These routes require the use of a syringe and needle or a IV catheter to introduce medications into the body tissues or fluids?
Parenteral
Gastrointestinal
Subcutaneous
Rectal
Parenteral injections are given for the following purposes?
NPO
To slow down the action of the drug
When digestive juices would counteract the effects of the drug
To hasten the action of the drug
When the patient is combative
Principles for safe, effective administration of parenteral medications
Know the medication
Check drug allergies
Use only sterile needles and syringes
Use the longest length of needle
Label the syringe with the patient's name, room number and time
Ask for help with frightened children or an uncooperative adult
Use the same site each injection
Aspirate the plunger to check for blood
Which route deposits small amounts of drug solution into the dermal layer?
Intradermal
Intramuscular
At what degree should you administer the Intradermal injection
5-15 degrees
45-90 degrees
90 degrees
25-30 degrees
Which route is used for injecting medication into the tissues below the dermal layer of skin?
The subcutaneous route needs to be administered at what degree angle
Which route is means of injecting medication into the muscular layer
At which angle of an injection would you administer a intramuscular medication
Which parts of the syringe are to be kept sterile
Needle
Tip
Inside of the barrel
The inside of the plunger
Hub
Outside of the barrel
What is the lumen
The opening or inside of the needle
The black stopper within the barrel to measure the medication
The point of the needle
The part that connects the needle to the tip of the barrel
The measuring scale of most 3 mL syringes are
Millimeter
Milligrams
Units
Micrograms
Your giving 52 units of a medication what would syringe would you use
Tuberculin
3 mL
Insulin
60 mL
Your administering 0.25 mL of a medication which would be the syringe to use
10 mL
Which is a larger gauge needle
18
22
25
29
Adult IM injections frequently use what gauge needle
22-23
20-21
27-28
29-30
Your fixing to administer a viscous injection which gauge needle would you use
What is the meaning of viscous
Thick, sticky
Thin
Muddy
Bloody
Your giving a patient who ways 300lbs a intramuscular injection you would use a 28 gauge needle
Your giving an elderly patient who weights 105lbs a intramuscular injection you would use a 27 gauge needle.
If a needle stick accords the first thing you should do is was the puncture wound with soap and water
You should always use the one hand scoop method to recap a needle.
When preparing the syringe for use, you should be certain to observe these principles:
Use aseptic technique while handling the syringe and needle.
Discard the syringe or needle if it becomes contaminated during drug preparation for administration
Stab the syringe into the mattress when finished till you can get to the sharps container
Label the syringe with patients name, the medication, and dose
Prepare the medication in one syringe then transfer to another one
You should always break glass ampules how
Towards you with thumbs up
Towards the patient with thumbs down
Towards the ground thumbs down
Glass ampules contain multiple doses and need to be refrigerated after
Before breaking open the ampule what should you do
Lightly tap the medication from the tip
Break with gloved hands
Break my placing on edge of counter and lightly taping
Placing a alcohol swab on the tip
What type of needle needs to be used to withdraw medication out of an ampule
Filter
Lurelock
3mL
Single use
A medication vial
Is a small bottle with a rubber stopper attached with a metal band
Can be a single dose or multiple doses
Is made up entirely of glass or polyurethane
Contains powder in the base and solution in the top
The solute powder medication diluent( solute, powder, medication, diluent ) must be thoroughly mixed with the diluent before use.
Your mixing two different drugs together, what would be a reaction of incompatibilities?
Color change
precipitation
clouding
clear or see through
powder dissolved slowly
What is the first step when withdrawing medications from a vial?
Inject desired amount of air into the vial
pull back plunger to get desired amount of medication
tap air bubble out of medication
wipe with alcohol wipe
A tuberculin syringe is used at a 5 to 15 degree angle between the layers of skin, to injected solution in the epidermis to form a bleb.
The subcutaneous route is used for a variety of medications including:
insulin
heparin
narcotics
immunizations
TB
Improper site selection can result in what
damaged nerves
abscesses
necrosis
stage 3 ulcer
sloughing of skin
pain
cyanosis
What is the muscle that is the most common location for IM injections in adults?
mid-deltoid
ventrogluteal
rectus femoris
vastus lateralis
When giving a IM injection to a child or infant which is the preferred muscle location
mid deltoid
This method reduces pain caused by the irritating drugs that leak or escape along the track into subcutaneous tissue when the needle is withdrawn.
Z-track
IM
ID
Subq
Symptoms of anaphylactic shock
Urticaria
bronchiolar constriction
bronchiolar dilation
edema
circulatory collapse
dehydration
When administering a parenteral drug you are to check allergies and to observe the patient for 30 minutes after the drug has been given the first time.
Allergic reactions are more common the first time you take them.
Using the Z track method you should do which of the following
press the side of the hand down and retract the skin and tissue laterally
Insert the needle at a 45-90 degree angle
Aspirate the syringe for blood
slowly inject the medication in intervals
Wait 10 seconds before withdrawing the needle
massage the site in a circular motion
The patient is prescribed a medication via parenteral route, but asks, "Why can't I just take a pill?" What is the best response?
"A parenteral medication lasts longer than an oral medication."
"It will save you money if we use the parenteral form."
"Tablets provide a less accurate dose compared to an injection."
"Digestive juices will counteract the effects of the drug."
The nurse is preparing to give an average-size adult patient an IM injection of 3 mL of viscous medication. Which equipment should the nurse use?
A 3 mL syringe with a 25-gauge 1 inch needle
A 5 mL syringe with a 20 gauge 1.5 inch needle
A 10 mL syringe with a 25 gauge 1.5 inch needle
A 3 mL syringe with an 18 gauge 2 inch needle
During an intramuscular injection, the patient moves as the nurse is withdrawing the needle and the nurse accidentally sustains a needle stick injury. What is the priority?
Check he patient's chart for a diagnosis of HIV or hepatitis.
Call the infection control nurse and ask for advice.
Scrub the needle stick site with warm water and soap.
Report immediately to the ER for treatment.
The nurse is supervising a nursing student who is trying to withdraw 2 mL of medication from an ampule. The nurse would intervene if the student performed which action?
Wraps the neck of the ampule with an alcohol swab.
Draws up 2 mL of air into the syringe to insert in the ampule .
Taps the stem of ampule to dislodge medication that is trapped in the stem.
Inserts a filter needle into the ampule below the surface of the fluid.
A patient needs a intradermal injection for a tuberculin skin test, but he currently has bilateral forearm cast in place. What is the best alternative site?
Abdomen
Lateral upper arm
Medial upper thigh
Antecubital space
Which nursing diagnosis would be the priority if a patient has a severe anaphylactic reaction to a parenteral medication?
Allergy response, Latex
Anxiety, death
Impaired gas exchange
Increased cardiac output
When the nurse is preparing a parenteral injection, medical asepsis is permissible for handling the:
Shaft of the plunger
needle shaft and tip
barrel of the syringe
solution in the vial
The nurse must give an IM injection to an 8-month-old. Which injection site is the best choice for this patient?
Dorsogluteal
Vastus lateralis
Deltoid
Ventrogluteal
What are the six rights
Drug
Route
Dose
Time
Patient
Documentation
Doctor