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Nursing Skills
Test 3 - LP10
| Question | Answer |
|---|---|
| Parental meds have absorption that is more ___ and _____. | Rapid, complete |
| The action for parental meds is not predictable. True/False | FALSE |
| Parental med dosage can be determined more accurately. | TRUE |
| Factors that affect blood flow to tissue impacts parental absorption. (7) | Physical exercise, application of heat/cold, circulatory shock, occlusive vascular disorders, diabetes, scar tissue, edema |
| What are the six medication rights? | Medication, dose, route, time, patient, documentation |
| What should you do to the top of a vial that has already been used? | Wipe with alcohol |
| What parts of the needle are sterile? (2) | Shaft and bevel |
| Before injection medication what should you do to site? | Cleanse |
| Where do SQs get injected? (3) | Fatty Tissue: anterior thigh, outer aspect of upper arm, abdomen |
| Where do IMs get injected? (3) | Muscle: ventrogluteal, deltoid muscle, vastus lateralis |
| Where do intradermals get injected? | Between epidermis and dermis |
| How many mL can be injected IM (adult) | 3mL |
| How many mL can be injected for smaller or less well developed muscles? | 1-2 mL |
| How many mL can be injected into the deltoid? | 1mL |
| How many mL can be injected IM in children less than 2 years of age? | 1 mL per site |
| Mg is a measure of _______ or ______ | Mass or weight (grams, milligrams) |
| ML is a measure of ________ | Volume of a liquid |
| What is mL of a drug indicative of? | Concentration of drug in liquid form |
| Are drugs ordered by volume? | Rarely |
| What are the three types of syringes? | Hypodermic, tuberculin, Insulin |
| When are Tuberculin syringes used? | Doses less than 1mL especially pediatrics, TB test |
| How many Units are there in one mL? | 100 |
| What are client and clinical considerations for selecting length and lumen of needle? (4) | Client size, weight, tissue to be injected, viscosity of fluid to be injected |
| Part of needles that fits onto tip of syringe | Hub |
| Part of needle that is connected to the hub | Shaft |
| Part of needle that has slant for easy insertion | Bevel |
| The size of a needle can vary from ____ to ___ inches | ¼ to 3 |
| What is the appropriate needle length for SQ? | 3/8 to 5/8 |
| What is the appropriate needle length for IM? | 1 to 11/2 inches although 2 inches may be necessary |
| The smaller the gauge, the ____ the needle diameter | Larger |
| What gauge needle is used for SQ? | 24-25 |
| What gauge needle is used for IM? | 21-22 |
| What gauge needle is used to have blood drawn? | 18-20 |
| What angle is used SQ? | 45 or 90, depends on thickness of skin fold |
| What angle is used IM? | 90 |
| What angle is used ID? | 5-15 |
| When do we use the Z-track method? | IM |
| The Z – track method is required anytime a medication is ______ or ________ | Irritating or stains the skin |
| How do you use the Z-track method? | Pull skin taught, downward, upward or laterally (to the side) before injecting, maintain during injection, and release as soon as needle is removed |
| Do you use the Z-track for deltoid injections? | Not necessary but if you do, be careful |
| What happens to the injection site as the skin from X-track method is released? | It is sealed off |
| What is the air lock technique? | Add an additional 0.2mL of air to syringe, after injecting med, follow with small air bubble |
| What is the purpose of using the airlock technique? | May help prevent leaking of med through the needle track |
| What type of injection do we aspirate for? | IM only ( NO ID SQ, not with vaccines) |
| Where is the best IM site for infants? | Vastus lateralis |
| What does NIPA stand for> | Needle stick prevention act (OSHA) |
| When is a filter needle used? | When drawing up medicine from an ampule |
| What type of medicine is Heparin? | Anticoagulant ( aka blood thinner) |
| What is the Heparin’s method of action? (2) | Decrease clotting ability in blood, prevents any clots that have already formed from becoming larger and causing more serious problems |
| Will Heparin dissolve a blood clot that has already formed? | No |
| What type of medication is Lovenox? | A type of Heparin |
| What is Lovenox made up of? | Enoxparin sodium |
| In what form does Lovenox come? | Prefilled syringes |
| Through what route is Lovenox given | SQ |
| What is common site for Lovenox? | Abdomen |
| When administering Lovenox, observe for signs and symptoms of ______ | Bleeding |
| When administering Lovenox, avoid ______ | Scar tissue |
| Sites of SQ admin should be rotated. True/False | TRUE |
| Should you rub the site of Heparin injection after administration? | No |
| Why can’t insulin be taken by mouth? | It would be destroyed be digestion |
| Through what route is insulin administered? | SQ |
| In what forms does insulin come? | Vials, pens, jet injectors, pumps |
| Through what routes can REGULAR insulin be given? | IV infusion, IV push, SQ |
| Through what routes can NPH insulin be given? | SQ only |
| Is insulin given before or after meals? | 30 min before meals |
| To prevent hypertrophy, when giving an insulin you should_______. | Rotate sites |
| Is regular insulin short or long acting? | Short |
| What type of insulin is longer acting and cloudy due to a protein which slows absorption? | NPH |
| Combination insulin | 70/30 |
| Long acting insulin | Ultralente |
| 24 hour Insulin | Lantus or insulin glargine |
| Before administering insulin, what should you verify? | Blood glucose level |
| What do two things to you need to know about the type of insulin you are giving? | Peak and duration |
| Can other insulin be mixed with Lantus? | No |
| What bacteria causes TB? | Mycobacterium tuberculosis |
| What organ does TB impact? | The lungs |
| How is TB spread? | Airborne contaminations |
| If you have no symptoms, not infectious but have a positive disease and potential for developing disease is considered to be ______, | Latent |
| What are signs/symptoms of TB? (7) | Cough, fever, chills, night sweats, chest pain, blood in sputum, positive TB test |
| Where is a TB test done? | Inner forearm is the most common |
| What type of syringe and gauge needle is used for TB test? | TB or 1 ML 26-27 |
| What should you do to skin prior to injecting for TB test? | Cleanse and stretch |
| The bevel side for a TB test should be in what position? | Up |
| How deep far should needle advance through epidermis for TB test? | 1/8 of an inch below skin |
| At what rate should a TB test be done? | Slowly |
| What should you do after performing TB test? | Apply gauze over site, do not massage |
| How soon after having a TB test can it be read? | 48-72 Hours |
| Greater or = to 5 mm on a TB test is considered positive for what groups? (5) | HIV+,recent TB exposure, fibrotic changes on chest x-ray ray, organ transplants, immunosuppressed |
| Greater or equal to 10 mm on a TB test is considered positive for what groups? (4) | Recent immigrants from high prevalence countries, IV drug users, residents of jail/prison, children under 4 yrs. of age |
| Greater or equal to 15 mm is considered positive for what group? | Persons with no risk factors |
Created by:
anastasia158
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