Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
concepts of nursing
parental medications lessons
| Question | Answer |
|---|---|
| administering flu vaccine. nurse hand hygiene, locates site, swabs with alcohol. allows alcohol to dry, uncaps needle, administers injection. nurse disposes of syringe, needle in sharps container. Which action increased the risk for infection? The nurse: | failed to apply clean gloves after performing hand hygiene. |
| A 65-year-old, 61-kg patient is ready for her annual flu vaccine, which is delivered intramuscularly. What size needle would the nurse use to administer this intramuscular (IM) injection in the deltoid muscle of this patient? | 25-gauge 1 inch needle |
| nurse completed giving patient injection, turns to deposit syringe, uncovered needle into sharps container. Suddenly patient’s daughter runs between the nurse and the sharps container. The nurse sticks the child with the needle. What should the nurse do? | Notify the supervisor, who will be responsible for walking the mother and child through the clinic's needle-stick procedure. |
| Where is the correct dosage measured on a syringe? | Where the head of the plunger touches the sides of the barrel of the syringe |
| nurse is preparing IM injection from liquid vial. nurse selected a 25-gauge, 1.5-inch needle but is experiencing great difficulty withdrawing the fluid from the vial. The nurse notices that the solution in the vial is very thick. What should the nurse do? | Change needles and use a 21-gauge, 1.5-inch needle. |
| While preparing a subcutaneous injection, the nurse accidentally touches the tip of the syringe while attaching the needle. What should the nurse do? | Get a new sterile syringe. |
| nursing instructor observing student nurse prepare med from ampule. student uses filter needle to withdraw med. instructor asks student nurse what the purpose is for using a filter needle. The student’s correct response would be which of the following? | it prevents entry of glass into the syringe |
| When withdrawing medication from a vial, why is it important to first inject air into the vial? | it prevents buildup of negative pressure in the vial |
| The nurse has the medication administration record, the ampule of medication, alcohol swabs, and a medication label. Identify the remaining equipment needed to deliver 0.6 mL of medication IM from an ampule | filtered needle disposable gloves 21 to 25 gauge needle 1 to 1.5 inch needle 1 ml syringe |
| The nurse has the medication administration record, the vial of medication, alcohol swabs, and a medication label. Identify the remaining equipment needed to deliver 0.5 mL of medication subcutaneously from a liquid vial. | needle for withdrawing 25 to 27 gauge needle disposable gloves 3/8 to 5/8 inch needle 1 ml syringe |
| nurse has med administration record, vial of dry medication, alcohol swabs, and a medication label. Identify the remaining equipment needed to administer intramuscularly to an average-size adult 1 mL of medication from a vial that requires reconstitution. | you do for withdrawing dilutant 1 to 3 ml syringe disposable gloves 21 to 25 gauge needle 1 to 1.5 inch needle |
| The nurse has the medication administration record, the vials of medication, alcohol swabs, and a medication label. Identify the remaining equipment needed to deliver a total volume of 1.4 mL IM injection to an average-size adult from two vials. | and go for withdrawing 3ml syringe disposable glove 21 25 gauge needle 1/2 1 and 1/2 inch needle |
| Given the medication order digoxin 100 mcg IM daily and medication label, | 0.4 |
| Given the medication order morphine sulfate 5 mg subcutaneous q4h and medication label, | 0.5 |
| Given the medication order streptomycin sulfate 0.64 g IM daily and medication label, | 1.6 |
| Given the medication order states morphine sulfate 7 mg and atropine 0.3 mg IM preoperatively and medication labels, mL is the total volume to be administered. | 1.5 |
| Before giving the patient an injection from a vial, the nurse changes needles. This is done to: (Select all that apply.) | provide a sharper needle for less painful injection, prevent medication from tracking through tissues |
| provider ordered 20 mg Lasix now. med available in ampule. nurse places gauze neck of ampule, snaps neck of ampule away from nurse. nurse places top of ampule in sharps container, prepares to withdraw med using filter needle. What step did nurse forget | forgot to check that all medication is in the bottom part of the ampule prior to breaking. |
| The nurse is preparing to give an injection for allergy testing; what would be the best needle gauge to use? | 25 or 27 |
| The nurse is giving a tuberculosis test injection; at what angle does the nurse insert the needle? | Bevel up, 5- to 15-degree angle |
| The nurse has just given an intradermal injection; what does the nurse expect to see? | A raised, fluid-filled bleb resembling a mosquito bite |
| Why should the nurse avoid massaging the intradermal injection site? | Because it will disperse the medication into the underlying tissues |
| Immediately after an allergy injection, the patient tells the nurse, "I feel funny." What are the nurse’s immediate actions? (Select all that apply.) | -Take the patient's vital signs. -Observe the patient for difficulty breathing. -Prepare to give epinephrine subcutaneously or an antihistamine such as diphenhydramine (Benadryl) according to health care provider's orders and/or agency protocol. |
| The nurse prepares to administer a subcutaneous injection to a normal-size adult on the upper left arm. The nurse chooses a needle: | 5/8 inch in length to insert at a 45-degree angle |
| After giving a subcutaneous injection of heparin, the nurse refrains from massaging the site so as to prevent: | Tissue damage |
| At what angle should a subcutaneous injection be delivered in an obese adult? | 90 degrees |
| The nurse has the medication administration record, the vial of medication, and alcohol swabs. Identify the remaining equipment needed to deliver 0.3 mL of medication subcutaneously from a liquid vial to an average-size adult. | -Needle for withdrawing -25- to 27-gauge needle -Disposable gloves -1 to 1.5 inch needle -1-mL syringe |
| The nurse is administering a subcutaneous injection of enoxaprin (Lovenox). Which of the following actions would minimize pain and discomfort for the patient? | Do not massage the site following administration. -Inserting the needle quickly |
| Generally with a subcutaneous injection, medication absorption is _____________than that of an IM injection. | Slower |
| patient underwent hip replacement, has abduction pillow. care provider has ordered an injection of 15 mg morphine sulfate intramuscularly for acute pain. What would be the preferred site for administering an intramuscular (IM) injection to this patient? | Vastus lateralis muscle |
| While preparing an IM injection, the nurse withdraws the syringe needle from a multi-dose vial and touches the hub of the needle. What should the nurse do? | administer the injection |
| Of the three types of injections, intradermal, subcutaneous, and IM, which requires aspiration of the syringe before injecting the prepared pain medication? | IM |
| A patient is in severe pain. The nurse has an order for morphine sulfate 5 mg intramuscularly or subcutaneously. What is the nurse’s best nursing action? | Give the morphine intramuscularly because this route will allow it to be absorbed more rapidly. |
| An 81-year-old cachetic woman (weighing 40 kg) requires iron dextran 1 mL intramuscularly. How will the nurse administer this injection? | Choose a 21-gauge, 0.5- to 1-inch needle and administer the injection with the Z-track technique at a 90-degree angle. |
| The nurse has to give a 1 month old the hepatitis B vaccine. Which is the best site for administration? | Vastus lateralis |
| The nurse is administering a preoperative medication intramuscularly. As the nurse aspirates, the nurse sees blood return into the syringe. What should the nurse do next? | Withdraw the needle and start over |
| nurse has med administration record, vial of med, alcohol swabs, and med label. Choose the remaining equipment that the nurse will need to administer 1 mL of medication, which first has to be reconstituted, as an IM injection to an average-size adult | -Needle for withdrawing -Dilute -1- to 3-mL syringe -Disposable gloves -21- to 25-gauge needle -1 to 1.5 inch needle |
| The nursing instructor is reviewing with the students the Z-track method for administering an IM injection. Which statement(s), if made by a student, indicates further instruction is needed? | -"A fast injection rate of the medication reduces pain and tissue trauma" -"The needle should be removed after the skin is released." |
| Which of the following accurately describes how to locate the ventrogluteal site? | Place heel of hand over the patient's greater trochanter, thumb toward the patient's groin, index finger points to the anterior superior iliac spine, and middle finger extends back along the iliac crest. |
Created by:
colby.caswell