Pharma 10

The nurse was educating a patient about heparin injections that would need to be continued at home, and the patient states, "I know that I need to inject my abdominal area just under the skin, right?" How should the nurse respond?

"actually, this injection will go into the subcutaneous tissue, or the fat is under the skin"

The nurse is teaching a patient about the importance of rotating subcutaneous insulin injection sites. Which statement made by the patient indicates a need for additional teaching?

"exercise will not affect the rate of insulin absorption"

Considered easiest site when patients are sitting?

deltoid

Which statement about allergy testing is true?

do not start any allergy testing unless emergency equipment is readily available

The nurse is preparing to administer an IM injection in the ventrogluteal area. What does the nurse do first?

identifies the site by forming a "V" on the lateral portion of the greater trochanter

Which route of injection is considered the fastest for medication absorption?

intramuscular

Where is the vastus lateralis muscle located?

on the thigh

When administering an IM injection in the deltoid muscle, the nurse will locate the site using which landmarks?

palpating the top of the shoulder and measuring down three finger-breadths

When preparing to provide allergy testing to a patient using the intradermal injection technique, what does the nurse do?

performs hand hygiene and applies gloves

Which action does the nurse implement when giving a subcutaneous injection to a thin individual or a child?

pinch the skin and insert the needle at 45-degree angle

Considered the preferred IM site for infants?

rectus femoris

Which statement about subcutaneous injections is true?

subcutaneous injections are made into the layer between the dermis and muscle

The nurse is planning to administer an IM injection for an adult patient who needs a flu vaccine (0.5 mL). Which muscle is the best to use?

the deltoid muscle

The most common site for the administration of intradermal medication is the inner aspect of which body part?

the forearm

In which situation would the nurse use the Z-track method for giving an intramuscular (IM) injection?

the medication is very irritating

Which situation warrants the nurse to use the deltoid muscle to administer an IM injection in an adult?

the medication must be quickly absorbed

Which action by a student nurse who is giving a subcutaneous insulin injection requires the supervising nurse to intervene?

the syringe is aspirated before injecting

Where is the best site for an IM injection for an infant?

the vastus lateralis muscle

Which site for injection is located by placing the palm of the hand on the lateral portion of the greater trochanter, the thumb pointing toward the groin, the index finger on the anterior superior iliac spine, and the middle finger extended to the iliac crest?

the ventrogluteal muscle

Considered easiest site for self-administration?

vastus lateralis

Which is the preferred muscle for IM injections in infants?

vastus lateralis

A nurse is administering an injection to a patient who is in a prone position by placing the palm of the hand on the lateral portion of the greater trochanter, the index finger on the anterior superior iliac spine, and the middle finger extended to the iliac crest. The injection is made into the center of the V formed between the index and middle fingers, with the needle directed slightly upward toward the crest of the ilium. Which injection site is the nurse using?

ventrogluteal

Considered easiest when patients are side lying?

ventrogluteal

What does the nurse need to do before administering an IM injection into an older adult? Select all that apply

-check the patient's allergy list -verify the patient's identity using two identifiers -cleanse the skin with an alcohol wipe

Which statement about IM injections are true? Select all that apply

-the usual amount to be injected IM at one site if 0.5-2 mL -needles commonly used for IM injections are 1 to 1.5 inches long although longer lengths may be required for obese patients -drug absorptions is more rapid when administered IM than subcut

When administering intradermal allergy testing for a patient, which steps does the nurse perform? Select all that apply

-uses an alcohol wipe to clean the skin -injects the volume ordered, usually 0.01-0.05 mL, into the subcutaneous tissue -asks the patient if any antihistamine or anti-inflammatory agents were taken 24-48 hours before the test

List the steps in order that the nurse will follow to administer an IM injection?

1. provide for privacy, position the patient appropriately 2. explain carefully to the patient what will be done 3. carefully identify the patient using two patient identifies 4. apply a small bandage to the site 5. insert the needle at the correct angle and depth for the site being used

A student nurse is preparing to assist with allergy testing. Which statement by the nurse student nurse indicates a correct understanding of the proper procedure for allergy testing?

a positive reaction to diluted strength of suspected allergen is considered clinically significant

Which observation by a nurse indicates that a solution has been injected intradermally and not subcutaneously?

a small bleb appears on the surface of the skin as the injections is given

What is the most important instruction to follow for the nurse administering an IM injection?

correctly identify the patient prior to administration