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Medications Part 2
| Question | Answer |
|---|---|
| True or False: It is acceptable to leave meds at the bedside for the client to take later. | False! |
| When should a nurse leave the medication cart unlocked? | Never ever! |
| Name 4 contraindications for giving meds via the oral route. | vomiting, dysphagia, continuous gastric suctioning, unconsciousness |
| What is the proper way to measure a liquid medication? | At eye level on a flat surface |
| Name some types of medications that cannot be crushed. | sustained/extended release, enteric coated |
| What should the nurse teach the patient when administering a buccal or sublingual medication? | No liquids until completely dissolved, do not chew or swallow, medication will act quickly |
| Name the important steps in applying a transdermal patch. | Wear gloves, remove previous patch before applying new one, clean the skin and dry, rotate application areas, label new patch with date and time applied |
| What position for the patient is best when administering otic medications? | lateral |
| What kind of needle is necessary when drawing liquid medication from an ampule? | filter needle |
| Why is an important to document the injection site that you used? | So that sites can be rotated |
| The angle for an intradermal injection should be no more than: | 15 degrees |
| How far should the nurse insert the needle when giving an intradermal injection? | 1/8 inch |
| Which way should the bevel of the needle be facing when giving an intradermal injection? | up (towards the ceiling) |
| When giving an intradermal injection on the forearm, in what specific area should the nurse administer the injection? | medial aspect of the forearm, about 4 fingers away from the anticubital space and wrist |
| Where should the nurse give a subcutaneous injection in the abdomen? | at least 2 inches away from the umbilicus, below the umbilicus |
| Which needle length is appropriate for a subcutaneous injection: 1/2" or 1"? | 1/2" |
| Which needle gauge is appropriate for a subcutaneous injection: 28G or 22G? | 28G |
| For an average-sized adult client, which angle of injection is appropriate for a subcutaneous injection? | 90 degrees |
| If a client has very little subcutaneous tissue, which angle is best for a subcutaneous injection? | 45 degrees |
| If an insulin injection is to be given, which route is appropriate? | subcutaneous |
| When giving an injection of an anti-coagulant such as Heparin, name two things you should NOT do. | aspirate or massage |
| Which needle gauge is appropriate for an intramuscular injection: 20G or 30G? | 20G |
| What is the needle length range for a needle used to give an IM injection? | 5/8" to 1.5" (depending upon size of client) |
| What angle is used for an IM injection? | 90 degrees |
| True or False: the nurse should aspirate when administering an IM injection. | True! |
| What are the landmarks for the deltoid injection site? | acromion process and axillary fold |
| True or False: If you have a 3 mL injection to give, you should use the deltoid site. | False! |
| What are the landmarks for the vastus lateralis injection site? | greater trochanter and the knee |
| What are the landmarks for the ventrogluteal site? | greater trochanter, anterior superior iliac spine, iliac crest |
| If you are giving a medication that needs to be administered using the IM Z-track technique, which is the appropriate site: deltoid or ventrogluteal | ventrogluteal |
| What is the purpose of the z-track technique? | to prevent irritating or staining medications from leaking up the needle track and out of the muscle |
| What should the nurse take into consideration when choosing an IM site? | size of the client, condition of skin and underlying tissue, age of the client, type of medication used, amount of medication used, preference of client |
Created by:
ProfessorGemmel
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