Question 1

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

Accepted Answer

The answer of An experienced nurse recognizes that the dorsogluteal...

Question 2

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.)

Accepted Answer

The best subcutaneous injection sites include the outer aspect of the upper arms, the abdomen from below the costal margins to the iliac crests, and the anterior aspects of the thighs.These areas are easily accessible and are large enough that you can rotate multiple injections within each anatomical location.The ventrogluteal area is used for intramuscular injections.

Question 3

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?

Accepted Answer

The student should stop the IV, remove the catheter, and start a new one only if the line is not patent.In some cases, especially with a smaller-gauge IV catheter, blood return is not always aspirated, even if the IV is patent.Confirm patency.If the IV site does not show signs of infiltration and the IV fluid is infusing without difficulty, give the IV bolus medication.

Question 4

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.)

Accepted Answer

The needle hub, shaft, and bevel must remain sterile at all times.

Question 5

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

Accepted Answer

The answer of The nurse injects the medication into the...

Question 6

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.

Accepted Answer

The answer of The nurse is preparing to give an...

Question 7

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

Accepted Answer

The answer of The patient is receiving allergy testing.The nurse...

Question 8

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 ______________.

Accepted Answer

The answer of The nurse is preparing to draw up...

Question 9

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.

Accepted Answer

The answer of The nurse informs the patient that the...

Question 10

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.

Accepted Answer

The answer of The health care provider orders 4 units...

Question 11

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.)

Accepted Answer

The Z-track method is recommended for IM injections.The Z-track technique, which pulls the skin laterally before injection, prevents leakage of medication into subcutaneous tissue, seals medication in the muscle, and minimizes irritation.

Question 12

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.)

Accepted Answer

Piggyback infusions contain 25 to 250 mL, volume-control devices contain 50 to 150 mL, and mini-infusion pumps contain 5 to 60 mL.All three can be set to deliver the medication over a specific time frame.IV bolus injections are smaller volumes that are delivered quickly, usually over a few minutes.

Question 13

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.)

Accepted Answer

The nurse needs to determine the appropriate size of syringe and needle to be used.The smallest syringe possible for the volume of medication should be used to improve the accuracy of medication preparation.The needle length is chosen by the patient's size and weight, the type of tissue to be injected, and the route of administration.The needle gauge is determined by the viscosity of the medication.

Question 14

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 _____________.

Accepted Answer

The answer of While checking the patient's intravenous (IV) site,...

Question 15

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 ________________.

Accepted Answer

The answer of The patient is complaining of tenderness at...

Question 16

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

Accepted Answer

An IV bolus usually requires small volumes of fluid, which is an advantage for patients who are at risk for fluid overload.With IV bolus medications, rapid onset of medication effects occurs, which is useful for patients who are experiencing critical or emergent health problems.Medications can be prepared quickly and given over a shorter time frame rather than by IV piggyback.Medications given by IV bolus may cause direct irritation to the lining of the blood vessel.

Question 17

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.

Accepted Answer

The answer of A patient with multiple intravenous lines has...

Question 18

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

Accepted Answer

Failure to inject a medication correctly will result in complications such as an inappropriate drug response (e.g., too rapid, too slow), nerve injury with associated pain or paralysis, localized bleeding, tissue necrosis, and sterile abscess.Administration of an IV push medication too quickly can cause death.

Question 19

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.

Accepted Answer

The answer of The most frequent route of exposure to...

Question 20

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

Accepted Answer

Insulin is absorbed most consistently in the abdomen, so a site should be chosen in the abdomen away from the waistline.The site is changed every 2 to 7 days unless erythema or leaking occurs.An occlusive transparent dressing is used over the site.The skin should be gently pinched or lifted up to ensure that the needle will enter subcutaneous tissue.

Quiz 22: Parenteral Medications