The preferred site for intramuscular injection in children over 7 months and adults because the area does not contain large nerves or blood vessels is the:

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Question 1 of 5

The preferred site for intramuscular injection in children over 7 months and adults because the area does not contain large nerves or blood vessels is the:

Correct Answer: B

Rationale: The correct answer is B: Ventrogluteal Site. This site is preferred for intramuscular injections because it has a thick muscle mass and is located away from major nerves and blood vessels, reducing the risk of injury or complications. Steps to determine the correct answer: 1. Eliminate the Dorsogluteal Site (C) due to proximity to the sciatic nerve and superior gluteal artery, increasing the risk of nerve damage or arterial puncture. 2. Eliminate the Deltoid Site (A) which has a smaller muscle mass and is closer to the radial nerve and brachial artery, posing a higher risk of nerve injury or vascular puncture. 3. Eliminate the Vastus Lateralis Site (D) as it is often used in infants and small children due to the large muscle mass, but the ventrogluteal site is preferred in older children and adults for decreased risk of nerve and vascular injury.

Question 2 of 5

Which first priority when inserting an indwelling urinary catheter?

Correct Answer: A

Rationale: Correct Answer: A (Aseptic technique) Rationale: Aseptic technique is crucial to prevent infections during catheter insertion. Steps include hand hygiene, using sterile gloves, cleaning the area, and maintaining sterility throughout. Taping the catheter is important but secondary. Instilling water into the balloon or inserting the catheter to the point where urine flows are incorrect as these steps come after ensuring aseptic technique.

Question 3 of 5

A client is diagnosed with the syndrome of inappropriate antidiuretic hormone (SIADH). The nurse should anticipate which laboratory test result?

Correct Answer: A

Rationale: The correct answer is A: Decreased serum sodium level. In SIADH, there is excess secretion of antidiuretic hormone leading to water retention and dilution of sodium in the blood. This results in hyponatremia. Other choices are incorrect as SIADH does not typically affect creatinine levels, hematocrit, or BUN levels.

Question 4 of 5

The nursing interventions before a bronchoscopy procedure include which of the following?

Correct Answer: D

Rationale: The correct answer is D: All of the above. Giving information about the procedure (A) ensures the patient is well-informed. Obtaining informed consent (B) is crucial for patient autonomy and legal protection. Withholding fluid and food 6 hours before the test (C) reduces the risk of aspiration during the procedure. All these interventions are essential for ensuring patient safety, understanding, and compliance.

Question 5 of 5

A patient from a long-term care facility is admitted to the hospital with a sacral pressure injury. The base of the wound involves subcutaneous tissue. How should the nurse classify this pressure injury?

Correct Answer: C

Rationale: The correct answer is C: Stage 3. A stage 3 pressure injury involves full-thickness skin loss with damage or necrosis of subcutaneous tissue, but not extending to muscle or bone. In this case, the base of the wound involves subcutaneous tissue, indicating a stage 3 injury. Choice A (Stage 1) is incorrect as it involves non-blanchable erythema. Choice B (Stage 2) is incorrect as it involves partial-thickness skin loss with exposed dermis. Choice D (Stage 4) is incorrect as it involves full-thickness skin loss with extensive destruction, tissue necrosis, or damage to muscle, bone, or supporting structures.

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