Deck 37: Administering Intradermal, Subcutaneous, and Intramuscular Injections

Question 1

Which of the following is considered an essential step for the nurse to follow while withdrawing medication from an ampule?

A)Injecting air into the ampule before withdrawing medication
B)Using a filtered needle to withdraw medication
C)Tapping the bottom of the ampule before breaking the neck
D)Taking care not to invert the ampule while withdrawing medication

Answer 1

Using a filtered needle to withdraw medication

Question 2

In which situations would the rectus femoris be used for intramuscular injections? Select all that apply.

A)A 7-year-old receiving vaccinations
B)A 25-year-old self-administering an injection at home
C)A 40-year-old receiving a medication that needs to be rapidly absorbed
D)An 8-month-old who has no other IM injection sites available
E)A 30-year-old who has no other IM injection sites available

Answer 2

A 25-year-old self-administering an injection at home
A 40-year-old receiving a medication that needs to be rapidly absorbed
A 30-year-old who has no other IM injection sites available

Question 3

A nurse handling a syringe before administering an injection correctly keeps which parts of the syringe sterile?

A)Plunger
B)Inside of the barrel
C)Syringe tip
D)Plastic needle cap
E)Needle cannula

Answer 3

Plunger
Inside of the barrel
Syringe tip
Needle cannula

Question 4

While injecting insulin into the client, the nurse rotates injection sides around the abdomen.Which is the nurse trying to prevent? Select all that apply.

A)Medication administration errors
B)Pain
C)Lipoatrophy
D)Contamination
E)Lipohypertrophy

Question 5

The nurse is preparing to reconstitute a medication in a multiple-dose vial.The nurse correctly understands that the most essential step in this process is

A)Wiping the rubber stopper of the vial with alcohol before and after needle insertion.
B)Instilling the accurate amount of diluent into the vial.
C)Using a filtered needle to draw up the medication.
D)Instilling air into the vial before withdrawing medication.

Question 6

As the nurse is giving an intramuscular injection, she notes blood returning into the syringe with aspiration.Which actions should the nurse take? Select all that apply.

A)Withdraw the needle
B)Dispose of the medication-filled syringe
C)Push the needle deeper into the muscle
D)Proceed with the injection
E)Try again with a new dose and needle

Question 7

The nurse recognizes that a 22 g * 1.5-inch needle would be most appropriate for a(n):

A)Adult intradermal injection (ID).
B)Child subcutaneous injection.
C)Adult intramuscular (IM)injection.
D)Newborn IM injection.

Question 8

A nurse correctly recognizes that which of the following types of syringe is calibrated in milliliters?

A)Regular syringe
B)Tuberculin syringe
C)Insulin syringe
D)Single-dose syringe

Question 9

The nurse is preparing an intramuscular injection for a client.The presence of which of the following may contraindicate the injection? Select all that apply.

A)Aspirin
B)Acetaminophen
C)Ginseng
D)Calcium
E)Potassium

Question 10

A nurse correctly recognizes that the safest and most comfortable site for an intramuscular (IM)injection in adults is:

A)The ventrogluteal site.
B)The dorsal gluteal site.
C)The vastus lateralis site.
D)The left deltoid site.

Question 11

To prevent complications from intramuscular injections, a nurse should do which of the following? Select all that apply.

A)Wash hands before preparing injections.
B)Make the needle puncture slowly and with caution.
C)Apply a bandage after giving the injection.
D)Document the site of the injection.
E)Wash hands when entering a client's room.

Question 12

The nurse is administering an intradermal injection for tuberculin testing.Unless contraindicated, the nurse will use the client's:

A)Right ventral forearm.
B)Left ventral forearm.
C)Upper chest.
D)Upper back.

Question 13

The nurse is preparing to provide an intramuscular injection to a newborn client.Which size needle is appropriate for this client?

A)7/8 inch
B)5/8 inch
C)1/4 inch
D)3/8-inch

Question 14

The nurse educator is teaching students about the phenomenon of first-pass metabolism.Which of the statements made by the instructor are accurate? Select all that apply.

A)This phenomenon refers to sublingual medications passing first through the mucosal lining of the mouth.
B)Intradermal medications avoid passing through the liver.
C)Oral medications are metabolized by the liver before entering the bloodstream.
D)Subcutaneous injections are susceptible to this phenomenon.
E)When you use intramuscular injection, you avoid this phenomenon.

Question 15

The nurse is preparing to provide a subcutaneous injection.The nurse's technique would correctly include:

A)Pointing the bevel of the needle up before piercing the skin.
B)Selecting a 14 gauge, 1-1/2" needle.
C)Placing the total dose of 2.5 mL medication in one syringe.
D)Donning sterile gloves.

Question 16

The nurse is providing care for a 32-year-old with suspected bowel obstruction who is receiving intramuscular injections of narcotic pain medication.The client states, "I hate shots.Why can't I just take a pill?" The nurse could best respond with:

A)"We want to avoid giving you medication that you have to digest."
B)"Giving the pain medication this way will make it last longer."
C)"Narcotic medications are destroyed by the acid in your stomach."
D)"The drug will be absorbed more slowly this way."

Question 17

The nurse sees that the health-care provider has ordered a subcutaneous heparin injection for a client.Which actions should the nurse take to administer this medication safely?

A)Monitor the client for blood in the stools
B)Inject into the abdomen
C)Inject into the upper buttocks.
D)Monitor the client for bleeding gums
E)Monitor the client for excessive bruising

Question 18

Under the appropriate supervision of the RN, the LPN/LVN is teaching a 40-year-old client how to self-administer insulin.The client also has impaired vision.Which actions are appropriate for this client? Select all that apply.

A)Have the client practice injecting his or her thigh with an empty syringe.
B)Encourage the client to identify a family member who will be giving the insulin shots.
C)Obtain small insulin syringes that the client can use to draw up the insulin.
D)Demonstrate how to inject a volume of air into insulin prior to removing insulin.
E)Let the client practice rolling a vial of insulin.

Question 19

The nurse is preparing to administer insulin that was drawn up in the medication room.The nurse uses a one-handed scoop method to:

A)Avoid a needle stick.
B)Reduce the chance of medication error.
C)Keep the dominant hand free.
D)Maintain sterility of the syringe.

Question 20

The student nurse is preparing to provide 25 mg meperidine (Demerol)IM for pain.The Pyxis is loaded with prefilled 50 mg meperidine syringes.The supervising nurse appropriately intervenes if the student nurse:

A)Obtains a Carpuject system to administer the medication.
B)Recaps the needle after the injection.
C)Wastes 25 mg of the meperidine before administration.
D)Unscrews the syringe from the holder before discarding it in the sharps container.

Question 21

Which safety steps should the nurse take prior to administering a heparin injection? Select all that apply.

A)Have two other nurses verify the strength and dosage.
B)Have one other nurse verify the type of heparin used.
C)Assess PT, INR, and APTT results.
D)Aspirate before instilling heparin.
E)Check the heparin label against the medication administration record at least 4 times