Term
When preparing a medication for a subcutaneous injection, what size needle length is needed?
A. 1 1/2 - 2 inch
B. 1 - 1 1/2 inch
C. 5/8 - 1/2 inch
D. 3/8 - 5/8 inch |
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Definition
| c) Needle length for subcutaneous injections is usually 5/8 - 1/2 inch. |
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Term
The preferred site for I.M. injections for children younger than age 3 is:
A. Dorsogluteal
B. Vastus lateralis
C. Rectus femoris
D. Deltoid |
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Definition
| B) Vastus lateralis is the preferred site because it is free of nerves and blood vessels. |
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Term
You are getting ready to administer a subcutaneous injection of insulin. At what angle can the injection be given?
A. 45 or 90 degrees
B. 90 degrees only
C. 15 or 45 degrees
D. 15 degrees only |
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Definition
| A) Depending on the amount of subcutaneous tissue the patient has, the injection can be administered at a 45- or 90-degree angle. |
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Term
The physician orders for a patient to receive cyanocobalamin (vitamin B12) 100 mcg I.M. every month. The vial reads: cyanocobalamin (vitamin B12) 0.5 mg per 1 ml. How many milliliters will you administer to the patient?
A. 0.2 ml
B. 0.5 ml
C. 1 ml
D. 2 ml |
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Definition
| A) Convert 100 mcg to mg = 0.1 mg. Formula is: desired amount (0.1 mg) divided by amount on hand (0.5 mg) then multiplied by mL (1 ml). The amount to be given is 0.2 ml. |
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Term
After a possible exposure to TB, a 25 year old health worker receives a TB skin test. The skin test will be given by the following type of injection:
A) Intramuscular
B) Intradermal
C) Subcutaneous
D) Intravenous |
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Definition
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Term
The physician orders vitamin B12 IM for a 70 year old with a history of pernicious anemia. The nurse is choosing from the following gauges of needles. Which one is most appropriate?
A) 22 gauge
B) 25 gauge
C) 18 gauge
D) 16 gauge |
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Definition
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Term
Insulin is to be given to a well-nourished 55 year old man admitted for diabetes mellitus. His insulin is to be given via subcutaneous injection. What angle is acceptable for the injection?
A) 45 degrees
B) 90 degrees
C) 15 degrees only
D) 35 degrees only |
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Definition
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Term
The nurse is deciding on the angle used in delivering subcutaneous heparin. The decision will be based on the:
A) amount of solution in the syringe.
B) length and gauge of the needle.
C) amount of subcutaneous tissue of the patient.
D) needle length and the amount of subcutaneous tissue available. |
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Definition
| C) amount of subcutaneous tissue of the patient. |
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Term
The patient complains of nausea after having a total abdominal hysterectomy. The nurse prepares an injection of promethazine (Phenergan) 25 mg for IM injection and selects a needle length of:
A) 1 to 1 1/2 inches
B) 3/8 inch
C) 5/8 inch
D) 1/4 inch |
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Definition
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Term
A 6 month old is to be immunized for diptheria, tetanus, and pertussis. His IM injection will be given in which muscle?
A) Deltoid
B) Ventrogluteal
C) Gluteus maximus
D) Vastus lateralis |
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Definition
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Term
Epinephrine contained in 0.3 mL is ordered for an 18 year old who had an anaphylactic reaction to a bee sting. Which syringe is the best choice for delivering this volume of fluid?
A) 1 mL tuberculin syringe
B) 100 units per 1 mL syringe
C) 3 mL syringe
D) 5 mL syringe |
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Definition
| A) 1 mL tuberculin syringe |
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Term
A nurse is preparing to administer an intradermal injection. Which of the following should the nurse do to ensure proper technique?
A)Rub the injection site after withdrawing the needle?
B) Pinch 1/2 inch of skin and inject at a 45 degree angle.
C) Use a tuberculin syringe with a 3/8 to 5/8 inch, 25 to 27 gauge needle.
D) Choose a site at least 2 inches from the umbilicus. |
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Definition
| C) Use a tuberculin syringe with a 3/8 to 5/8 inch, 25 to 27 gauge needle. |
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Term
A nurse is administering a subcutaneous injection to a patient. Which of the following data should the nurse recognize as the highest priority to prevent possible complications?
A) Identify the patient's level of knowledge about the medication.
B)Identify is the patient has allergies to the medication.
C) Identify a specific site for injection.
D) Identify the rationale for the patient receiving the medication. |
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Definition
| B)Identify is the patient has allergies to the medication. |
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Term
The proper needle length when giving an intramuscular injection to the ventrogluteal area to an average sized adult is which of the following:
A)1/2 inch
B) 1 inch
C) 1 1/2 inches
D) 2 inches |
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Definition
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Term
A nurse is preparing to give an intramuscular injection into the left ventrogluteal muscle. Which of the following should the nurse do to locate the appropriate site?
A) Measure two fingerbreadths below the acromium process.
B) Measure a handbreadth above the knee and a handbreadth below the greater trochanter.
C) With the heel of the hand on the greater trochanter, point the index finger up toward the anterior superior iliac spine, extending the other fingers back along the iliac crest.
D) Divide the buttock into four quadrants and give the injection in the upper, outer quadrant. |
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Definition
| C) With the heel of the hand on the greater trochanter, point the index finger up toward the anterior superior iliac spine, extending the other fingers back along the iliac crest. |
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Term
| A patient is to receive 30 mg of ketorolac (Toradol) IM every 6 hr for 48 hr. The medication is available in a 60 mg/2 mL vial. How many mL should the nurse administer for each dose? |
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Definition
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Term
A nurse is preparing to administer an insulin injection to a patient. Which of the following is appropriate?
A) Rotate injection sites to avoid tissue injury.
B) Administer no more than 2 mL per injection.
C) Use the nondominant hand to displace the skin and subcutaneous tissue at the site about 1 to 1 1/2 inches.
D) Inject the medication after aspirating the syringe. |
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Definition
| A) Rotate injection sites to avoid tissue injury. |
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