Ch 22 - Parenteral Medications (just answers - no rationale)

The nurse is preparing to give an intramuscular injection to a toddler. To decrease pain, EMLA cream is applied to the injection site at least ______ hour(s) before administration of the injection.

1

The health care provider orders 4 units of regular insulin and 10 units of NPH insulin subcutaneous before breakfast. The nurse draws the regular insulin into the syringe and is preparing to draw the NPH insulin into the same syringe. When finished, the syringe should contain _________ units.

14

The nurse is preparing an intramuscular injection for a thin elderly patient. The nurse is aware that the maximum volume most likely tolerated by this patient is which amount?

2 mL

The nurse is teaching a patient how to inject low-molecular-weight heparin. What instruction should be included in the teaching plan?

After injecting the medication, apply gentle pressure to the injection site for 30 to 60 seconds

The nurse is preparing to administer an intravenous (IV) antibiotic using a mini-infusion pump. Which action should the nurse do first?

Apply pressure to the syringe plunger to fill the tubing with medication

A student nurse is preparing to administer an intramuscular injection into the ventrogluteal muscle. The nursing instructor should question which action by the student?

Asking the patient to assume a sitting position

The nurse is preparing to give a medication by IV bolus. When assessing the patient's IV insertion site, the nurse notes that it is warm, reddened, and tender. What action should the nurse take first?

Discontinue the IV infusion

The nurse follows practice guidelines when administering injections to a patient to avoid which possible complications? (Select all that apply.)

Drug response that is too rapid or too slow, Nerve injury with possible pain or paralysis, Death of tissue surrounding the injection site, Death of the patient

A patient has orders for 10 units of glargine (Lantus) insulin and 5 units of regular insulin to be given at the same time. Which action by the nurse is appropriate?

Giving two separate injections using different needles and syringes

The nurse is preparing to administer an immunization to a toddler. Which action by the nurse is appropriate?

Grasp the body of the muscle during injection

A patient with a continuous IV infusion has an order for ciprofloxacin to be given IV piggyback. Which action by the nurse is appropriate for administering the medication?

Hang the bag with ciprofloxacin higher than the continuous infusion bag

The student nurse is preparing to administer an IV bolus medication through a small-gauge IV catheter. The student notes that there is no blood return on aspiration. Which action by the student should the nursing instructor question?

Immediately stopping the IV infusion and removing the IV catheter

The nurse administers a tuberculin screening test to a patient who has no known risk factors for tuberculosis. When the test site is read 48 hours later, which result is considered positive?

Induration of 15 mm or more

The nurse is teaching a patient how to mix 5 units of regular insulin and 15 units of NPH insulin in the same syringe. The nurse determines that further instruction is needed if the patient does which of the following?

Injects 5 units of air into the regular insulin vial first and withdraws 5 units of regular insulin

The nurse is preparing to administer an intradermal injection to an adult patient. Which action should be taken by the nurse?

Insert the needle at a 5- to 15-degree angle 3 finger widths below the antecubital space

The nurse is preparing to administer an intramuscular injection via the Z-track method. Which action should be taken by the nurse?

Insert the needle at a 90-degree angle

The nurse is teaching a family member of an obese patient how to administer a subcutaneous U-100 insulin injection to the patient. Which instruction should be included in the teaching plan?

Insert the needle quickly and firmly at a 90-degree angle

The nurse is preparing several medications that are administered parenterally. The patient receiving which medication will have an intradermal injection?

Medication for allergy testing

The nurse is preparing to administer a medication using a volume-controlled administration set or Volutrol. Which action should the nurse do first?

Open the clamp between the Volutrol and the main IV bag

The nurse is teaching a patient how to give a subcutaneous injection. The nurse includes which sites as acceptable for this route of administration? (Select all that apply.)

Outer aspect of the upper arms, Abdomen from below the costal margins to the iliac crests, Anterior thighs

The nurse is preparing to administer an IV medication that must be diluted in 60 mL of fluid and then given over 45 minutes. Which of the following methods can the nurse use to give this medication? (Select all that apply.)

Piggyback infusion, Volume-control device, Mini-infusion pump

The nurse administers an injection of iron to a patient using the Z-track method. The nurse recognizes which of the following as advantages of this method? (Select all that apply.)

Prevents leakage of the medication into subcutaneous tissue, Prevents the drug from irritating sensitive tissue

The nurse is teaching a patient about continuous subcutaneous infusion with an insulin pump. What should the nurse include in the teaching plan?

Select an insertion site in the abdomen away from the waistline.

A patient has medication ordered to be given by IV bolus. The nurse recognizes which advantage of this type of administration?

Small volumes are used, so fluid overload can be avoided.

The nurse is preparing a subcutaneous injection for a patient. The nurse is careful not to touch which part of the syringe or needle? (Select all that apply.)

The needle hub,The needle shaft,The needle bevel

The nurse is preparing to administer an intramuscular medication. In determining which size needle and syringe to use to administer the medication, the nurse must consider which of the following? (Select all that apply.)

The volume of medication, The viscosity of the medication, The size and weight of the patient

The nurse is preparing an injection of 0.45 mL of medication for a pediatric patient. Which syringe is most appropriate?

Tuberculin syringe

The patient is complaining of tenderness at his intravenous (IV) insertion site. The nurse examines the site and notices that the site is swollen, warm, and reddened. The nurse stops the intravenous infusion, realizing that the patient has ________________.

phlebitis

The nurse is preparing a medication that comes in an ampule. Which action by the nurse is appropriate?

Using a filter needle long enough to reach the bottom of the ampule

The nurse is administering a parenteral medication to the patient. Which action by the nurse demonstrates proper technique?

Using strict aseptic technique

The nurse is preparing to administer an intramuscular (IM) injection to a 6-month-old infant. Which injection site is the most appropriate for this patient?

Vastus lateralis

After insertion of the needle into the patient's ventrogluteal muscle, the nurse aspirates and notices a very small amount of blood in the syringe. What action should the nurse take?

Withdraw the needle, dispose of the medication and syringe, and prepare another dose of medication

The nurse is preparing to draw up a medication using a filter needle and a syringe. This equipment is necessary when the medication is being withdrawn from an ______________.

ampule

The patient is receiving allergy testing. The nurse is using the inner forearm to inject the allergen into the ____________.

dermis

While checking the patient's intravenous (IV) site, the nurse notices that the site is cool, pale, and swollen. She immediately stops the IV infusion, realizing that these are signs indicating _____________.

infiltration

The nurse informs the patient that the medication will be absorbed rapidly because it was injected into tissue with a rich blood supply. The patient has just received a ______________ injection.

intramuscular (IM)

A patient with multiple intravenous lines has blood infusing in the right antecubital space, parenteral nutrition infusing through a right subclavian line, and normal saline with potassium infusing in the left forearm. An intravenous medication is ordered stat. The nurse will use the line in the ____________ to administer the medication.

left forearm

The most frequent route of exposure to bloodborne disease for health care workers is needlestick injury. The nurse recognizes that implementation of _________________ can prevent needlestick injury.

safe needle devices

An experienced nurse recognizes that the dorsogluteal injection site is no longer used for intramuscular injections because of the risk of damaging the _______________.

sciatic nerve

The nurse injects the medication into the loose connective tissue just under the dermis when giving a _____________ injection.

subcutaneous