The nurse is preparing to give an intramuscular (IM) injection of ...

[wenmo]

The nurse is preparing to give an intramuscular (IM) injection of pain medication. The nurse prepares this medication knowing which of the following?
 
  a. Intramuscular (IM) medications are absorbed faster than subcutaneous medications.
  b. Medication absorption is faster with subcutaneous medications.
  c. Blood supply to the subcutaneous tissue is richer than to muscle.
  d. Muscle tissue has a less developed vascular system than subcutaneous tissue.

Question 2

A student nurse is responsible for assessing a patient, who is abrupt and requests that the assessment be done later by a nurse. As the student nurse charts the interaction, which statement is the best way to document what happened?
 
  a. Appears to be in pain as evidenced by grouchy behavior
  b. Behavior is inappropriate, requests registered nurse do the assessment
  c. States, I want a registered nurse to do my assessment
  d. Is grumpy, registered nurse notified

[Toya9913]

Answer to Question 1

A
The blood supply to the site of administration determines how quickly the body absorbs a drug. Sites with rich blood supplies absorb medications more quickly. For example, the body absorbs a medication administered in the muscle (intramuscular IM route) faster than a medication administered in the subcutaneous tissue (subcutaneous route) because the blood supply to muscle is richer than the blood supply to subcutaneous tissue.

Answer to Question 2

C
When a nurse collects objective data, he or she should apply critical thinking intellectual standards (e.g., clear, precise, and consistent). Nurses do not include personal interpretive statements. The timely, thorough, and accurate communication of facts is necessary to ensure continuity and appropriateness of patient care. If you do not report or record an assessment finding or problem interpretation, it is lost and unavailable to anyone else caring for the patient. Grouchy, inappropriate, and grumpy are personal interpretive statements and should be avoided.

[wenmo]

Thanks

[Toya9913]

Welcome