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?

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Fundamental Of Nursing Nclex Practice Questions Questions

Question 1 of 9

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?

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.

Question 2 of 9

During a seizure, what is the primary intervention?

Correct Answer: A

Rationale: The primary intervention during a seizure is to protect the patient from injury. This includes moving nearby objects that may harm the patient, cushioning the head, and ensuring a safe environment until the seizure subsides. Inserting an airway is not typically done during a seizure unless the patient's airway is compromised, while elevating the head of the bed is not the priority during an active seizure. Withdrawing all pain medications is not necessary unless there are specific contraindications related to the seizure event.

Question 3 of 9

What term is used to describe the preparation of the bed with a new set of linens?

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 9

The client was asked to read the Snellen chart. Which of the following is being tested?

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 9

Which instrument is used for auscultation?

Correct Answer: C

Rationale: Auscultation involves listening to internal sounds in the body, such as heart and lung sounds. The instrument used for auscultation is a stethoscope, which allows healthcare providers to listen to these sounds. Percussion hammer is used to elicit sounds on the body, audiometer is used to measure hearing ability, and sphygmomanometer is used to measure blood pressure.

Question 6 of 9

Before rigor mortis occurs, what is the nurse responsible for?

Correct Answer: B

Rationale: Before rigor mortis occurs, it is essential to place a pillow under the body's head and shoulders to maintain proper positioning. This helps prevent postmortem changes and ensures a more dignified appearance. Providing a complete bath and dressing change, removing clothing, or wrapping the body in a shroud are tasks typically done after rigor mortis sets in or later in the postmortem care process. Allowing the body to relax normally does not address the need for proper positioning before rigor mortis occurs.

Question 7 of 9

Which of the following clusters of data belong to Maslow's hierarchy of needs?

Correct Answer: D

Rationale: Maslow's hierarchy of needs is a theory in psychology that categorizes human needs into five levels. These levels, from the most fundamental to the highest, are physiological needs, safety needs, love and belongingness, esteem needs, and self-actualization. Therefore, all the clusters listed in the choices - love and belonging, physiological needs, and self-actualization - correspond to different levels within Maslow's hierarchy of needs. Choosing 'All of the above' (option D) is the correct answer as it includes all the clusters associated with Maslow's theory.

Question 8 of 9

Which of the following is the correct abbreviation for drops?

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 9 of 9

In which of the following organs does the exchange of gases take place?

Correct Answer: B

Rationale: The exchange of gases, specifically oxygen and carbon dioxide, occurs in the lungs. In the lungs, oxygen from the air we breathe enters the bloodstream, while carbon dioxide is removed from the bloodstream and exhaled. This process is essential for respiration and supplying the body with oxygen for energy production.

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