Deck 5: Injectable Medication and Syringe Measurements

Question 1

What is the name of the kind of reference a nurse must consult before mixing two or more medications in one syringe or intravenous (IV) solution?

Answer 1

The nurse must consult a current reliable compatibility drug reference. The nurse should call the pharmacy if there are questions.

Question 2

What is the descriptor for medications that when combined in one syringe or solution interact and cause undesired changes in composition or effects such as crystallization?

Answer 2

incompatibility

Question 3

An error of dosage with one decimal place, such as preparing 1 mL instead of 0.1 mL results in how much of an error?

Answer 3

a 10-times dose error

Question 4

What is the first step a nurse must take after reading an order for a parenteral injection mix?

Question 5

A skin test is administered with which size syringe?

Question 6

In general, which is absorbed faster, an oral medication or a parenteral medication?

Question 7

What is the usual dose in mL for a skin test?

Question 8

Name the three approved sites for IM injections.

Question 9

What is the name and abbreviation for the route used for skin test injections?

Question 10

What is the value of estimating medication doses before calculation and preparation?

Question 11

State the approved abbreviations for four parenteral routes.

Question 12

Which site is not recommended for IM injections? Why?

Question 13

Why shouldn't needles be recapped?

Question 14

What is the importance of writing a leading 0 in front of a decimal number less than one?

Question 15

Would the gauge number be small or large?

Question 16

What is the purpose of a filter needle? When is it used? Can the filter needle be used to inject the patient?

Question 17

Can the nurse legally administer a medication after the expiration date?

Question 18

Does the nurse have to measure the dose in a prefilled syringe? If so, why? If not, why not?

Question 19

What are the names of three diseases cited in the text that can be contracted from a needlestick injury?

Question 20

What is the reason for mixing two or more medications in one syringe for an IM injection?

Question 21

Ordered: Tobramycin 70 mg IM q8h for a patient with an infection. a. Estimated dose:
b. How many mL will you prepare to the nearest tenth of an mL?

Question 22

Total capacity: _____ mL
Smallest measurable dose: _____ mL
Indicated dose: _____ mL

Question 23

Total capacity: _____ mL
Smallest measurable dose: _____ mL
Indicated dose: _____ mL

Question 24

Ordered: Phenobarbital sodium 0.06 g IM stat for a patient who needs sedation.
Available: Phenobarbital sodium 120 mg per 2 mL.
a. Estimated dose:
b. How many mL will you prepare?

Question 25

Ordered: Zantac (ranitidine hydrochloride) 30 mg IM q6h for a patient with an ulcer. a. Estimated dose:
b. How many mL will you prepare?
c. Indicate the dose on the syringe.

Question 26

Ordered: promethazine 30 mg IM stat for a patient with nausea. a. Estimated dose:
b. How many mL will you prepare?

Question 27

Total capacity: _____ mL
Smallest measurable dose: _____ mL
Indicated dose: _____ mL

Question 28

Total capacity: _____ mL
Smallest measurable dose: _____ mL
Indicated dose: _____ mL

Question 29

Ordered: Dilaudid 3 mg IM stat for a patient in pain. a. Estimated dose:
b. How many mL will you prepare to the nearest hundredth of an mL?

Question 30

Ordered: Solu-Cortef 0.2 g IM stat, an antiinflammatory steroid, for a patient with severe inflammatory response. a. Estimated dose:
b. How many mL will you prepare?

Question 31

Ordered: Neupogen (Filgrastim) 0.2 mg subcut once a week for a patient who is immunosuppressed. a. Estimated dose:
b. How many mL will you prepare (to the nearest hundredth of an mL)?
c. How many mg are the equivalents of 200 mcg?

Question 32

Ordered: Atropine 0.5 mg IM for a patient with bradycardia.
How many mL will you prepare (to the nearest tenth)?

Question 33

Ordered: morphine sulfate 15 mg and promethazine 20 mg both IM stat for a patient with postoperative pain.
Round each dose to the nearest tenth of an mL. a. Estimated dose:
b. How many mL of morphine will you prepare?
c. How many mL of promethazine will you prepare?
d. What will be the total dose to nearest tenth of an mL?
e. Indicate the total combined dose on the syringe.

Question 34

Total capacity: _____ mL
Smallest measurable dose: _____ mL
Indicated dose: _____ mL

Question 35

Ordered: Epoetin alfa 13,000 units subcut twice weekly for a cancer patient with severe anemia. a. Estimated dose:
b. How many mL will you prepare to the nearest tenth (after reading the label and label insert)?

Question 36

Ordered: Stadol 0.75 mg IM stat for a frail patient with a migraine headache. a. Estimated dose:
b. How many mL will you prepare to the nearest hundredth of an mL?

Question 37

Ordered: Ativan 3 mg IM stat for a patient with anxiety. a. Estimated dose:
b. How many mL will you prepare?

Question 38

Ordered: Lanoxin 0.3 mg deep IM stat loading dose for a patient with heart failure.
Directions: Give deep IM and follow with massage. IM route painful and only used if other routes unavailable. a. Estimated dose:
b. How many mL will you prepare to the nearest hundredth of an mL?

Question 39

Ordered: Haldol 4 mg IM HS prn for a patient with agitation. a. Estimated dose:
b. How many mL will you prepare?

Question 40

Ordered: Tigan 75 mg IM stat for a patient with nausea. a. Estimated dose:
b. How many mL will you prepare to the nearest hundredth of an mL?
c. Indicate the dose on the syringe provided.