Author Question: The nursing student is preparing to administer lisinopril to her patient but does not know what ... (Read 48 times)

geoffrey · **on:** Jul 23, 2018

The nursing student is preparing to administer lisinopril to her patient but does not know what lisinopril is used for. What is the most appropriate action by the student to obtain the information?

a. Consult the pharmacist.
b. Ask the primary nurse.
c. Ask her nursing instructor.
d. Look up lisinopril in a medication reference text.

Question 2

The nursing student is preparing to administer an intramuscular (IM) injection to her patient. She states to her instructor, I'm going to administer this medication in my patient's buttocks at the dorsogluteal site.

What is the most appropriate response by the instructor?
a. Okay. Explain the procedure to me and you are good to go.
b. This may not be the best site owing to proximity of the sciatic nerve.
c. I agree, this is a good site for thin patients such as this one.
d. Okay, but first be sure to locate the bony landmarks carefully.

Amiracle · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

D
Look it up As a nurse, one is professionally, ethically, legally, and personally responsible for every dose of medication administered to a patient. Always use current information when researching a medication.

Answer to Question 2

B
The dorsogluteal site consists of the gluteal muscles of the buttocks. Avoid using the dorsogluteal site for IM injections because its close proximity to the sciatic nerve and superior gluteal artery increases the risk of injection into a major blood vessel and damage to the sciatic nerve. Furthermore, the site is difficult to identify accurately in older adults or people with flabby skin. The instructor should advise the student that this is not the appropriate site and elicit another site from the student. Once this is identified, the student can proceed with patient identifiers.