Parental Medications Essential of Med

While administering a medication via a syringe, a client sharply moves and the nurse accidentally encounters a needlestick. What is the priority nursing action?

Report the needlestick to the nurse manager.

A hospital is in the process or replacing the current stock of conventional syringes and needles with new, redesigned models. What is the priority outcome that is sought by this change?

Reduction in nurses' risks of needlestick injuries

The nurse is caring for a client with diabetes. Which client statement reflects that nursing teaching has been effective?

"I will eat a meal within a half hour of taking my morning insulin."

The nurse is teaching a client with diabetes about insulin dosing. Which teaching will the nurse include? (Select all that apply.)

"Insulin injections are usually less painful than other injections." "Insulin needles are very short in length."

A nurse is administering a subcutaneous injection to a client. What is the maximum volume that the nurse may administer by this route?

1ml

The nurse is preparing to administer insulin to an older client who is frail and has failure to thrive. At what angle will the nurse plan to insert the needle into the client?

45 degrees

The nurse is preparing to administer insulin to a client with obesity. At what angle will the nurse plan to insert the needle into the client?

90 degrees

A nurse has administered an injection to a client. Which intervention should the nurse perform to reduce discomfort and provide quick relief?

Apply pressure to the site during needle withdrawal.

The nurse is preparing to withdraw medication from an unbroken glass ampule. Which nursing actions are appropriate? (Select all that apply.)

Avoid allowing the needle to touch the outside of the ampule. Invert the ampule to withdraw medication. Tap the top of the ampule.

A group of nursing students have begun learning about the rationale and technique for administering injections. The students should identify which of the following parts of a syringe? Select all that apply.

Barrel Tip Plunger

A nurse needs to administer an injection to a client in the deltoid site. Which action should the nurse perform to avoid the risk of damaging the radial nerve and artery?

Draw an imaginary line at the axilla between the acromion and brachial vessels.

A nurse needs to administer an intradermal injection to a client. What is the most common site for administering an intradermal injection?

Forearm

A nurse is administering an injection to a client at a 15-degree angle. The client has a venous access port. Which injection can be administered at this angle?

Intradermal

A nurse works for a facility that does not utilize modified safety injection equipment. How will the nurse prevent needlesticks? (Select all that apply.)

Leave needle uncapped and dispose in closest biohazard container. Scoop the cap back onto a used needle without touching the cap.

A hospital client with type 1 diabetes requires the administration of 4 units of regular (short-acting) insulin and 12 units of NPH (long-acting) insulin. The nurse knows to combine these two types of insulin immediately before administration. What is the rationale for the nurse's action?

Leaving the insulins combined for too long reduces the individual characteristics of each

A nurse has to administer a subcutaneous injection to a client. For which client can the nurse administer a subcutaneous injection at a 90-degree angle?

Obese clients

A nurse needs to administer an intramuscular injection to a thin and frail elderly client. Which of the following actions should the nurse perform to avoid striking the bone when injecting?

Pinch the muscular tissue.

The nurse is preparing to administer heparin to prevent deep venous thrombosis in a client who has had surgery. What is the appropriate nursing action? (Select all that apply.)

Press on the injection site with gauze following administration. Change needle after filling the syringe.

A nurse is showing an older adult client the correct method of self-administering an insulin injection at home. What should the nurse tell the client in order to avoid lipoatrophy and lipohypertrophy?

Rotate the site with each injection.

The nurse is talking with the caregiver of a pediatric client who is fearful of receiving allergy shots. What teaching will the nurse provide regarding the eutectic mixture of local anesthesia (EMLA)?

best suited for multiple administrations such as weekly injections

A nurse is using the Z-track technique to administer an injection to a client. Which injection route utilizes the Z-track technique?

intramuscular

After administering medication to a client subcutaneously, the nurse removes the needle at the same angle at which it was inserted. Which explains the nurse's action?

minimizes tissue trauma to the client

A nurse is bunching the tissue of a client when administering a subcutaneous injection to that client. What is the reason for bunching when injecting subcutaneously?

to avoid instilling medication within the muscle

A nurse needs to administer a prescribed heparin injection to a client subcutaneously. Which syringe ensures accuracy when administering heparin subcutaneously?

tuberculin syringe