"
Prepare the medication using a 25-gauge, ½ inch needle
Knowledge: The nurse should NOT aspirate for blood when administering heparin
because this can damage surrounding tissue and cause bruising. The nurse should not
massage after injecting heparin because this may cause bruising or bleeding. Heparin is
administered in the abdomen at least 2 inches from umbilicus-best practice.
The nurse is administering morning medications on a medical floor. Which medication
should the nurse administer first?
a. Regular insulin sliding scale to an elderly client diagnosed with Type 1 diabetes
mellitus
b. Methylprednisolone, a glucocorticoid, to a client diagnosed with lupus erythematosus
c. Morphine, a narcotic analgesic, to a client diagnosed with AIDS
d. Lasix, a diuretic, to a client with hypertension
a. Regular insulin sliding scale to an elderly client diagnosed with Type 1 diabetes
mellitus
b. Methylprednisolone, a glucocorticoid, to a client diagnosed with lupus
erythematosus (can be administered within the 30-minute acceptable time frame)
c. Morphine, a narcotic analgesic, to a client diagnosed with AIDS -pain medication is a
priority, but it can be administered after the sliding scale
d. Lasix, a diuretic, to a client with hypertension- can be administered within the 30-
minute acceptable time frame
Regular insulin is administered prior to meals; therefore, this medication should be
administered. Critical Thinking
Which data would indicate that the antibiotic therapy has been successful for a client
diagnosed with bacterial pneumonia?
a. The client's hematocrit is within normal range
b. The client is expectorating thick green sputum
c. The client's lung sounds are clear to ausculatation
d. The client has complaints of pleuritic chest pain.
a. The client’s hematocrit is within normal range- does not indicate client response
b. The client is expectorating thick green sputum- symptom of pneumonia
c. The client’s lung sounds are clear to ausculatation
d. The client has complaints of pleuritic chest pain.— symptom of pneumonia [Show Less]