Question

23. The client is currently receiving a continuous IV infusion of heparin. Which procedure should the nurse avoid when possible? a. Giving intramuscular injections b. Measuring urine output c. Measuring noninvasive blood pressure d. Assessing respirations 24. The nurse is working with a 5-year-old boy who must receive repeated intravenous injections as part of his treatment. He hates the injections, however, and is frightened whenever he sees the syringe and needle. In an attempt to overcome this fear, the nurse holds the syringe up for him to see and tells him, "This looks kind of like a space rocket, don't you think? Here comes the space rocket-it needs to refuel." Which pain management technique is the nurse using here? a. Imagery b. Thought stopping C. Hypnosis d. Biofeedback 25. The nurse is preparing to administer fluid replacement to a client. Which action related to intravenous therapy does the nurse identify as out of scope nursing practice? a. preparing solution for administration b. ordering type of solution, additive, amount of infusion, and duration c. performing venipuncture d. regulating the rate of administration 26. When the nurse is starting an intravenous infusion on a client who will be receiving multiple intravenous antibiotics, which guideline should the nurse follow? a. Use veins of the lower extremities. b. Use distal veins before proximal veins. c. Use small veins before larger veins. d. Use the brachial plexus vein. 27. A nurse is administering intramuscular injections to clients. What needle sizes has the nurse used correctly? Select all that apply. a. 5/8-inch needle for the vastus lateralis site b. 5/8-inch needle for an adult in the ventrogluteal site c. 1 1/2-inch needle for a child in the deltoid site d. 1 1/2-inch needle for an adult in the deltoid site e. 5/8-inch needle for a child in the deltoid site f. 5/8-inch needle for an adult in the ventrogluteal site 28. A nurse needs to administer a subcutaneous injection to a client. Which techniques should the nurse use to reduce discomfort? Select all that apply. a. Support the client's tissue when withdrawing the needle. b. Numb the skin with an ice pack before the injection. c. Use the Z-track method when administering the injection.

Answer 1

23. A client is currently receiving a continuous IV infusion of heparin. So, the Nurse should avoid

a. giving intramuscular injections (Because heparin is a blood thinner(anticoagulant) which can cause bleeding)

Here other options are non-invasive so there is no threat with other options.

24.

Here nurse is using hypnosis pain management techniques to administer injection with a client. Because the nurse is distracting the client by the auditory and visual response.

Answer - c. Hypnosis

25.

Here out of scope nursing practice includes ordering type of solution, addictive, amount of infusion and duration. Its because it should be done by a physician. Other options include the scope of nursing practices.

Answer - b. ordering type of solution, addictive, amount of infusion and duration

26.

When a nurse is starting an intravenous infusion on a client, who will receive multiple intravenous antibiotics, the nurse should Use distal veins before proximal veins. It's because using a distal vein gives us again asses to a proximal vein.

Answer - b. Use distal veins before proximal veins