10545219
Descripción
Test por Amanda Burton, actualizado hace más de 1 año
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Creado por Amanda Burton
hace alrededor de 7 años
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Pregunta 1
Pregunta
These routes require the use of a syringe and needle or a IV catheter to introduce medications into the body tissues or fluids?
Respuesta
-
Parenteral
-
Gastrointestinal
-
Subcutaneous
-
Rectal
Pregunta 2
Pregunta
Parenteral injections are given for the following purposes?
Respuesta
-
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
Pregunta 3
Pregunta
Principles for safe, effective administration of parenteral medications
Respuesta
-
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
Pregunta 4
Pregunta
Which route deposits small amounts of drug solution into the dermal layer?
Respuesta
-
Intradermal
-
Subcutaneous
-
Intramuscular
Pregunta 5
Pregunta
At what degree should you administer the Intradermal injection
Respuesta
-
5-15 degrees
-
45-90 degrees
-
90 degrees
-
25-30 degrees
Pregunta 6
Pregunta
Which route is used for injecting medication into the tissues below the dermal layer of skin?
Respuesta
-
Intradermal
-
Subcutaneous
-
Intramuscular
Pregunta 7
Pregunta
The subcutaneous route needs to be administered at what degree angle
Respuesta
-
5-15 degrees
-
45-90 degrees
-
90 degrees
-
25-30 degrees
Pregunta 8
Pregunta
Which route is means of injecting medication into the muscular layer
Respuesta
-
Intramuscular
-
Intradermal
-
Subcutaneous
Pregunta 9
Pregunta
At which angle of an injection would you administer a intramuscular medication
Respuesta
-
5-15 degrees
-
45-90 degrees
-
90 degrees
-
25-30 degrees
Pregunta 10
Pregunta
Which parts of the syringe are to be kept sterile
Respuesta
-
Needle
-
Tip
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Inside of the barrel
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The inside of the plunger
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Hub
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Outside of the barrel
Pregunta 11
Pregunta
What is the lumen
Respuesta
-
The opening or inside of the needle
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The black stopper within the barrel to measure the medication
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The point of the needle
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The part that connects the needle to the tip of the barrel
Pregunta 12
Pregunta
The measuring scale of most 3 mL syringes are
Respuesta
-
Millimeter
-
Milligrams
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Units
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Micrograms
Pregunta 13
Pregunta
Your giving 52 units of a medication what would syringe would you use
Respuesta
-
Tuberculin
-
3 mL
-
Insulin
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60 mL
Pregunta 14
Pregunta
Your administering 0.25 mL of a medication which would be the syringe to use
Respuesta
-
Insulin
-
Tuberculin
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3 mL
-
10 mL
Pregunta 15
Pregunta
Which is a larger gauge needle
Respuesta
-
18
-
22
-
25
-
29
Pregunta 16
Pregunta
Adult IM injections frequently use what gauge needle
Respuesta
-
22-23
-
20-21
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27-28
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29-30
Pregunta 17
Pregunta
Your fixing to administer a viscous injection which gauge needle would you use
Respuesta
-
20-21
-
22-23
-
27-28
-
29-30
Pregunta 18
Pregunta
What is the meaning of viscous
Respuesta
-
Thick, sticky
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Thin
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Muddy
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Bloody
Pregunta 19
Pregunta
Your giving a patient who ways 300lbs a intramuscular injection you would use a 28 gauge needle
Respuesta
- True
- False
Pregunta 20
Pregunta
Your giving an elderly patient who weights 105lbs a intramuscular injection you would use a 27 gauge needle.
Respuesta
- True
- False
Pregunta 21
Pregunta
If a needle stick accords the first thing you should do is was the puncture wound with soap and water
Respuesta
- True
- False
Pregunta 22
Pregunta
You should always use the one hand scoop method to recap a needle.
Respuesta
- True
- False
Pregunta 23
Pregunta
When preparing the syringe for use, you should be certain to observe these principles:
Respuesta
-
Use aseptic technique while handling the syringe and needle.
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Discard the syringe or needle if it becomes contaminated during drug preparation for administration
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Stab the syringe into the mattress when finished till you can get to the sharps container
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Label the syringe with patients name, the medication, and dose
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Prepare the medication in one syringe then transfer to another one
Pregunta 24
Pregunta
You should always break glass ampules how
Respuesta
-
Towards you with thumbs up
-
Towards the patient with thumbs down
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Towards the ground thumbs down
Pregunta 25
Pregunta
Glass ampules contain multiple doses and need to be refrigerated after
Respuesta
- True
- False
Pregunta 26
Pregunta
Before breaking open the ampule what should you do
Respuesta
-
Lightly tap the medication from the tip
-
Break with gloved hands
-
Break my placing on edge of counter and lightly taping
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Placing a alcohol swab on the tip
Pregunta 27
Pregunta
What type of needle needs to be used to withdraw medication out of an ampule
Respuesta
-
Filter
-
Lurelock
-
3mL
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Single use
Pregunta 28
Pregunta
A medication vial
Respuesta
-
Is a small bottle with a rubber stopper attached with a metal band
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Can be a single dose or multiple doses
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Is made up entirely of glass or polyurethane
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Contains powder in the base and solution in the top
Pregunta 29
Pregunta
The [blank_start]solute[blank_end] must be thoroughly mixed with the diluent before use.
Respuesta
-
solute
-
powder
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medication
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diluent
Pregunta 30
Pregunta
Your mixing two different drugs together, what would be a reaction of incompatibilities?
Respuesta
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Color change
-
precipitation
-
clouding
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clear or see through
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powder dissolved slowly
Pregunta 31
Pregunta
What is the first step when withdrawing medications from a vial?
Respuesta
-
Inject desired amount of air into the vial
-
pull back plunger to get desired amount of medication
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tap air bubble out of medication
-
wipe with alcohol wipe
Pregunta 32
Pregunta
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.
Respuesta
- True
- False
Pregunta 33
Pregunta
The subcutaneous route is used for a variety of medications including:
Respuesta
-
insulin
-
heparin
-
narcotics
-
immunizations
-
TB
Pregunta 34
Pregunta
Improper site selection can result in what
Respuesta
-
damaged nerves
-
abscesses
-
necrosis
-
stage 3 ulcer
-
sloughing of skin
-
pain
-
cyanosis
Pregunta 35
Pregunta
What is the muscle that is the most common location for IM injections in adults?
Respuesta
-
mid-deltoid
-
ventrogluteal
-
rectus femoris
-
vastus lateralis
Pregunta 36
Pregunta
When giving a IM injection to a child or infant which is the preferred muscle location
Respuesta
-
vastus lateralis
-
rectus femoris
-
mid deltoid
-
ventrogluteal
Pregunta 37
Pregunta
This method reduces pain caused by the irritating drugs that leak or escape along the track into subcutaneous tissue when the needle is withdrawn.
Respuesta
-
Z-track
-
IM
-
ID
-
Subq
Pregunta 38
Pregunta
Symptoms of anaphylactic shock
Respuesta
-
Urticaria
-
bronchiolar constriction
-
bronchiolar dilation
-
edema
-
circulatory collapse
-
dehydration
Pregunta 39
Pregunta
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.
Respuesta
- True
- False
Pregunta 40
Pregunta
Allergic reactions are more common the first time you take them.
Respuesta
- True
- False
Pregunta 41
Pregunta
Using the Z track method you should do which of the following
Respuesta
-
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
Pregunta 42
Pregunta
The patient is prescribed a medication via parenteral route, but asks, "Why can't I just take a pill?" What is the best response?
Respuesta
-
"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."
Pregunta 43
Pregunta
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?
Respuesta
-
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
Pregunta 44
Pregunta
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?
Respuesta
-
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.
Pregunta 45
Pregunta
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?
Respuesta
-
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.
Pregunta 46
Pregunta
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?
Respuesta
-
Abdomen
-
Lateral upper arm
-
Medial upper thigh
-
Antecubital space
Pregunta 47
Pregunta
Which nursing diagnosis would be the priority if a patient has a severe anaphylactic reaction to a parenteral medication?
Respuesta
-
Allergy response, Latex
-
Anxiety, death
-
Impaired gas exchange
-
Increased cardiac output
Pregunta 48
Pregunta
When the nurse is preparing a parenteral injection, medical asepsis is permissible for handling the:
Respuesta
-
Shaft of the plunger
-
needle shaft and tip
-
barrel of the syringe
-
solution in the vial
Pregunta 49
Pregunta
The nurse must give an IM injection to an 8-month-old. Which injection site is the best choice for this patient?
Respuesta
-
Dorsogluteal
-
Vastus lateralis
-
Deltoid
-
Ventrogluteal
Pregunta 50
Pregunta
What are the six rights
Respuesta
-
Drug
-
Route
-
Dose
-
Time
-
Patient
-
Documentation
-
Doctor
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