CH. 34 - med math

Select a site that is free of irritation. Use the smallest-gauge needle that is appropriate.

A client has been receiving frequent injections. Which instruction(s) to reduce discomfort at the injection site will the nurse provide? Select all that apply.

Report the injury to an immediate supervisor.

A nurse accidentally injures oneself with the needle when administering an intramuscular injection to a postoperative client. Which is the nurse's most appropriate action in this situation?

Report the injury to a supervisor.

A nurse accidentally sustains a needlestick injury. Which would the nurse do first?

As the gauge number becomes larger, the diameter of the needle and the lumen become smaller.

A nurse educator is teaching a student nurse how to choose the correct needle for an injection. Which guidelines for needle selection might they discuss?

Gauges range from 14 to 29, with 14 being the largest.

A nurse is administering an intramuscular injection of a viscous medication using the appropriate-gauge needle. What does the nurse need to know about needle gauges?

Subcutaneous injections are administered into the adipose tissue layer just below the epidermis and dermis.

A nurse is administering enoxaparin sodium (anticoagulant) to a client with deep vein thrombosis, via the subcutaneous route. What is a recommended guideline when administering a subcutaneous injection?

First, inject an equal amount of air into the vial.

A nurse is preparing an injection by withdrawing the solution from a multidose vial. What is necessary to facilitate withdrawing a medication from the vial?

Hold the syringe at a 10- to 15-degree angle.

A nurse is preparing to administer an intradermal injection. What would be most appropriate for the nurse to do?

vastus lateralis site

A nurse needs to administer a prescribed injection to a toddler. Which injection site is most suitable for the client?

ventrogluteal

A nurse needs to administer a prescribed injection to an older adult client with impaired mobility. Which intramuscular site is preferred for administering an injection to older adult clients?

10-degree angle

A nurse needs to administer an intradermal tuberculin skin test injection to a client. What is the most suitable angle when administering an intradermal injection?

injecting insulin repeatedly in the same site can cause the breakdown of subcutaneous fat.

An adult client who has type 1 diabetes receives subcutaneous injections of Humulin R insulin before each meal and at bedtime. The nurse is careful to rotate the injection sites because:

Place the date on the vial and retain for future use.

In preparing to administer a drug to a client, the nurse has pierced a multi-use vial of medication. What is the appropriate nursing action?

Draw up the number of insulin units prescribed Inject the same number of units of air as the insulin dose into insulin bottle Roll insulin bottle between hands before inserting syringe Keep insulin refrigerated until the vial is opened

The adult child of a client with insulin-dependent diabetes will be responsible for administering the parent's medications when the client is discharged tomorrow. Which information does the nurse teach the client's child about administering the insulin? Select all that apply.

vastus lateralis

The client is a 9-month-old infant who is to receive an intramuscular injection. Which muscle is best for administration of this medication?

applies pressure to the injection site during needle withdrawal changes the needle after drawing the medication into the syringe uses the Z-track technique

The client is prescribed 1 mL of an intramuscular medication that is irritating to the tissues. When administering the medication, the nurse takes which actions? Select all that apply.

selects a tuberculin syringe and 25-gauge needle.

The client is prescribed heparin 5000 units subcutaneously every 12 hours. The client is a slightly obese adult. To administer the medication, the nurse:

"Do not look at the needle."

The client is scheduled to receive an intramuscular medication every week. The young client states, "I'm afraid of needles," when the nurse is preparing to administer the first intramuscular medication. The nurse states:

45 degrees

The nurse is administering a subcutaneous injection to a thin, frail older adult who has about 1 inch (2.5 cm) of tissue when the skin is bunched. When entering the skin, the nurse would insert the needle at which angle?

Ready the injection site by rubbing it with an alcohol swab in a circular motion for 15 seconds.

The nurse is administering an intramuscular injection to a client who is immunocompromised due to the side effects of chemotherapy. When administering the injection, which action is most important for the nurse to take?

Each unit of insulin is accompanied by a clicking sound in the pen.

The nurse is assessing a client with diabetes who has poor vision. Which feature of the insulin pen makes it beneficial for this client?

Inject at one handbreadth above the client's wrist.

The nurse is performing a tuberculin test for a client in a community health clinic. To perform this injection safely and effectively, which action will the nurse take?

intradermal

The nurse is preparing to administer a tuberculin test. Which route will the nurse select to administer this injection?

in the anterolateral aspect of the thigh

The nurse is preparing to administer an IM injection in the vastus lateralis site. Where will the nurse administer the medication?

10 to 15 degrees

The nurse is preparing to administer an allergy test intradermally. At what angle will the nurse plan to insert the needle into the client?

Pull skin and subcutaneous tissue 1 to 1.5 in (2.5 to 3.75 cm) to one side of the injection site while injecting.

The nurse is preparing to administer an intramuscular (IM) injection into a client. Which procedure should the nurse use to administer the injection?

On the examination table, lying on their side.

The nurse is preparing to administer an intramuscular injection on an adult client. Upon reviewing the medication administration information, the nurse notes the medication must be given in the ventrogluteal site. How will the nurse position the client?

Numb the skin with an ice pack before the injection.

The nurse is preparing to administer an intramuscular injection to a client who has not had medication by this route before. The client states, "I am feeling nervous about the injection. I am worried it is really going to hurt." Which action can the nurse prioritize to increase the client's level of comfort?

Fill the syringe with the prepared drug and then change the needle. Select the ventrogluteal site. Use the side of the hand to pull the tissue laterally about 1 inch (2.5 cm) until the tissue is taut. Insert the needle at a 90-degree angle while continuing to hold the tissue laterally. Aspirate for blood return and instill the medication. Withdraw the needle and apply pressure to the site.

The nurse is preparing to administer dimenhydrinate 50 mg intramuscular to a client. Place in order, the steps the nurse will follow when using the Z-track technique to administer the drug? Use all options.

1 month

The nurse is teaching a client with diabetes about insulin pen injection. The nurse will teach that the insulin in prefilled pens is stable for how long?

injects 1.2 mL of air into the vial.

The nurse is to administer an intramuscular injection of 1.2 mL of an antiemetic from a 5-mL multiuse vial. To prepare the medication for administration, the nurse:

"Reconstitution is the process of adding liquid, known as diluent, to a powdered substance."

The nurse just completed a refresher course on parenteral drug administration. Which statement by the nurse indicates that teaching was effective?

ventrogluteal muscles

Which anatomic site is recommended for intramuscular injections for adults?

checking for documented allergies to food or drugs

Which assessment should be conducted by the nurse before the nurse administers tuberculin intradermal injection?

a woman who has been ordered intravenous antibiotics

Which client receives a drug that requires a parenteral route?

Older adults and children should be monitored closely for drug effects. The adverse effects of the drugs can be more pronounced. The drug will not be filtered through the liver.

Which pharmacologic considerations should the nurse contemplate before administrating parenteral medications? Select all that apply.

"The plunger is the part of the syringe that moves back and forth to withdraw and instill medication."

Which statement by a client indicates to the nurse that teaching was effective regarding the different parts of a syringe?

Snap off the neck of the ampule away from the body.

Which technique should a nurse safely employ to prepare an ampule for the withdrawal of a medication?