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Q:
While the nurse is removing a fecal impaction, the client begins to perspire profusely and complains of shortness of breath. The nurse notes that the client's pulse rate has slowed to 44 beats per minute. Which is the priority action by the nurse?
1. Holding the fingers still until the symptoms stop, and then resuming removal of fecal impaction
2. Stopping the procedure immediately
3. Continuing the procedure, and monitoring the client carefully
4. Stopping the procedure and calling the health care provider immediately
Q:
The nurse is administering a cleansing enema. Which action would indicate the need for further instruction on the process?
1. Enema solution is warmed to 40C (105F).
2. The solution container is held 12 inches above the rectum.
3. The client is in the Fowler's position.
4. The client is encouraged to retain the enema for 5"10 minutes.
Q:
The nurse is caring for a client who is on complete bed rest secondary to a deep vein thrombosis in the right leg. When placing the client on the bedpan, which position is most appropriate?
1. Prone
2. Semi-Fowler's
3. Fowler's
4. Supine
Q:
Which actions could the nurse safely delegate to the unlicensed assistive personnel (UAP)?
Standard Text: Select all that apply.
1. Assist the client to use the bedpan for bowel elimination.
2. Change the ostomy appliance for the new ostomy.
3. Administer a cleansing enema.
4. Remove a fecal impaction.
5. Determine effectiveness of cleansing enema.
Q:
The nurse is caring for an older adult client with an ileostomy and hemiplegia secondary to a stroke experienced a few years ago. When changing the client's one-piece appliance, the nurse finds the skin under the skin barrier is ulcerated and erythematous. The client does not empty the pouch until it is completely full because it hurts so much to remove the skin barrier. Which action by the nurse is the priority?
1. Apply a two-piece ostomy appliance.
2. Treat the damaged skin and replace the one-piece pouch.
3. Keep the skin open to air to allow time for healing, and replace the ostomy appliance in a few days.
4. Call the health care provider to report the damaged skin.
Q:
The nurse assists the client off the bedpan after defecating. After emptying and cleaning the bedpan, the nurse finds the bedside table is full, and there is no room for storage of the pan. Which action by the nurse is the most appropriate?
1. Store the bedpan under the bed, where it is out of sight.
2. Place the bedpan on the overbed table until creating a space in the bedside table.
3. Place the bedpan on the floor of the bathroom behind or on the side of the toilet, where it is not likely to be tripped over.
4. Remove objects from the bedside stand and return the bedpan to the stand.
Q:
The nurse is caring for a client who complains of frequent constipation. Which factor in the client's history is least likely to be the cause of the constipation?
1. Inadequate fluid intake
2. Repeated inhibition of the urge to defecate
3. Inadequate fiber intake
4. The presence of Escherichia coli
Q:
The nurse is caring for a client with a colostomy who has continuous liquid drainage with a fecal odor. Which term should the nurse use when documenting the type of colostomy for this client?
1. Ileostomy
2. Ascending colostomy
3. Transverse colostomy
4. Descending colostomy
Q:
The nurse is caring for a client with abdominal distention who is unable to expel flatus. Which type of enema should the nurse anticipate administering?
1. Cleansing enema
2. Carminative enema
3. Retention enema
4. Soapsuds enema
Q:
A client with chronic renal failure is being discharged after surgery to create an arteriovenous fistula for hemodialysis. Which client statements indicate that teaching provided about the care of this fistula have been effective? Select all that apply.
1. "I will not lie on the arm with the fistula."
2. "I will not wear clothing with tight sleeves."
3. "I will contact the doctor if my hand feels cold."
4. "I will tell people to use the fistula arm for blood pressures."
5. "I will not carry anything heavy with my arm with the fistula."
Q:
A client with a closed urinary drainage system is demonstrating signs of a urinary tract infection. In which order should the nurse obtain a urine specimen from this system?
1. Remove gloves
2. Clamp the tubing
3. Cleans the access port
4. Perform hand hygiene
5. Remove drainage clamp
6. Aspirate a 2 mL sample of urine
7. Transfer urine to a specimen cup
8. Engage Luer-Lok syringe to the port
Q:
Prior to applying the condom catheter, which action by the nurse is the most appropriate?
1. Documenting the use of the catheter
2. Inspecting and cleansing the penis
3. Calling the health care provider to obtain an order
4. Attaching the urinary drainage system securely
Q:
After applying a condom catheter, what should the nurse document?
Standard Text: Select all that apply.
1. Appearance of the penis, such as swelling or discoloration
2. Amount of urine flow
3. Assessment 30 minutes after application and every 8 hours thereafter
4. Any client complaints or concerns
5. Time of application
Q:
The nurse is caring for a client with a newly created urinary diversion ostomy appliance. Which is the priority when caring for this client?
1. Increasing fluid intake
2. Limiting fluid intake
3. Administering IV fluids, because the client will be NPO
4. Teaching the client self-care and support persons' care
Q:
The nurse is caring for a client receiving continuous bladder irrigation following transurethral prostatectomy. When emptying the urine collection bag, the nurse notes that 500 mL of irrigant has infused with only 100 mL of drainage returned. Which is the priority action by the nurse?
1. Irrigating the outflow port using an irrigation syringe to determine patency
2. Notifying the health care provider immediately
3. Irrigating the irrigation port to determine patency
4. Continuing to monitor output
Q:
The nurse is caring for a client with an indwelling catheter. When emptying the urine collection bag, the nurse notes the urine is cloudy with moderate amounts of sedimentation and a foul odor. Based on these assessment findings, what should the nurse suspect?
1. Urethral irritation
2. Bladder atrophy
3. Urinary tract infection
4. Kidney infection
Q:
A client requiring long-term catheterization is allergic to latex. Which catheter should the nurse choose to insert?
1. Silver alloy catheter
2. Antimicrobial-coatedcatheter
3. Silicone catheter
4. Latex catheter
Q:
The nurse is caring for an older adult client with a medical diagnosis of benign prostatic hyperplasia resulting in urinary retention. When attempting to pass the catheter, the nurse encounters an obstruction, and cannot get the catheter to pass beyond it. Which action by the nurse is the most appropriate?
1. Documenting that catheterization is not possible, and notifying the health care provider
2. Attempting to pass a Coud catheter
3. Attempting to push the catheter past the obstruction
4. Applying ice to the base of the penis, and attempting to pass the catheter in 30 minutes
Q:
When is it appropriate for the nurse to prepare a new ostomy pouch for a client?
1. After removing the old pouch in all instances
2. Before removing the old pouch in all instances
3. Before removing the old pouch whenever possible
4. After removing the old pouch whenever possible
Q:
The nurse is initiating closed continuous bladder irrigation using a three-way catheter. Prior to beginning the flow of the irrigation fluid, which action by the nurse is the most appropriate?
1. Opening the roller clamp to the desired flow rate
2. Emptying the urine collection bag
3. Documenting the procedure
4. Assessing the drainage for amount, color, and clarity
Q:
When performing catheter care, which action is least appropriate to perform?
1. Applying sterile gloves
2. Washing the meatus and proximal catheter with soap and water
3. Drying the catheter and urinary meatus
4. Performing hand hygiene
Q:
The nurse is preparing to insert a urinary catheter. Place the steps for this procedure in the proper order.
Standard Text: Click on the down arrow for each response in the right column and select the correct choice from the list.
Response 1. Cleanse the meatus.
Response 2. Apply sterile gloves.
Response 3. Test the balloon of the indwelling catheter, if recommended by manufacturer.
Response 4. Organize the supplies in the catheter kit.
Response 5. Place a sterile drape under the buttocks of the female or penis of the male without contaminating the center of the drape.
Q:
After emptying the urine from a urinal, which actions by the nurse are appropriate?
Standard Text: Select all that apply.
1. Rinsing the urinal
2. Recording the output on the intake and output record, if indicated
3. Returning the urinal to the bedside area, where the client can reach it, if the male client prefers
4. Placing the urinal between the client's legs and propping the penis in the opening, if the client is unable to do this independently
5. Donning clean gloves
Q:
Which task could the nurse safely delegate to the unlicensed assistive personnel (UAP)?
1. Inserting a urinary retention catheter
2. Inserting a straight catheter
3. Applying a condom catheter
4. Collecting data for a urinary elimination history
Q:
Which term is not used interchangeably with urinary elimination?
1. Micturition
2. Voiding
3. Urination
4. Incontinence
Q:
The nurse is caring for an older adult male client who demonstrates frequent urinary incontinence. Which option should the nurse use to reduce the risk of skin damage secondary to urinary incontinence for this client?
1. Coude catheter
2. Straight catheter
3. Condom catheter
4. Foley catheter
Q:
The nurse completes a health history with a client scheduled for an MRI of the knee and immediately notifies the health care provider. What did the nurse assess to make this clinical decision?
1. Wears religious metals
2. History of heart failure
3. Metal in spine from a spinal fusion
4. Takes insulin for type 1 diabetes mellitus
Q:
A client is returning to the care area after a bronchoscopy. What should the nurse make a priority when caring for this client?
1. Keep NPO
2. Encourage clear liquids
3. Report hoarseness or a sore throat
4. Assist with deep breathing and coughing
Q:
The nurse is preparing a client for a liver biopsy. In which position should the client be placed?
1. Sims position
2. Seated in a chair
3. Leaning forward
4. Right arm raised and extended over the left shoulder
Q:
A client scheduled for an outpatient endoscopy asks when he can eat since the black cup of coffee wasn"t enough. What should the nurse do?
1. Provide with dry crackers
2. Notify the radiology department
3. Document that the client had black coffee
4. Explain that a meal will be provided shortly
Q:
The nurse notes that a client returning from a cardiac catheterization has the extremity used for the procedure elevated on a pillow. What should the nurse do?
1. Remove the pillow
2. Position on the left side
3. Keep the pillow in place
4. Raise the head of the bed
Q:
The nurse is preparing to assess a client recovering from an arteriogram. What should be the priority for this client?
1. Monitor pulses distal to the puncture site
2. Elevate the extremity used for the puncture site
3. Place a pillow under the extremity used for the puncture sit
4. Increase intravenous fluids to ensure an adequate urine output
Q:
A client is recovering from a myelogram in the outpatient ambulatory surgical center. What is a priority when caring for this client?
1. Restrict fluids
2. Keep the bed flat
3. Encourage ambulation
4. Raise the head of the bed to a 60 degree angle
Q:
A client is scheduled for a diagnostic test using radioactive isotopes. What should the nurse expect to be provided to this client before the test?
1. A sedative
2. A blocking agent
3. Intravenous fluids
4. A dose of an antibiotic
Q:
During an intravenous pyelogram the nurse suspects that a client is experiencing an allergic reaction to the contrast medium. What did the nurse assess to make this clinical determination? Select all that apply.
1. Onset of nausea
2. Hives on the neck
3. Respiratory rate 28
4. Complaint of being thirsty
5. Blood pressure 88/50 mm Hg
Q:
A client is scheduled for a CT scan of the brain with and without contrast. What needs to be done to prepare the client for this diagnostic test? Select all that apply.
1. Explain what happens during the test
2. Review what needs to be done after the test is completed
3. Discuss what needs to be done before arriving for the test
4. Obtain information about the client's health insurance plan
5. Ask if the client has any questions after receiving instructions
Q:
A staff nurse position has been posted for the radiology department. Which nurse is the most qualified for this position?
1. Nurse with 10 years of experience in the intensive care unit
2. Nurse with 6 months of experience in the post anesthesia care unit
3. Nurse with 7 years of experience working in the hemodialysis center
4. Nurse with 4 years of experience in the outpatient ambulatory center
Q:
The nurse is assisting with a thoracentesis. Place the steps of the procedure for assisting the client in the correct order.
Standard Text: Click on the down arrow for each response in the right column and select the correct choice from the list.
Response 1. Help position the client and cover the client as needed with a bath blanket.
Response 2. Observe the client for signs of distress, such as dyspnea, pallor, and coughing.
Response 3. Support the client verbally and describe the steps as needed.
Response 4. Support the client throughout the procedure.
Response 5. Collect drainage and laboratory specimens. Then apply small sterile dressing over the site.
Q:
The nurse is preparing the client for diagnostic testing using contrast media. The client is questioned regarding allergies. The nurse would contact the health care provider if the client reported an allergy to which item?
1. Eggs
2. Milk
3. Betadine
4. Scallops
Q:
The nurse is preparing a client for diagnostic studies requiring the administration of contrast media. Which action by the nurse is the priority in this situation?
1. Obtaining informed consent
2. Obtaining results of lab tests
3. Checking for allergies
4. Checking if routine medications are to be held
Q:
Which is the nurse's most important role in assisting the health care provider to perform an aspiration or biopsy?
1. Administering analgesic
2. Monitoring the client's condition before, during, and after procedure
3. Preparing the sterile tray with needed equipment
4. Documenting the specimen collection
Q:
The nurse is assisting the health care provider collect cerebrospinal fluid for testing to rule out meningitis. Which are the nurse's responsibilities?
Standard Text: Select all that apply.
1. Explain the procedure and obtain signed consent.
2. Teach the client how to assist during the procedure by maintaining proper positioning.
3. Observe sterile technique when preparing the equipment for the procedure.
4. Label all specimens collected and send them to the lab.
5. Assess the client before, during, and after the procedure.
Q:
The health care provider performs a specimen collection by inserting a needle into the abdomen to collect fluid. Which term should the nurse use when documenting this procedure?
1. Paracentesis
2. Thoracentesis
3. Lumbar puncture
4. Venogram
Q:
The nurse is obtaining a gum swab for an HIV test. What should the nurse include when performing this procedure? Select all that apply.
1. Check window display on device
2. Swab outer gum with device included in kit
3. Insert swab into vial containing special solution
4. Have the client flush the mouth with mouthwash
5. Instruct client to confirm results with a Western blot test
Q:
The manager interrupts a new graduate at the completion of a venipuncture. What did the manager observe that caused this interruption?
1. Removed the tube before withdrawing the needle
2. Bent the client's elbow after withdrawing the needle
3. Released the tourniquet once blood began to flow into the tube
4. Held a gauze sponge on the puncture site after withdrawing the needle
Q:
The nurse is preparing to obtain a throat culture. Which observation indicates that the nurse has performed this skill before?
1. The nurse allows the client to insert the swab in the mouth.
2. The nurse removes the swab while making sure to touch the sides of the tonsils.
3. The nurse has the client tilt the head back and say "ah" to relax the tongue to avoid the gagging reflex.
4. The nurse asks the client to blow the nose to clear the nasal passageway and then checks with penlight for patency.
Q:
The nurse has delegated the collection of a clean catch urine specimen to the unlicensed assistive personnel (UAP). Which statement by the UAP indicates an appropriate understanding of the procedure?
1. "I will have the client urinate in the specimen container the next time he or she urinates."
2. "I will provide the client with sterile gloves for collecting the urine specimen."
3. "I will ask the client to cleanse the urethra to avoid contamination of the urine specimen."
4. "I will watch the client obtain the urine specimen to ensure correct obtainment."
Q:
A client is prescribed intravenous antibiotics however a culture and sensitivity has been ordered. What should the nurse do prior to starting the intravenous antibiotics?
1. Assess vital signs.
2. Collect the ordered culture and sensitivity specimen.
3. Start intravenous antibiotics.
4. Obtain culture after two doses have been given.
Q:
The nurse is preparing to collect a stool specimen. Place the steps involved in the procedure in the correct order.
Standard Text: Click on the down arrow for each response in the right column and select the correct choice from the list.
Response 1. Provide for client privacy.
Response 2. Assist the clients who need help, either with bedside commode or a bedpan.
Response 3. Perform hand hygiene and observe other appropriate infection control procedures.
Response 4. Apply gloves to prevent contamination, and clean the client as required. Inspect the skin around the anus for any irritation, especially if the client defecates frequently and has liquid stools.
Response 5. Transfer the required amount of stool to the stool specimen container. Use tongue blades to transfer some or the entire stool specimen container, taking care not to contaminate the outside of the container.
Response 6. Prior to beginning of procedure, introduce self and verify the client's identity. Explain what is going to be done, why it is necessary, and how the client can help.
Q:
The nurse obtains a specimen from the client's wound. Which items will the nurse include when documenting this procedure in the medical record?
Standard Text: Select all that apply.
1. Source of specimen
2. Type of culture obtained
3. Appearance of wound
4. Dispersal of the specimen
5. Microorganism causing infection
Q:
The nurse is obtaining a throat culture. Which action indicates correct technique?
1. Inserting the swab into the sterile tube without touching the outside of the container
2. Inserting a tongue blade to depress the anterior two-thirds of the tongue
3. Swabbing along the side of the cheek inside the mouth
4. Swabbing the pharynx gently and quickly, avoiding the tonsils
Q:
How does the procedure change when a nurse collects a midstream urine specimen from a woman versus a man?
1. Women should be taught to begin their stream before collecting the specimen.
2. Women would be provided with three antimicrobial wipes, whereas men would be provided with only one or two.
3. Men should be taught not to touch the inside of the collection container or the lid.
4. Men should be taught to fill the container no more than one-half to one-third full.
Q:
The nurse is collecting a capillary blood specimen. Which statement demonstrates proper technique for this procedure?
1. Clean the site with alcohol, and puncture the finger quickly, then collect the first drop of blood.
2. If the puncture site is not bleeding, squeeze the finger as firmly as possible without causing pain.
3. Clean the site with alcohol, puncture the finger, wipe the first drop of blood with gauze, and then collect the specimen.
4. Puncture the finger in the center of the pad, which is more vascular.
Q:
The nurse is caring for several clients, and has unlicensed assistive personnel (UAP) and LPN/LVN assisting. Which client should the nurse delegate to the LPN/LVN as opposed to the UAP?
1. Assisting the health care provider with performance of a lumbar puncture
2. Collecting and testing a routine urine specimen for sugar, protein, and specific gravity
3. Testing stool for the presence of occult blood
4. Collecting a sterile urine specimen by straight-catheterizing the client
Q:
Which specimens could the nurse safely delegate to the unlicensed assistive personnel (UAP) to collect?
Standard Text: Select all that apply.
1. Wound culture
2. Routine urine specimen
3. Cerebrospinal fluid
4. Stool specimen
5. Sputum specimen
Q:
The health care provider suspects the postoperative client has an infection, but is not sure of the source, and orders sputum, wound, urine, and nasal cultures. Which culture should be collected when the client wakes in the morning?
1. Urine
2. Sputum
3. Wound
4. Nasal
Q:
The nurse suspects the client at the urgent care center might have a urinary tract infection. Based on this, which type of urine specimen should the nurse prepare to collect from the client?
1. 24-hour urine specimen
2. Midstream urine specimen
3. Routine urine specimen
4. Timed urine specimen
Q:
The nurse performs a guaiac stool test and gets a positive result. Based on this test result, which diagnosis is least expected for this client?
1. Colon cancer
2. Hemorrhoids
3. Bleeding stomach ulcers
4. HIV/AIDS
Q:
In which is a capillary blood specimen least likely to be indicated?
1. Testing a serum glucose level
2. Measuring a client's hematocrit
3. Obtaining blood specimens on an infant
4. Measuring an arterial blood gas
Q:
The nurse receives an order to collect a midstream urine specimen from the client. Which is not a part of collecting this specimen?
1. Teaching the client how to clean the genitals prior to collecting the specimen
2. Labeling the specimen and sending it to the lab
3. Assuring that the specimen is collected following sterile technique
4. Documenting that the specimen has been collected and what was done with it
Q:
A client is prescribed to receive enteral feedings to begin at 25 mL/hr 2 4 hours, 50 mL/hr x 2 hours, 75 mL/hr x 2 hours, and 100 mL/hr x 2 hours. In order to prepare the feeding bag for the entire 8 hour shift, how many mL of tube feeding should the nurse place in the feeding bag? Calculate to the nearest whole number.
Q:
A client with a massive sacral wound is prescribed a 2800 calorie diet. Of these calories 55% are to be carbohydrates and 25% fats. How many calories should the client ingest of protein? Calculate to the nearest whole number.
Q:
The nurse is preparing to administer medications via a client's nasogastric feeding tube that was inserted 4 weeks ago. When attempting to flush the tube, the nurse realizes that the tube is clogged. Which action by the nurse is the priority?
1. Using coke to unclog the tube
2. Giving the medication orally
3. Using ice water to irrigate the tube
4. Replacing the current tube with a new one
Q:
The nurse is caring for a client who has no cough or gag reflex and is unable to take nutrients orally. Which device would be an appropriate choice for providing nutrition to this client?
1. A nasogastric tube
2. An orogastric tube
3. A nasoenteric tube
4. A jejunostomy tube
Q:
Which clients should the nurse consider as candidates for an enteral access device?
Standard Text: Select all that apply.
1. The client who is NPO in preparation for surgery
2. The client with an absent cough and gag reflex
3. The postoperative client who returns to the unit following bowel resection who is unconscious secondary to sedation
4. The client who needs stomach contents sent for laboratory analysis
5. The client who overdosed on an oral medication
Q:
The nurse is checking the client's nasogastric tube for placement prior to administering the client's first tube feeding. Which is the most accurate means of assessing placement?
1. Checking the pH of stomach contents aspirated from the tube
2. Infusing air into the tube and auscultating for the sound of the air over the stomach
3. Obtaining an x-ray
4. Checking for residual
Q:
The nurse administering a bolus tube feeding inserts a 60 mL syringe into the tube. After pouring formula into the syringe, where should the nurse hold the syringe?
1. 1"3 inches above the ostomy opening
2. 3"6 inches above the ostomy opening
3. 12-18 inches above the ostomy opening
4. 12 inches above the ostomy opening
Q:
When discontinuing the nasogastric tube, the nurse instructs the client to complete which action?
1. Cough
2. Take a deep breath and hold it
3. Hold very still
4. Breathe deeply in through the nose and out through the mouth
Q:
The nurse is inserting a small-bore nasogastric tube. Which action by the nurse is appropriate when completing this procedure?
1. Removing the stylet prior to inserting the tube into the client's nose
2. Measuring from the tip of the client's nose to the xiphoid process to determine length of tube to be inserted
3. Checking the nares for patency prior to passing the catheter
4. Applying sterile gloves before beginning the procedure
Q:
The nurse is assisting the client to eat. Which action by the nurse is the most appropriate?
1. Sitting on the side of the bed while feeding the client
2. Telling the client to sit back and relax while the nurse does all the work
3. Asking what the client would like to eat or drink next
4. Feeding the client quickly to decrease the feeling of being a burden
Q:
The nurse is caring for an older adult client who is weak and has not been eating due to lack of strength. Which task could the nurse safely delegate to unlicensed assistive personnel (UAP)?
1. Completing a nutritional screening
2. Determining why the client is feeling weak
3. Using therapeutic communication with the client to determine if psychosocial factors are influencing the ability to eat
4. Assisting the client with eating meals
Q:
The nurse admits an older adult client, who reports following a full liquid diet over the past 3 months. The nurse anticipates this client will have which problems?
1. Low serum iron and high serum albumin
2. Low serum iron and high serum potassium
3. Low serum iron and serum albumin, high serum cholesterol
4. Low serum cholesterol and high serum albumin
Q:
Which client would benefit from a clear liquid diet?
1. The client recovering from vomiting and diarrhea
2. The client experiencing malnutrition
3. The client requiring increased protein intake
4. The client with a newly placed gastrostomy tube
Q:
When assessing the client's nutritional status and needs, which type of assessment is the most important for the nurse to use?
1. A complete nutritional assessment
2. A nutritional screening
3. A comprehensive nutritional assessment
4. An in-depth nutritional assessment
Q:
The responsibility for nutritional assessment and support in most health care facilities belongs to which individuals?
Standard Text: Select all that apply.
1. The client
2. The primary care provider
3. The nurse
4. The dietitian or nutritionist
5. The food service staff
Q:
The nurse working in an oncology clinic is caring for a client diagnosed with breast cancer. The client reports anorexia and weight loss. The client's serum albumin is low, and there is visible muscle and fat wasting. Which term should the nurse use when documenting this client's appearance?
1. Malnutrition
2. Undernutrition
3. Overnutrition
4. Protein-calorie malnutrition
Q:
The nurse is caring for a client with mild dysphagia. Which diet should the nurse anticipate being prescribed for this client?
1. Clear liquids
2. Full liquids
3. Pureed diet
4. Regular diet
Q:
The nurse is preparing to provide an intramuscular injection. For which reason should the nurse use the Z-track technique?
1. Takes less time
2. Is an easier method
3. Prevents leakage into subcutaneous tissue
4. Able to use the deltoid muscle for the injection
Q:
A client is prescribed NovoLog 70/30 15 units subcutaneous injection AC every morning. At which time should the nurse provide this medication?
1. 15 minutes before breakfast
2. 15 minutes after eating breakfast
3. Immediately after morning report
4. Prior to completing the bath and linen change
Q:
The nurse observes the student administer heparin subcutaneously into the client's abdomen. Which action indicates the need for further teaching?
1. The student determines the site by placing two fingers above the umbilicus and injecting the medication above the fingers.
2. The student cleans the site, wiping in a circular motion with an antimicrobial wipe.
3. The student uses a 25 gauge needle.
4. The student inserts the needle at a 90 angle.