Author Question: The nurse is preparing to administer an injection into the deltoid muscle of an adult patient. Which ... (Read 39 times)

soccerdreamer_17 · **on:** Jul 22, 2018

The nurse is preparing to administer an injection into the deltoid muscle of an adult patient. Which needle size and length will the nurse choose?

a. 18 gauge 1 1/2 inch
b. 23 gauge 1/2 inch
c. 25 gauge 1 inch
d. 27 gauge 5/8 inch

Question 2

The nurse closely monitors an older adult for signs of medication toxicity. Which physiological change is the reason for the nurse's action?

a. Reduced glomerular filtration
b. Reduced esophageal stricture
c. Increased gastric motility
d. Increased liver mass

akemokai · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

ANS: C
For an intramuscular injection into an adult deltoid muscle, a 25-gauge, 1-inch needle is recommended. An 18-gauge needle is too big. While a 23-gauge needle can be used, a 1/2-inch needle is too small. A 27-gauge, 5/8 -inch needle is used for intradermal.

Answer to Question 2

ANS: A
The reduced glomerular filtration rate delays excretion, increasing chance for toxicity. In older adults, gastric motility and liver mass decrease. Esophageal stricture is not a physiological change associated with normal aging.