Parenteral medication Administration - exam 2

Question 1

when it comes to medication vials what is most important?

Answer 1

• check expiration
• always date and initial multi dose vials

Question 2

the smaller the number the larger the

Answer 2

needle

Question 3

when choosing parenteral needles we want the needle to be what?

Answer 3

long enough to reach the targeted tissue

Question 4

smaller gauge needles are used for

Answer 4

thinner solutions

Question 5

larger gauge needles are used for

Answer 5

thicker solution

Question 6

non-parenteral needles are used for

Answer 6

withdrawing meds

Question 7

filter needle

Answer 7

small filter in hub catches debris

Question 8

what kind of needle do we use when using ampules?

Answer 8

filter needle

Question 9

blunt filled needle

Answer 9

primarily used for withdrawing medications

Question 10

what must we never do with a blunt fillled needle?

Answer 10

never use on a patient

Question 11

what needle will cause tissue damage if used?

Answer 11

blunt filled needle

Question 12

allowed only when used for blood withdrawal

Answer 12

blunt filled needle

Question 13

1st calibrated line near hub is

Answer 13

zero

Question 14

with a single dose medication we inject – equal to amount of medication to be withdrawn

Answer 14

air

Question 15

when giving two different medications to a patient the two meds must be

Answer 15

compatible

Question 16

Single dose: we withdrawal entire - from vial

Answer 16

volume

Question 17

multi dose vial: withdraw more - than you need

Answer 17

med

Question 18

why do we need a filter needle when withdrawing from an ampule?

Answer 18

filter out anything that does not need to go into the vein

Question 19

when opening an ampule which direction do you open it?

Answer 19

away from you

Question 20

reconstitution

Answer 20

process of adding a liquid diluent to a dry or liquid concentration ingredient solute to make a specific concentration of liquid

Question 21

drugs in power from retain potency only for a short period of time once reconstituted

Answer 21

short shelf life

Question 22

reconstituted volumes - - always equal the amount of diluent because the medication itself has volume

Answer 22

do not

Question 23

prior to administration what should the nurse decide?

Answer 23

selecting appropriate site for medication

Question 24

after scanning the medication barcode what should you do?

Answer 24

always look at the screen to acknowledge and address all pop-ups

Question 25

what are two things that must be done before administering a med

Answer 25

verify integrity of needle and volume

Question 26

what must you do immediately after injection?

Answer 26

discharge safety mechanism

Question 27

never recap

Answer 27

used needles

Question 28

what do you never leave at the bedside?

Answer 28

medications

Question 29

three locations where we mainly give shots?

Answer 29

- deltoid - ventrogluteal - vastus lateralis

Question 30

we want the muscle to be what when giving a med

Answer 30

relaxed

Question 31

location for smaller volumes, less irritating medications - vaccines, B-12

Answer 31

deltoid

Question 32

max volume recommended- 1ml

Answer 32

deltoid

Question 33

recommended needle length

Answer 33

1 inch

Question 34

3 mL syringe gives more

Answer 34

control

Question 35

what angle do we insert the needle at the deltoid location?

Answer 35

90 degrees

Question 36

location for thicker, painful, or irritating meds

Answer 36

ventrogluteal or vastus lateralis

Question 37

maximum volume recommended for ventrogluteal

Answer 37

3 mL

Question 38

recommended needle length for ventrogluteal

Answer 38

1 inch to 1 1/2 inch

Question 39

recommended syringe for ventrogluteal

Answer 39

3 ml

Question 40

what is the purpose of the ztrack method?

Answer 40

locks medication in place

Question 41

what do we do first after inserting the needle for a VG/VL site?

Answer 41

aspirate

Question 42

if blood returns with aspiration what do we not do?

Answer 42

inject the medication, you must start over

Question 43

during the deep IM technique what rate do we push?

Answer 43

1 mL 10 seconds

Question 44

during deep Im how long do we wait until we release the z track

Answer 44

3-5 seconds

Question 45

needles are very fragile and permanently attached to syringe

Answer 45

insulin

Question 46

at what angle do we inject insulin?

Answer 46

90 degree angle with bunching of the skin

Question 47

what do we check before giving insulin?

Answer 47

blood sugar

Question 48

where do we always administer enoxaparin ?

Answer 48

abdominal

Question 49

what position is best for a pt when administering enoxaparin

Answer 49

reclining/supine

Question 50

enoxaparin needs to be given deep

Answer 50

subq

Question 51

true or false we need a longer length needle when administering enoxaparin

Answer 51

true; best absorption

Question 52

what do we never do with SQ enoxaprin injections?

Answer 52

- aspirate - massage - rub or massage

Question 53

which injection do we bunch the entire time?

Answer 53

SQ enoxaparin injections

Question 54

never expel what from the enoxaparin needle?

Answer 54

nitrogen bubble

Question 55

what is a must when giving a TB injection?

Answer 55

a bleb or wheal