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Nursing Funds > Injections: IM, SC, ID > Flashcards

Injections: IM, SC, ID Flashcards

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1
Q

Which action by the nurse ensures patient safety when administering an intramuscular injection?
A. Putting on clean gloves before administration
B. Rotating injection sites
C. Aspirating for blood return when administering a vaccine
D. Injecting the medication quickly

A

b; decrease risk of hypertrophy

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2
Q

When preparing an intramuscular injection, what can the nurse do to reduce the patient’s risk for infection?
A. Wear clean gloves.
B. Use a 3-ml syringe.
C. Clean the injection site with an alcohol swab.
D. Massage the injection site.

A

c

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3
Q

What can the nurse do to minimize the patient’s risk for injury when delivering an intramuscular injection?
A. Instruct the patient to relax.
B. Insert the needle at a 45-degree angle.
C. Pull back on the plunger after inserting the needle.
D. Pull the skin taut at the injection site when inserting the needle.

A

c

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4
Q

Which site is most commonly used for intramuscular injections?
A. Ventrogluteal
B. Abdominal
C. Deltoid
D. Dorsogluteal

A

a

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5
Q

Which action by the nurse helps to ensure that the medication is delivered into the muscle when administering an intramuscular injection?
A. Using a 1-inch needle
B. Inserting the needle at a 45- to 60-degree angle
C. Withdrawing the needle immediately after delivering the medication
D. Aspirating for blood return before injecting the medication

A

d

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6
Q

t/f you should use an injection site in an area with bruising, induration, muscular atrophy, reduced blood flow, or signs of infection.

A

false

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7
Q

Where does IM injection deposit medication into?

A

deep muscle tissue, which has a rich blood supply, allowing medication to absorb faster than by the subcutaneous route. However, there is an increased risk for injecting drugs directly into blood vessels

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8
Q

What type of needle should you use for an immunization?

A

gauge range of 22 to 25.2

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9
Q

What degree you administer a should IM injection?

A

Administer IM injections so the needle is perpendicular to the patient’s body and as close to a 90-degre

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10
Q

What is the Z-track method?

A

a technique for pulling the skin during an injection, is recommended for IM injections;prevents leakage of medication into subcutaneous tissues, seals medication in the muscle, and minimizes irritation

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11
Q

Which site is not recommended for IM injections?

A

dorsogluteal site; because it is close to neurovascular structures

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12
Q

What position should a pt be in for a ventrogluteal IM injection

A

lie in either the supine or lateral position

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13
Q

How many mL are allowed when giving a IM injection in the deltoid?

A

2 mL

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14
Q

What site is recommended for vaccinations in adults?

A

deltoid

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15
Q

Where is the injection site for a deltoid IM injection located?

A

The injection site is three finger width below the acromion process

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16
Q

What is the most medication should be administered in an single IM injection?

A

no more than 5 mL

17
Q

What are ID injection typically used for?

A

skin testing (e.g., tuberculosis screening and allergy)

18
Q

What type of syringe should be used for Mantoux Tuberculin Skin Test?

A

a short (6 to 13 mm [¼ to ½ inch]), fine-gauge (27-G) needle with a short bevel is used to administer an injection intradermally

19
Q

What is the correct needle insertion angle for ID injections?

A

5 to 15 degrees

20
Q

What is a new alternative to the traditional method of TB testing?

A

microneedle patch

21
Q

What is microneedle patch?

A

less expensive alternative to current diagnostic tests and has the potential to be a reliable alternative to the Mantoux technique

22
Q

When administering an intradermal injection, which outcome would require the nurse to withdraw the needle and begin again?
A. Aspiration of blood prior to injecting the medication
B. Inability to feel resistance when injecting the medication
C. Formation of a 6-mm bleb at the injection site
D. Appearance of a lesion resembling a mosquito bite at the injection site

A

b

23
Q

Which statement might the nurse make to nursing assistive personnel (NAP) when caring for a patient who is prescribed an intradermal injection?
A. “Be sure to wear clean gloves during the injection.”
B. “Tell him it’s OK; the site should look like a mosquito bite.”
C. “Immediately report any patient complaints of itching or dyspnea.”
D. “Remind the patient to come back in 48 to 72 hours so we can evaluate the site.”

A

c

24
Q

Which finding tells the nurse that a patient may have had a positive reaction to a tuberculin test?
A. A raised wheal the size of a mosquito bite
B. A bruised area 10 mm or greater in diameter
C. A hard, raised area 15 mm or greater in diameter
D. A flat, reddened area 5 mm or greater in diameter

A

c

25
Q

In which site would it be inappropriate to administer an intradermal injection?
A. Lower abdomen of an obese patient
B. Upper back of a patient who is on bed rest
C. Right deltoid of a high school softball pitcher
D. Left forearm of a patient with right-sided weakness

A

c

26
Q

How can the nurse determine that the needle tip for an intradermal injection is in the dermis?
A. A bleb the size of a mosquito bite will appear.
B. The needle will enter at a 5- to 15-degree angle.
C. The bulge of the needle tip will be visible through the skin.
D. The needle will penetrate through the epidermis to a depth of about ⅛ inch.

A

c

27
Q

Where are SC injection deposited into?

A

medication into the loose connective tissue underlying the dermis

28
Q

t/f medication is absorbed faster in SC injection than IM injections

A

false; subcutaneous tissue does not contain as many blood vessels as muscles, medications are absorbed more slowly than with intramuscular (IM) injections

29
Q

t/f medication is absorbs faster in SC injection than IM injections

A

false; subcutaneous tissue does not contain as many blood vessels as muscles, medications are absorbed more slowly than with intramuscular (IM) injections

30
Q

How are SC medications given in mL?

A

small doses of less than 2 mL

31
Q

What are the best injection sites for SC?

A

outer aspect of the upper arms, the abdomen from below the costal margins to the iliac crests, the anterior aspects of the thighs, and the buttocks

32
Q

What needle size is typically used for a SC injection?

A

Typically, a 22- to 25-G needle

33
Q

What should you always note when giving injections?

A

note is the patient has allergies

34
Q

Which action would the nurse take to diminish tissue irritation when administering a subcutaneous injection to a patient of average size?
A. Massage the site after administration.
B. Make sure the volume of the medication is less than 2 mL.
C. Administer the injection at a 45- to 90-degree angle.
D. Wear clean gloves while administering the injection.

A

b

35
Q

Which needle would be most appropriate for the nurse to use when giving a subcutaneous injection to a patient of average height and weight?
A. 20-gauge, ½-inch
B. 22-gauge, 1-inch
C. 25-gauge, ⅜-inch
D. 27-gauge, 1-inch

A

c

36
Q

What can the nurse do to minimize the discomfort of a subcutaneous injection?
A. Inject the medication rapidly.
B. Massage the injection site.
C. Cover the injection site with gauze pad after withdrawing the needle.
D. Inject the medication without pinching the skin.

A

c

37
Q

When preparing to administer heparin or insulin subcutaneously, which site is preferred?
A. Abdomen
B. Scapula
C. Deltoid muscle
D. Back of the upper arm

A

a

38
Q

What can the nurse do to ensure proper site selection for subcutaneous insulin injection?
A. Insert the needle at a 30-degree angle.
B. Select a different anatomical region for each injection.
C. Ask the patient to relax before inserting the needle.
D. Systematically rotate sites within the same anatomical location or area.

A

d

Nursing Funds (17 decks)

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