Insulin and injections

The nurse is providing discharge instructions to a client with an insulin pump. What instruction will the nurse include regarding disposal of sharps in the home care setting?

"Place sharps in a hard plastic container with a lid, such as an empty liquid soap container."

The nurse is administering an intramuscular injection of cortisone to a client. What action would the nurse take immediately following the injection?

Apply gentle pressure with a dry gauze.

Which actions by the nurse are appropriate when preparing to administer a continuous subcutaneous insulin infusion pump?

Assess client and then assist the client to the appropriate position for the site chosen and identify landmarks., Prepare enough insulin to last the client 2 to 3 days., Prime the tubing with 30 units of the insulin to be administered., Close the client's room door to provide privacy during the procedure.

After preparing the skin of a client's arm in preparation for an intradermal injection, how would the nurse insert the needle?

At a 5- to 15-degree angle, almost against the skin, bevel side up.

The nurse is cleaning the injection site prior to administering an intradermal injection. What motion should the nurse use for this action?

Circular motion from the injection site outward.

Which is true about giving medication using the intramuscular route?

Delivers medication into the muscle tissues.

After applying an insulin pump and attaching it to the client, the nurse observes a large amount of air in the tubing. What is the best action by the nurse?

Disconnect the pump from the client, obtain a new set up, and ensure the tubing is primed before insertion.

The nurse is holding the skin with the non-dominant hand prior to inserting the needle for an intramuscular injection. What is the recommended technique?

Displace the skin using the Z-track technique by pulling the skin to one side 1 inch.

The nurse is preparing a local anesthetic to be administered intradermally to a client undergoing a minor surgical procedure. Which guideline is recommended for administering this injection?

Do not massage the site following administration.

The nurse has a prescription to administer a tuberculin test for a client. On what body site would the injection be administered?

Inner surface of the forearm

The nurse is preparing to administer an allergy test via an intradermal injection. Which injection site would be most appropriate in this situation?

Inner surface of the forearm

The nurse administering a subcutaneous injection to a client avoids massaging the site after injecting the medication. Why is massaging the site contraindicated?

It can damage underlying tissue.

A nurse is giving a client an intradermal injection to perform a tuberculin test. In what layer of the skin are intradermal injections administered?

Just below the epidermis.

The nurse assesses the client and checks the medication prescription prior to administering an intramuscular injection. Which factor affects the choice of an intramuscular site?

Medication volume.

Which are benefits of using a pump to deliver insulin to a client, as opposed to an injection? Select all that apply.

More convenient for client, Longer rate of absorption

A nurse is administering an intramuscular injection to a client. Which best describes the nurse's recommended hand movements?

Moves non-dominant hand to steady the lower end of the syringe, and dominant hand to the end of the plunger.

The nurse is administering an intramuscular injection of the hepatitis B vaccine to a client. At what angle would the nurse insert the needle?

Perpendicular to the skin.

The nurse is administering an intramuscular injection to a client using the ventrogluteal site. How would the nurse locate the site?

Place the palm on the greater trochanter and the index finger on the anterior superior iliac spine

The nurse is administering an intramuscular injection in the deltoid site when the client pulls away from the needle before the medication is fully injected. What should the nurse do next?

Replace the needle on the syringe and administer the remaining medication in another site.

The nurse is preparing to administer a vaccination to an adult in the deltoid site. In what position would the nurse place the client?

Sitting

The nurse is teaching the student nurse where a subcutaneous injection is administered. How would the nurse describe the appropriate skin layer?

The adipose tissue layer, just below the epidermis and dermis.

The nurse has just finished injecting a medication intramuscularly, and needle is still in the client's arm. Which is the correct immediate next step?

Wait 10 seconds and then withdraw the needle

The nurse administering an intramuscular injection to a client divides the thigh into thirds, horizontally and vertically to locate the site. What injection site is the nurse using?

astus lateralis site.

The nurse has just completed application of an insulin pump. What will the nurse include in the documentation of this procedure?

type of insulin used and the insertion site, any teaching that was done and evaluation of client's understanding, client response to the procedure, date, time and pump settings

The nurse is preparing to administer 10 units regular insulin via insulin injection pen to a client with a body mass index (BMI) equal to 40. How will the nurse best administer this medication?

90-degree angle using a 5/8-in (1.6-cm) needle

Which client would most likely be injected using an intradermal injection?

A client having an allergy test performed. A TB test Local anesthesia

How quickly would the nurse inject solution into an intramuscular site?

10 sec/mL of medication.

The nurse is preparing to administer a subcutaneous injection for an adult client. The nurse knows that the volume of the injection is limited to how many milliliters of fluid?

1 mL

The nurse has chosen the deltoid site to administer an intramuscular injection to an adult client. What size needle would the nurse use?

1 to 1 1/2 in (2.5 to 3.8 cm).

The nurse is preparing supplies for a tuberculosis screening. The nurse should choose syringe and needle?

1-mL syringe; 1/2-inch, 27-gauge needle

The nurse is administering an intradermal injection to a client to test for allergies. How far would the nurse insert the needle into the dermis?

1/8 in (32 mm) with the entire bevel under the skin.

The nurse is demonstrating to a client with diabetes how to properly self-inject insulin. Which injection site would be most appropriate to recommend to the client?

Abdomen

The nurse is preparing to administer an intramuscular injection to a client. Which statement accurately describes how to prepare the client's skin prior to the injection?

Cleanse the area around the injection site with an antimicrobial swab using firm, circular motions moving outward from the site.

The nurse has just finished administering an insulin pen injection on a client and documents the administration in the electronic health record. Which is the correct information to document?

The fact that the medication was given, the dose and the time, and the site.

When administering an intradermal injection, what sign will the nurse observe that indicates when to pull out the needle?

Wheal

The nurse is preparing to administer a subcutaneous injection of insulin to a client. Which site would the nurse choose?

outer aspect of the upper arm, abdomen from below the costal margin to the ileac crests, the anterior aspects of the thigh, the upper back, or the upper ventrogluteal area.