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Administering Intradermal, Subcutaneous, and Intramuscular Injections

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Fundamentals
Amanda Burton
Quiz by Amanda Burton, updated more than 1 year ago
Amanda Burton
Created by Amanda Burton about 7 years ago
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Resource summary

Question 1

Question
These routes require the use of a syringe and needle or a IV catheter to introduce medications into the body tissues or fluids?
Answer
  • Parenteral
  • Gastrointestinal
  • Subcutaneous
  • Rectal

Question 2

Question
Parenteral injections are given for the following purposes?
Answer
  • 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

Question 3

Question
Principles for safe, effective administration of parenteral medications
Answer
  • 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

Question 4

Question
Which route deposits small amounts of drug solution into the dermal layer?
Answer
  • Intradermal
  • Subcutaneous
  • Intramuscular

Question 5

Question
At what degree should you administer the Intradermal injection
Answer
  • 5-15 degrees
  • 45-90 degrees
  • 90 degrees
  • 25-30 degrees

Question 6

Question
Which route is used for injecting medication into the tissues below the dermal layer of skin?
Answer
  • Intradermal
  • Subcutaneous
  • Intramuscular

Question 7

Question
The subcutaneous route needs to be administered at what degree angle
Answer
  • 5-15 degrees
  • 45-90 degrees
  • 90 degrees
  • 25-30 degrees

Question 8

Question
Which route is means of injecting medication into the muscular layer
Answer
  • Intramuscular
  • Intradermal
  • Subcutaneous

Question 9

Question
At which angle of an injection would you administer a intramuscular medication
Answer
  • 5-15 degrees
  • 45-90 degrees
  • 90 degrees
  • 25-30 degrees

Question 10

Question
Which parts of the syringe are to be kept sterile
Answer
  • Needle
  • Tip
  • Inside of the barrel
  • The inside of the plunger
  • Hub
  • Outside of the barrel

Question 11

Question
What is the lumen
Answer
  • 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

Question 12

Question
The measuring scale of most 3 mL syringes are
Answer
  • Millimeter
  • Milligrams
  • Units
  • Micrograms

Question 13

Question
Your giving 52 units of a medication what would syringe would you use
Answer
  • Tuberculin
  • 3 mL
  • Insulin
  • 60 mL

Question 14

Question
Your administering 0.25 mL of a medication which would be the syringe to use
Answer
  • Insulin
  • Tuberculin
  • 3 mL
  • 10 mL

Question 15

Question
Which is a larger gauge needle
Answer
  • 18
  • 22
  • 25
  • 29

Question 16

Question
Adult IM injections frequently use what gauge needle
Answer
  • 22-23
  • 20-21
  • 27-28
  • 29-30

Question 17

Question
Your fixing to administer a viscous injection which gauge needle would you use
Answer
  • 20-21
  • 22-23
  • 27-28
  • 29-30

Question 18

Question
What is the meaning of viscous
Answer
  • Thick, sticky
  • Thin
  • Muddy
  • Bloody

Question 19

Question
Your giving a patient who ways 300lbs a intramuscular injection you would use a 28 gauge needle
Answer
  • True
  • False

Question 20

Question
Your giving an elderly patient who weights 105lbs a intramuscular injection you would use a 27 gauge needle.
Answer
  • True
  • False

Question 21

Question
If a needle stick accords the first thing you should do is was the puncture wound with soap and water
Answer
  • True
  • False

Question 22

Question
You should always use the one hand scoop method to recap a needle.
Answer
  • True
  • False

Question 23

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

Question 24

Question
You should always break glass ampules how
Answer
  • Towards you with thumbs up
  • Towards the patient with thumbs down
  • Towards the ground thumbs down

Question 25

Question
Glass ampules contain multiple doses and need to be refrigerated after
Answer
  • True
  • False

Question 26

Question
Before breaking open the ampule what should you do
Answer
  • 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

Question 27

Question
What type of needle needs to be used to withdraw medication out of an ampule
Answer
  • Filter
  • Lurelock
  • 3mL
  • Single use

Question 28

Question
A medication vial
Answer
  • 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

Question 29

Question
The [blank_start]solute[blank_end] must be thoroughly mixed with the diluent before use.
Answer
  • solute
  • powder
  • medication
  • diluent

Question 30

Question
Your mixing two different drugs together, what would be a reaction of incompatibilities?
Answer
  • Color change
  • precipitation
  • clouding
  • clear or see through
  • powder dissolved slowly

Question 31

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

Question 32

Question
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.
Answer
  • True
  • False

Question 33

Question
The subcutaneous route is used for a variety of medications including:
Answer
  • insulin
  • heparin
  • narcotics
  • immunizations
  • TB

Question 34

Question
Improper site selection can result in what
Answer
  • damaged nerves
  • abscesses
  • necrosis
  • stage 3 ulcer
  • sloughing of skin
  • pain
  • cyanosis

Question 35

Question
What is the muscle that is the most common location for IM injections in adults?
Answer
  • mid-deltoid
  • ventrogluteal
  • rectus femoris
  • vastus lateralis

Question 36

Question
When giving a IM injection to a child or infant which is the preferred muscle location
Answer
  • vastus lateralis
  • rectus femoris
  • mid deltoid
  • ventrogluteal

Question 37

Question
This method reduces pain caused by the irritating drugs that leak or escape along the track into subcutaneous tissue when the needle is withdrawn.
Answer
  • Z-track
  • IM
  • ID
  • Subq

Question 38

Question
Symptoms of anaphylactic shock
Answer
  • Urticaria
  • bronchiolar constriction
  • bronchiolar dilation
  • edema
  • circulatory collapse
  • dehydration

Question 39

Question
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.
Answer
  • True
  • False

Question 40

Question
Allergic reactions are more common the first time you take them.
Answer
  • True
  • False

Question 41

Question
Using the Z track method you should do which of the following
Answer
  • 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

Question 42

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

Question 43

Question
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?
Answer
  • 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

Question 44

Question
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?
Answer
  • 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.

Question 45

Question
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?
Answer
  • 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.

Question 46

Question
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?
Answer
  • Abdomen
  • Lateral upper arm
  • Medial upper thigh
  • Antecubital space

Question 47

Question
Which nursing diagnosis would be the priority if a patient has a severe anaphylactic reaction to a parenteral medication?
Answer
  • Allergy response, Latex
  • Anxiety, death
  • Impaired gas exchange
  • Increased cardiac output

Question 48

Question
When the nurse is preparing a parenteral injection, medical asepsis is permissible for handling the:
Answer
  • Shaft of the plunger
  • needle shaft and tip
  • barrel of the syringe
  • solution in the vial

Question 49

Question
The nurse must give an IM injection to an 8-month-old. Which injection site is the best choice for this patient?
Answer
  • Dorsogluteal
  • Vastus lateralis
  • Deltoid
  • Ventrogluteal

Question 50

Question
What are the six rights
Answer
  • Drug
  • Route
  • Dose
  • Time
  • Patient
  • Documentation
  • Doctor
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