Deck 9: Injectable Medications

Question 1

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

Answer 1

A leading zero (e.g.,0.2)alerts the nurse that a decimal is to follow.Decimals are often not well-visualized.

Question 2

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 2

The error is 10 times more or less than ordered dose.This can cause a fatal adverse drug event (ADE).

Question 3

A skin test is administered with which size syringe?

Answer 3

1 mL tuberculin syringe

Question 4

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

Question 5

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

Question 6

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

Question 7

Which size zone should be avoided around umbilicus when giving abdominal subcutaneous injections?

Question 8

What are the two most common diluents for injectable medications?

Question 9

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

Question 10

Which site is not recommended for intramuscular injections? Why?

Question 11

Why shouldn't needles be recapped?

Question 12

How does the nurse decide how much to round a dose for an injectable medication?

Question 13

State the approved abbreviations for four parenteral routes.

Question 14

Name the three approved sites for intramuscular injections.

Question 15

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

Question 16

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

Question 17

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

Question 18

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

Question 19

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

Question 20

Would a small gauge or a large gauge needle be used for a skin test?

Question 21

Ordered: morphine sulfate,15 mg; atropine,0.3 mg; IM stat,for a preoperative patient.Available:
How many milliliters of morphine sulfate will the nurse prepare?

A)Estimated dose:
B)DA equation:
C)Evaluation: How many milliliters of atropine will the nurse prepare?
D)Estimated dose:
E)DA equation:
F)Evaluation:
G)How many milliliters will be given in total? Indicate with an arrow the total dose on the syringe.Draw a line through the atropine dose.

Question 22

Ordered: diazepam 12 mg stat IM,for a patient experiencing anxiety.
Available:
How many milliliters will the nurse prepare?

A)Estimated dose:
B)DA equation:
C)Evaluation: Indicate with an arrow the amount to be added to the syringe with the nearest measurable dose.

Question 23

Ordered: cimetidine HCl 0.4 g IM bedtime daily,for a patient with a gastric ulcer.
Available:

A)What is the trade name for this medication? How many milliliters will the nurse prepare?
B)Estimated dose:
C)DA equation:
D)Evaluation: Indicate with an arrow the amount to be added to the syringe with the nearest measurable dose.

Question 24

What is the purpose of a filter needle? When is it used?

Question 25

Ordered: Nembutal 75 mg IM at bedtime prn sleep.
Available:
How many milliliters will the nurse prepare?

A)Estimated dose:
B)DA equation:
C)Evaluation: Indicate with an arrow the amount to be added to the syringe with the nearest measurable dose.

Question 26

Ordered: digoxin 300 mcg IM stat,for a patient with heart failure.
Available:
How many milliliters will the nurse prepare?

A)Estimated dose:
B)DA equation:
C)Evaluation: Indicate with an arrow the amount to be added to the syringe with the nearest measurable dose.

Question 27

Ordered: hydromorphone HCl,3 mg; hydroxyzine,40 mg; IM stat.
Available:
How many milliliters of hydromorphone will the nurse prepare?

A)Estimated dose:
B)DA equation:
C)Evaluation: How many milliliters of Vistaril will the nurse prepare?
D)Estimated dose:
E)DA equation:
F)Evaluation:
G)Total combined milliliters to be administered: Indicate with an arrow the total dose on the syringe.Draw a line through the Vistaril dose.

Question 28

Ordered: morphine sulfate 3 mg; atropine 0.2 mg; subcut for a patient preoperatively.Available:

A)What is the apothecary equivalent of the available 4 mg? How many milliliters will the nurse prepare?
B)Estimated dose:
C)DA equation:
D)Evaluation: How many milliliters will the nurse prepare?
E)Estimated dose:
F)DA equation:
G)Evaluation:
H)How many milliliters will be given in total? Indicate with an arrow the total dose on the syringe.Draw a line through the atropine dose.

Question 29

Ordered: furosemide 25 mg IM stat,for a patient with edema.
Available:
How many milliliters will the nurse prepare?

A)Estimated dose:
B)DA equation:
C)Evaluation: Indicate with an arrow the amount to be added to the syringe with the nearest measurable dose.

Question 30

Ordered: vitamin B₁₂ injection IM 80 mcg once a week,for a patient with a folate deficiency.Available:
How many milliliters will the nurse prepare?

A)Estimated dose:
B)DA equation:
C)Evaluation:

Question 31

Ordered: meperidine 60 mg IM stat,for a patient complaining of postoperative pain.
Available:
How many milliliters will the nurse prepare?

A)Estimated dose:
B)DA equation:
C)Evaluation: Indicate with an arrow the amount to be added to the syringe with the nearest measurable dose.