WorksheetsPharmacology Chap 64
Total questions: 74
Worksheet time: 43mins
When administering IM and subcutaneous injections, insert and remove the needle?
Slowly
Quickly
At a 45* angle
1 minute later
Always _ injection sites for clients who receive injections on a regular basis.
Massage
Clean
Rotate
Warm
A _ is a equipped glass self-sealing rubber stopper that contains a single premeasured or multi dose medication.
Syringe
Plunger
Vial
Ampule
The inner portion of the syringe that fits inside the barrel of the syringe is known as?
Gauge
Bevel
Plunger
Needle
_ injections typically are given using a 1mL tuberculin syringe.
Subcutaneous
Intramuscular
Flu
Intradermal
Always dispose of all syringes and needles in the _ container provided.
Sterile pack
Sharps
Biohazard
Trash bag
Provides a single dose prepared by manufacturer or pharmacy.
Vial
Prefilled syringe
Ampule
Flu vaccine
Some injectable medications are supplied as powders that must be reconstituted
Saline solution
Diluent
Dextrose
Vial
Glass container equipped a self sealing rubber stopper
Ampule
Vial
Syringe
Prefilled syringe
Glass container that holds a premeasured, single medication dose.
Vial
Ampule
Prefilled syringe
Plunger
What are the most common signs of infiltrations of an IV? (SAP)
Tissue is red/white
Swelling
Pain at injection site
Coolness of site
What are the common reasons that a medication may be administered by injection? (SAP)
More effective
Patient needs medication STAT
Oral medication not available
Stomach acid may absorb affect of medication
Patient can’t swallow
When administering a intradermal injection, why should the client not scratch or pinch the site?
It could cause an allergic reaction
It could damage site
Could alter results
Could cause amputation of arm
There are a number of commonalities b/t the administration of subcutaneous and intradermal injections. What are the MAJOR differences?
The needles are different
IM injections are more difficult to administer
Injecting into tissue instead of muscle is dangerous
Possibility of hitting bone
Name the commonly used intravenous (IV) solutions: (SAP)
Normal saline
Sterile water
5% dextrose in normal saline
5% dextrose in sterile water
Infusion in vein
Intravenous (IV)
Blood draw
Medication flush
Pushing of meds
Flat layer injection site
SUBQ
Dermis
IM
Intradermal
During IM injections, it is important to inject into the muscle only because injecting into tissue could cause breakdown within the body and destroy tissues.
True
False
The length of the needle makes a difference in hitting proper injection sites.
True
False
Oral medication is the most effective way of giving medications?
True
False
When administering medications, what is the critical action? (SAP)
correct dosage
Correct calculations
Giving all at the same time
Giving one at a time
When giving insulin, always use same spot to prevent destroying and the breakdown of tissues?
True
False
When administering medication, try invasive administration first?
true
False
Your patient, who was involved in a motor vehicle accident, complains of pain and has Dilaudid 2mg IM q3hrs pro. How many milliliters will you administer?
(Timer set to 1 minute)
0.5mL
3.6mL
1.6mL
0.8mL
The physician orders erythromycin 0.4 g IV today. The drug is supplied in vials containing 500mg/10mL. How many milliliters will the nurse prepare?
(Timer set to 1 min)
6mL
4mL
8mL
3mL
Mrs. Jesse has Cardizem 20mg IV ordered STAT for hypertension. The vial comes in 25mg (5mg/ml). How many milliliters will the nurse administer?
2mL
6mL
4mL
3mL
Mr. Ryan has Tiguan 200mg IM ordered three times a day for nausea and vomiting. The vial comes in 100mg/mL - 20mL multi-dose vial. How many milliliters will the nurse administer?
2mL
6mL
2.5mL
3mL
The physician orders Benadryl 25mg IV for your patient with a mild medication reaction. The vial contains 50mg/mL with high potency 10mL. How many milliliters will you prepare?
0.3mL
1.5mL
0.5mL
0.2mL
Ms. Straw has Anzemet 100mg IV ordered to be given 30 minutes before her chemotherapy. Anzenmet 20mg/nL is available. How many milliliters will the nurse administer?
2mL
5mL
3mL
3.5mL
Mr. Trent has hydroxyzine 75mg I’m ordered for severe motion sickness. You have hydroxyzine 50mg/mL available. How many milliliters will you administer?
2.3mL
1.5mL
2mL
1mL
Your patient who has undergone parathyroidectomy receives ampicillin 200mg IV q6h. Ampicillin 125 mg/mL is available. How many milliliters will you prepare?
1.3mL
1.6mL
1.5mL
2mL
An injection often used for diagnostic testing, a shallow injection just beneath the epidermis.
Subcutaneous
Intradermal
Intramuscular
Skin
Adipose is known as
Cells
Fatty tissues
The middle of muscle
The middle layer within a vessel
Injection given into fatty tissue just below the dermis and is used for small amounts of medication that require slow, systematic absorption.
Intradermal
Subcutaneous
(SUBQ)
Intramuscular
(IM)
TB test
Intramuscular injections are given in muscles situated below the dermal and subcutaneous layers of the skin?
False
True
For IM injection, where is the Ventrogluteal located?
Side of thigh
Side of hip
Anterior thigh
Bottocks
For IM injections, where is the Deltoid site located?
Anterior thigh
Upper arm
Buttocks
Hip
For IM injections, where is the Vastus site located?
Side of hip
Side of arm
Back of arm (fatty tissue)
Side of thigh
Ventrogluteal is the best site for giving IM injections?
True
False
When large amounts of medication is ordered, A needle with with a larger bore, most often a 1 1/2” to 2”…… 20 to 22 gauge needle is used depending on medication given for what type of injection?
Subcutaneous
(SUBQ)
Intramuscular
(IM)
Intradermal
Tissues only
The dorsogluteal site is rarely used anymore, however when administering to this site what should the nurse cautious of?
Hitting a bone
Hitting femoral artery
Hitting siatic nerve
Injecting medication into bone marrow
At what degree should the needle be inserted for a Ventrogluteal injection?
90 degrees
10-15 degrees
30-45 degrees
70-75 degress
IM injections given in the Deltoid is a high risk of what?
Hitting artery
Hitting radial nerve
Paralysis of ulna nerve
Swelling of the shoulder
IM injections in the deltoid can be used for children of what age?
2 years or older
4 years or older
10 or older
6 or older
What is the MAX of medication that can be injected IM into the Deltoid?
0.5mL
1.5mL
1mL
1.5-2.5 mL
A injection that is recommended for administering irons, steroids and other medications into the dermal and subcutaneous layers, due to the medications irritating skin and other body tissues may be administered how?
Intradermal
Z-Track
(Zig-Zag)
Intramuscularly
In the Vastus lateralis site
The deltoid muscle is located on the lateral aspect of the upper arm, how many inches from the acrimony process?
3-4”
1-2”
1”
2”
This injection site is a thick muscle located on the anterior area of the thigh and is commonly used to give IM injections to infants and children 3 years or younger because it has largest mass of muscle.
Ventrogluteal
Vastus Lateralis
Rectus Femoris
Dorsogluteal
IM and SUBQ injections should first be aspirated before injecting to make sure you’re not in a vessel?
True
False
When administering Heparin via IM and SUBQ injection. Why should you NOT aspirate first?
Risk of getting air in muscle
Contamination
Dilution of medication
Getting in blood vessel isn’t a concern.
Infilteration means the flowing of fluid into veins instead of tissues?
true
False
Injection medications that come in powder must be reconstituted with
Normal saline
Diluent
Distilled water
Blood
Discard any unused portion of an ampule’s contents, because it is not possible to prevent contamination of an open ampule.
True
False
What are the 3 parts of a needle? (SAP)hub
Hub
Bevel
Shaft
Barrel
After giving an injection, the sheath is pulled out and ____ to lack and prevent reuse.
Snap up until it clicks
Snap down until it clicks
Twist until it clicks
Discarded immediately in sharps container
If a safety syringe isn’t available, a ____ can be used, which locks the tip of the needle in place preventing needle stick.
Needleless system
Sheath
Point-Loc device
Scoop method
It is perfectly ok to recap a needle slowly if wearing gloves and with using caution.
True
False
An IM injection is given in what degree angle?
45-60
72-90
72-75
15-20
A subcutaneous injection is given at what degree angle?
75
35
40
45
A subcutaneous injection may be given at this degree angle if the patient is heavy or the needle is short.
75
90
65
95
A intradermal injection is given using what degree of the needle?
15-20
20-25
5-10
10-15
What safety issue arises from administering IM injection while patient is standing? (SAP)
Vertigo
Nausea
Vasovagal reaction
Fainting
If a nurse or staff sustains a needle stick, what are the actions that must or will be taken? (SAP)
Report immediately to employee health services
File incident report
Blood tests are required
Immediate care if patient has HIV, Staph or Hepatitis
How often must blood work be repeated after a needle stick occurs in workplace?
Every 3 months
Every 6 months
Every year
Every 5 years
Why should injection sites be rotated? (SAP)
Maintain integrity of tissue
To prevent skin breakdown
To avoid buildup of medication in one place
The prevent atrophy
Why is it important to understand the procedures and techniques of injectable? (SAP)
more invasive than oral
More invasive than oral & rectal
Because you are entering blood stream
Prevents allergic reactions to a medication
What is an example of a medication that comes prefilled?
Liquid tylenol
Lovenox
Amoxicillin
Morphine
Needles have the ability to chip or break through a bone, so it is important to select correct size needle.
true
False
A strict aseptic technique to prevent contamination should be used when?
Drawing blood
Drawing up any injections
Recapping needles
Selecting appropriate needle size
What medical personnel are allowed to administer and injection? (SAP)
CNA
LPN
Medical Assistant
RN
What syringes are typically used for SUBQ injections?
5/8 to 1”
1-2mL
5/8 to 2”
2-3mL
5/8 to 1.5”
1-1.5mL
5/8 to 3”
2-3mL
What should be done if more than 1 to 1 1/2 mLs are to be injected subcutaneously? (SAP)
Divide dose into 2 syringes
Use a bigger syringe
Administer in 2 different sites
Contact pharmacy for clarification
A 2 to 3 mL syringe with a 1 to 1 1/2” needle is commonly used for what type of injection?
Intradermal
Intramuscular
SUBQ
What are the differences b/t subcutaneous and I’m injections? (SAP)
IM injections are more difficult and dangerous than SC
Site and needle used
Angle at which administered
Patients age
