Amanda Burton
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Fundamentals

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Amanda Burton
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Administering Intradermal, Subcutaneous, and Intramuscular Injections

Question 1 of 50

1

These routes require the use of a syringe and needle or a IV catheter to introduce medications into the body tissues or fluids?

Select one of the following:

  • Parenteral

  • Gastrointestinal

  • Subcutaneous

  • Rectal

Explanation

Question 2 of 50

1

Parenteral injections are given for the following purposes?

Select one or more of the following:

  • 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

Explanation

Question 3 of 50

1

Principles for safe, effective administration of parenteral medications

Select one or more of the following:

  • 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

Explanation

Question 4 of 50

1

Which route deposits small amounts of drug solution into the dermal layer?

Select one of the following:

  • Intradermal

  • Subcutaneous

  • Intramuscular

Explanation

Question 5 of 50

1

At what degree should you administer the Intradermal injection

Select one of the following:

  • 5-15 degrees

  • 45-90 degrees

  • 90 degrees

  • 25-30 degrees

Explanation

Question 6 of 50

1

Which route is used for injecting medication into the tissues below the dermal layer of skin?

Select one of the following:

  • Intradermal

  • Subcutaneous

  • Intramuscular

Explanation

Question 7 of 50

1

The subcutaneous route needs to be administered at what degree angle

Select one of the following:

  • 5-15 degrees

  • 45-90 degrees

  • 90 degrees

  • 25-30 degrees

Explanation

Question 8 of 50

1

Which route is means of injecting medication into the muscular layer

Select one of the following:

  • Intramuscular

  • Intradermal

  • Subcutaneous

Explanation

Question 9 of 50

1

At which angle of an injection would you administer a intramuscular medication

Select one of the following:

  • 5-15 degrees

  • 45-90 degrees

  • 90 degrees

  • 25-30 degrees

Explanation

Question 10 of 50

1

Which parts of the syringe are to be kept sterile

Select one or more of the following:

  • Needle

  • Tip

  • Inside of the barrel

  • The inside of the plunger

  • Hub

  • Outside of the barrel

Explanation

Question 11 of 50

1

What is the lumen

Select one of the following:

  • 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

Explanation

Question 12 of 50

1

The measuring scale of most 3 mL syringes are

Select one of the following:

  • Millimeter

  • Milligrams

  • Units

  • Micrograms

Explanation

Question 13 of 50

1

Your giving 52 units of a medication what would syringe would you use

Select one of the following:

  • Tuberculin

  • 3 mL

  • Insulin

  • 60 mL

Explanation

Question 14 of 50

1

Your administering 0.25 mL of a medication which would be the syringe to use

Select one of the following:

  • Insulin

  • Tuberculin

  • 3 mL

  • 10 mL

Explanation

Question 15 of 50

1

Which is a larger gauge needle

Select one of the following:

  • 18

  • 22

  • 25

  • 29

Explanation

Question 16 of 50

1

Adult IM injections frequently use what gauge needle

Select one of the following:

  • 22-23

  • 20-21

  • 27-28

  • 29-30

Explanation

Question 17 of 50

1

Your fixing to administer a viscous injection which gauge needle would you use

Select one of the following:

  • 20-21

  • 22-23

  • 27-28

  • 29-30

Explanation

Question 18 of 50

1

What is the meaning of viscous

Select one of the following:

  • Thick, sticky

  • Thin

  • Muddy

  • Bloody

Explanation

Question 19 of 50

1

Your giving a patient who ways 300lbs a intramuscular injection you would use a 28 gauge needle

Select one of the following:

  • True
  • False

Explanation

Question 20 of 50

1

Your giving an elderly patient who weights 105lbs a intramuscular injection you would use a 27 gauge needle.

Select one of the following:

  • True
  • False

Explanation

Question 21 of 50

1

If a needle stick accords the first thing you should do is was the puncture wound with soap and water

Select one of the following:

  • True
  • False

Explanation

Question 22 of 50

1

You should always use the one hand scoop method to recap a needle.

Select one of the following:

  • True
  • False

Explanation

Question 23 of 50

1

When preparing the syringe for use, you should be certain to observe these principles:

Select one or more of the following:

  • 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

Explanation

Question 24 of 50

1

You should always break glass ampules how

Select one of the following:

  • Towards you with thumbs up

  • Towards the patient with thumbs down

  • Towards the ground thumbs down

Explanation

Question 25 of 50

1

Glass ampules contain multiple doses and need to be refrigerated after

Select one of the following:

  • True
  • False

Explanation

Question 26 of 50

1

Before breaking open the ampule what should you do

Select one or more of the following:

  • 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

Explanation

Question 27 of 50

1

What type of needle needs to be used to withdraw medication out of an ampule

Select one of the following:

  • Filter

  • Lurelock

  • 3mL

  • Single use

Explanation

Question 28 of 50

1

A medication vial

Select one or more of the following:

  • 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

Explanation

Question 29 of 50

1

Select from the dropdown list to complete the text.

The ( solute, powder, medication, diluent ) must be thoroughly mixed with the diluent before use.

Explanation

Question 30 of 50

1

Your mixing two different drugs together, what would be a reaction of incompatibilities?

Select one or more of the following:

  • Color change

  • precipitation

  • clouding

  • clear or see through

  • powder dissolved slowly

Explanation

Question 31 of 50

1

What is the first step when withdrawing medications from a vial?

Select one of the following:

  • 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

Explanation

Question 32 of 50

1

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.

Select one of the following:

  • True
  • False

Explanation

Question 33 of 50

1

The subcutaneous route is used for a variety of medications including:

Select one or more of the following:

  • insulin

  • heparin

  • narcotics

  • immunizations

  • TB

Explanation

Question 34 of 50

1

Improper site selection can result in what

Select one or more of the following:

  • damaged nerves

  • abscesses

  • necrosis

  • stage 3 ulcer

  • sloughing of skin

  • pain

  • cyanosis

Explanation

Question 35 of 50

1

What is the muscle that is the most common location for IM injections in adults?

Select one of the following:

  • mid-deltoid

  • ventrogluteal

  • rectus femoris

  • vastus lateralis

Explanation

Question 36 of 50

1

When giving a IM injection to a child or infant which is the preferred muscle location

Select one of the following:

  • vastus lateralis

  • rectus femoris

  • mid deltoid

  • ventrogluteal

Explanation

Question 37 of 50

1

This method reduces pain caused by the irritating drugs that leak or escape along the track into subcutaneous tissue when the needle is withdrawn.

Select one of the following:

  • Z-track

  • IM

  • ID

  • Subq

Explanation

Question 38 of 50

1

Symptoms of anaphylactic shock

Select one or more of the following:

  • Urticaria

  • bronchiolar constriction

  • bronchiolar dilation

  • edema

  • circulatory collapse

  • dehydration

Explanation

Question 39 of 50

1

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.

Select one of the following:

  • True
  • False

Explanation

Question 40 of 50

1

Allergic reactions are more common the first time you take them.

Select one of the following:

  • True
  • False

Explanation

Question 41 of 50

1

Using the Z track method you should do which of the following

Select one or more 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

Explanation

Question 42 of 50

1

The patient is prescribed a medication via parenteral route, but asks, "Why can't I just take a pill?" What is the best response?

Select one of the following:

  • "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."

Explanation

Question 43 of 50

1

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?

Select one of the following:

  • 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

Explanation

Question 44 of 50

1

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?

Select one of the following:

  • 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.

Explanation

Question 45 of 50

1

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?

Select one of the following:

  • 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.

Explanation

Question 46 of 50

1

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?

Select one of the following:

  • Abdomen

  • Lateral upper arm

  • Medial upper thigh

  • Antecubital space

Explanation

Question 47 of 50

1

Which nursing diagnosis would be the priority if a patient has a severe anaphylactic reaction to a parenteral medication?

Select one of the following:

  • Allergy response, Latex

  • Anxiety, death

  • Impaired gas exchange

  • Increased cardiac output

Explanation

Question 48 of 50

1

When the nurse is preparing a parenteral injection, medical asepsis is permissible for handling the:

Select one of the following:

  • Shaft of the plunger

  • needle shaft and tip

  • barrel of the syringe

  • solution in the vial

Explanation

Question 49 of 50

1

The nurse must give an IM injection to an 8-month-old. Which injection site is the best choice for this patient?

Select one of the following:

  • Dorsogluteal

  • Vastus lateralis

  • Deltoid

  • Ventrogluteal

Explanation

Question 50 of 50

1

What are the six rights

Select one or more of the following:

  • Drug

  • Route

  • Dose

  • Time

  • Patient

  • Documentation

  • Doctor

Explanation

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