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Nursing 1 > Chapter 35 - deWit > Flashcards

Chapter 35 - deWit Flashcards

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1
Q

When drawing up medication from a vial, the nurse would ?

A

Inject an equivalent amount of air into the vial for the medication to be withdrawn

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2
Q

A sign that an intradermal injection has been successfully given is when ?

A

A small bleb is evident at the injection site

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3
Q

Ways to decrease injection discomfort include (Select all that apply)

A
  • Premedicate with an oral analgesic
  • Use the smallest gauge needle that is appropriate
  • Allow the alcohol on the skin to dry before giving the injection
  • Inject the medication slowly and steadily
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4
Q

When using the leg of a child for an intramuscular injection, the area landmarks include ?

A

A hand’s breadth below the end of the greater trochanter

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5
Q

Different types of injection cause solutions to be absorbed at different rates. The advantage of an intramuscular injection over a subcutaneous injection is that the solution is absorbed more _____?

A

Rapidly

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6
Q

Many things can happen when drugs are mixed in a syringe. Adverse consequences may be (Select all that apply)

A
  • A change in color
  • Formation of a precipitate
  • Rendering of one or both medications inactive
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7
Q

The proper technique for administering a Z-track injection is to ?

A

Pull the tissue at the site laterally, then insert the needle at a 90-degree angle

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8
Q

“Heparin sodium 5000 sub cut.” is ordered for an average-sized adult. Using a 25-gauge 5/8” needle, this medication should be injected into the ____________ at a _______ angle

A

Subcutaneous layer, 45-90 degree

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9
Q

Z-track method of injection is used for medications that are very _____ to the tissue

A

Irritating

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10
Q

Symptoms of anaphylactic shock include:

A

urticarial, bronchiolar constriction manifests as wheezing, difficulty breathing, edema, circulatory collapse

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11
Q

When a 5/8” needle is used for a subcutaneous injection, the angle of injection should be ?

A

45-90 degrees

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12
Q

Up to ____ mL of solution can be intramuscularly injected safely

A

3

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13
Q

When withdrawing medication from an ampule, a ____ needle should be used

A

Filter

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14
Q

Typical diluents for mixing drugs are ______ and ______

A

Sterile water, sterile normal saline

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15
Q

Because injected medications are irretrievable, it is especially important to check for _____ before giving the injection

A

Allergies

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16
Q

Regarding absorption, _____ solutions are absorbed more rapidly than those in an ____ suspension

A

Aqueous, oil

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17
Q

Safety syringes are used to prevent _______ and the possibility of ______ illness

A

Needle sticks, contracting contagious

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18
Q

Factors to consider when giving an intramuscular injection to an older patient are:

A

May have decreased muscle mass, the body of the muscle may have to be palpated and then grasped to ensure injection into the muscle mass, shorter needle than average needle may be used

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19
Q

To pull back on the syringe plunger to create suction

A

Aspirate

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20
Q

Slanted part of needle tip

A

Bevel

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21
Q

Visible elevation of the epidermis

A

Bleb

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22
Q

Small circular piece at the center

A

core

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23
Q

Fluid to dissolve solute

A

Diluents

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24
Q

Formation of fibrous tissue

A

Fibrosis

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25
Q

Scale of measurement

A

Gauge

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26
Q

Interior diameter of needle

A

Lumen

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27
Q

Area of hardened tissue

A

Induration

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28
Q

Not via the gastrointestinal tract

A

Parenteral

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29
Q

Solid material dissolved in solution

A

Solute

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30
Q

Red, elevated wheals

A

Urticaria

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31
Q

Small bottle

A

vial

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32
Q

Sticky or gummy

A

Viscous

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33
Q

Skin testing for reaction to various substances is performed using an _______ injection

A

Intradermal

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34
Q

If a patient is allergic to the medication, an injection may cause _________

A

Anaphylactic shock

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35
Q

Medications that are given by injection are termed ______ medications, as they do not enter the gastrointestinal tract

A

Parenteral

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36
Q

Medications such as hydroxyzine pamoate (Vistaril) should be given by the _________ method of injection because this medication is very irritating to subcutaneous tissue

A

Intramuscular

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37
Q

Very small amounts of medication such as adrenalin (Epinephrine) are given with a _____ syringe

A

Tuberculin

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38
Q

Absorption time for the medication is given by _______ injection is slower than that given intramuscularly

A

Subcutaneous

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39
Q

When mixing two medications together in the same syringe, you must first check drug ______

A

compatibility

40
Q

An _______ injection is administered at a 90-degree angle

A

Intramuscular

41
Q

Parenteral routes are used for medication administration for the following three reasons:

A
  • Patient cannot take medication by mouth
  • To hasten the action of the drug
  • When digestive juices would counteract the effects of the drug if given oral route
42
Q

When administering parenteral injection, the nurse must take the following precautions:

A
  • Ensure accurate dose
  • Select correct site to prevent damage to tissue
  • Use sterile equipment and aseptic technique to prevent infection and sepsis
43
Q

The preferred sites for subcutaneous injections are:

A
  • Upper portion of the upper outer arm

* Anterior surface of thigh, abdomen or where there are no major blood vessels or nerves

44
Q

Heparin is given subcutaneously in the _____ sites

A

Abdominal

45
Q

When giving insulin and heparin, do not ______ before injecting the medication

A

Aspirate

46
Q

An intramuscular injection can be safely given in the following sites:

A
  • Deltoid
  • Ventrogluteal
  • Vastus lateralis
  • Rectus femoris
47
Q

When patients are receiving repeated injections you should ?

A

Rotate sites

48
Q

To clear the needle of medication and to keep medication from flowing back up into the subcutaneous tissues, _____ technique is often used for intramuscular injections

A

Aspirates

49
Q

When giving injections to children, it is important to provide ________ before, during, and after the injection

A

Emotional support

50
Q

Indicate the type of injection that would be used at the ventrogluteal site

A

Intramuscular injection

51
Q

Indicate the type of injection used: 1/4” 27-gauge needle

A

Subcutaneous injection

52
Q

Indicate the type of injection used: TB syringe with 1/4” needle

A

Intradermal injection

53
Q

Indicate the type of injection used: must form a bleb

A

Intradermal injection

54
Q

Indicate the type of injection used: placed in tissue above the muscle layer

A

Subcutaneous injection

55
Q

Indicate the type of injection used: May be placed in the vastus lateralis

A

Intramuscular injection

56
Q

Indicate the type of injection used: 3 mL of medication

A

Subcutaneous injection

57
Q

Indicate the type of injection used: tuberculin test

A

Intradermal injection

58
Q

Indicate the order in which the following assessments should be made before giving an injection:

A

1) Verify the correct patient using at least two identifiers
2) Verbally inquire about medication allergies
3) Check the MAR for allergy designations
4) Compare the medication label with the order on the MAR
5) Choose the appropriate syringe and needle for the injection
6) Inspect the area of the chosen injection site

59
Q

Most injectable medications are prepared as an ______ solution

A

Aqueous

60
Q

Many antibiotics come as a powder and must be correctly _________

A

Reconstituted

61
Q

Injection needles have a ______ tip to make going through the skin smoother and less painful

A

Beveled

62
Q

It requires a certain amount of ______ to smoothly given an injection

A

Dexterity

63
Q

When medications are mixed in a syringe, they must be ________

A

Calibrated

64
Q

Many injectable medications now come in a unit dose _____

A

Vial

65
Q

The majority of patients are at least a little _____ when they are to receive an injection

A

Apprehensive

66
Q

The nurse must be careful not to cause a ________to him or herself when giving an injection to a patient

A

needle stick

67
Q

what routes are used when medication cannot be taken by mouth or quick drug action is desired

A

parenteral routes

68
Q

what can improper site selection cause

A

nerve, blood vessel, or tissue damage

69
Q

what are the routes of parenteral medication

A

ID, subut, IM

70
Q

what route deposits medication into the dermal layer of the skin

A

ID

71
Q

what injections are placed beneath the dermis and above muscle; 0.05 to 1 mL of solution may be injected ?

A

subcutaneously

72
Q

what are sites for IM injections - 4

A

ventrogluteal, deltoid, the vastus lateralis and the rectus femoris

73
Q

3 mL of solution may be safely injected into the ?

A

venrogluteal, the vastus lateralis, and the rectus femoris IM sites in an adult

74
Q

A 2- to 3- mL syringe is usually used for a ? injection with a ? - ? inch needle that is ? - ? gauge

A

IM; 1- to1 1/2-inch; 23 to 20 gauge

75
Q

tuberculin and 2- to 3- mL syringes have two mesasurement scales. what are they

A

milliliters and minims

76
Q

what is the minim scale used for

A

very small doses

77
Q

what kind of needle is used to draw up medications from an ampule

A

filter needle

78
Q

the selection of a gauge of needle depends on what

A

the viscosity of the fluid to be injected and the route of administration

79
Q

when a repeat injection of a drug is given, assess for what?

A

side effects of the drug, previous site condition, and evidence of therapeutic effect before administration of the dose

80
Q

Id injections are used for

A

allergy testing and the administration of the TST

81
Q

always aspirate for blood before what kind of injection?

A

IM

82
Q

what is the preferred site for IM injection in infants under the age of 12 months

A

vastus lateralis

83
Q

what is the safest site to use in the adult?

A

ventrogluteal IM injection site

84
Q

when is a Z-track technique used?

A

with particularly irritating medications to decrease pain and bruising by sealing the drug in the muscle tissue

85
Q

what are some symptoms of anaphylactic shock

A

urticarial, bronchiolar constriction, edema, and circulatory collapse.

86
Q

the pt is prescribed a med via parenteral route, but ask why cant I just take a pill. what do you say

A

digestive juices will counteract the effects of the drug

87
Q

the nurse is preparing to give an average size adult pt an IM injection of 3mL of viscous medication. which equipment should the nurse use

A

5-mL syringe with a 20-gauge 1 1/2-inch needle

88
Q

during an intramuscular injection, the pt moves as the nurse is withdrawing the needle and the nurse accidentally sustains a needle stick injury. what is the priority action

A

scrub the needle stick site with warm water and soap

89
Q

the nurse is supervising a nursing student who is trying to withdraw 2mL of medication from an ampule. what are proper techniques

A

wrap neck of the ampule with an alcohol swab, taps the stem of ampule to dislodge medication that is trapped in the stem, inserts a filter needle into the ampule below the surface of the fluid.

90
Q

a pt need an ID injection for a tuberculin skin test (TST) but he currently has bilateral forearm casts in place. what is the best alternative site?

A

lateral upper arm

91
Q

which nursing diagnosis would be the priority if a pt had a severe anaphylactic reaction to a parenteral med

A

impaired gas exchange

92
Q

the nurse must give an injection to a 7 year old what actions should you do

A

allow child to hold and examine a demonstration syringe, give brief explanation of what is to happen, instruct the child on a distraction tasks that he can do during the procedure

93
Q

when the nurse is preparing a parentaeral injection medical asepsis in permissible for handling the

A

barrel of the syringe

94
Q

the nurse must give an IM injection to an 8 month old. which injection site is the best choice for this pt

A

vastus lateralis

95
Q

the nurse has just given the pt an injection. massaging the area is the appropriate nursing action for which medication?

A

morphine

Nursing 1 (6 decks)

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