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