Deck 17: Administering Parenteral Medications

Question 1

The nurse is preparing to administer an intradermal injection to a client who had bilateral amputations of the arms.Which locations would be appropriate when administering the injection to this client?

A)The thigh
B)The abdomen
C)The upper chest
D)The back beneath the scapulae
E)The calf of the leg

Answer 1

The upper chest
The back beneath the scapulae

Question 2

When connecting a needle to a syringe,the nurse connects which part of the needle to which part of the syringe?

A)The cannula of the needle connects to the barrel of the syringe.
B)The hub of the needle connects to the tip of the syringe.
C)The tip of the needle connects to the hub of the syringe.
D)The bevel of the needle connects to the plunger of the syringe.

Answer 2

The hub of the needle connects to the tip of the syringe.

Question 3

The nurse is administering an intradermal medication.What is the angle of insertion when entering the client's skin?

A)90° angle
B)45° angle
C)30° angle
D)15° angle

Answer 3

15° angle

Question 4

The nurse is preparing to administer an intradermal medication.Which item will form to indicate the medication was injected at the proper depth?

A)Diluent
B)Wheel
C)Wheal
D)Blister

Question 5

The nurse observes the student administer heparin subcutaneously into the client's abdomen.Which action indicates the need for further teaching?

A)The student determines the site by placing two fingers above the umbilicus and injecting the medication above the fingers.
B)The student cleans the site,wiping in a circular motion with an antimicrobial wipe.
C)The student uses a 25 gauge needle.
D)The student inserts the needle at a 90° angle.

Question 6

The nurse is administering an intramuscular injection.After inserting the needle,the nurse pulls back on the plunger and sees blood enter the syringe.Which action by the nurse is the most appropriate?

A)Angle the needle slightly and draw back again.If no blood is obtained,inject the medication.
B)Pull back slightly on the needle and inject the medication.
C)Remove the needle from the site and insert the needle into a new site.
D)Remove the needle,discard the syringe,and prepare new medication for administration.

Question 7

The nurse is adding medication to an IV fluid container to be hung on the client's existing IV line.After injecting the medication into the IV container,which action should the nurse take next?

A)Connect the bag to the tubing.
B)Connect the bag to new tubing and flush the air from the tubing.
C)Rotate the bag to distribute the medication.
D)Place a completed medication-added label to the bag.

Question 8

The nurse is preparing to administer an IV medication to a pediatric client.Which method would be the most appropriate for the nurse to use?

A)Intermittent intravenous infusion
B)Volume-controlled infusion
C)Intravenous bolus infusion
D)Intravenous push injection

Question 9

Which is not a known disadvantage to using an ampule?

A)A risk of minute glass shards falling into the medication after the ampule is opened
B)A risk of injury to the nurse when opening the ampule
C)A risk of contamination of medication even when opened properly
D)Medication being lost in the neck of the ampule if not properly prepared

Question 10

The nurse is preparing a medication supplied in a powder form in a vial.Which information would the nurse require in order to prepare the medication to administer to the client?

A)Type of diluent needed
B)Amount of diluent to use to reconstitute the medication
C)The concentration of the medication once mixed
D)Actions and uses of the medication
E)Expiration date of the medication once it is reconstituted

Question 11

When administering parenteral medications,the nurse considers the viscosity of the fluid when determining which item?

A)The length of the needle required
B)The size of the syringe required
C)The size of the bevel required
D)The gauge of the needle required

Question 12

The nurse is attempting to withdraw 1 mL of fluid into a 3 mL syringe,and is pulling on the plunger.The fluid is not flowing into the syringe,and the nurse has withdrawn the plunger to the 2.5 mL line.Which action would the nurse take to correct this problem?

A)Change the needle because the current needle is clogged.
B)Inject air into the vial and draw out the remaining fluid.
C)Throw the vial away and obtain a new one,because this one is defective.
D)Obtain a larger syringe to withdraw the medication.

Question 13

The nurse performs which action in order to reduce the risk of a needlestick injury?

A)Recapping the needle before discarding it after injecting the client
B)Breaking the needle in half before discarding the used needle
C)Using safety needles completely prevents the risk of needlestick injury
D)Immediately discarding the needle as soon as withdrawing it from the client

Question 14

The nurse is preparing two medications from separate vials in one syringe.After injecting air into vial A,which action by the nurse is the most appropriate?

A)Changing needles and injecting air into vial B
B)Changing needles,injecting air into vial B,and then withdrawing medication from vial A
C)Injecting air into vial B,changing needles,and withdrawing medication from vial A
D)Changing needles,injecting air into vial B,withdrawing medication from vial B,and then withdrawing medication from vial A

Question 15

The nurse is using a syringe that requires the needle to be screwed into the hub,reducing the risk of the needle or tubing separating from the syringe.Which type of syringe is the nurse using?

A)Smooth graduated-tip syringe
B)Irrigation syringe
C)Luer-Lok syringe
D)Safety needle syringe

Question 16

The nurse administers a subcutaneous injection of heparin into the client's abdomen.Which action should the nurse perform next?

A)Recap the needle before discarding it.
B)Massage the area to improve absorption.
C)Apply pressure to the site if bleeding occurs.
D)Pinch the skin while removing the needle.

Question 17

When handling a syringe,where will the nurse maintain sterility when administering a parenteral medication to a client?

A)Outside of the tip
B)Inside of the tip
C)Outside of the barrel
D)Inside of the barrel
E)Tip of the plunger

Question 18

The nurse is preparing medication that is packaged in an ampule.Which are appropriate nursing actions when preparing this medication?

A)Using a filter straw when administering the injection to the client
B)Using gauze when opening the ampule
C)Tapping the neck of the ampule to drop all medication into the body of the ampule prior to opening it
D)Checking the expiration date on the ampule
E)Wiping the container with an antimicrobial prior to opening the ampule

Question 19

The nurse observes the student administering an intramuscular injection using the Z-track technique.Which action reflects proper procedure?

A)The student inserts the needle at a 90° angle and then uses the radial side of the nondominant hand to pull the skin approximately 3 cm to the side.
B)The student uses the ulnar side of the nondominant hand to pull the skin approximately 2.5 cm to the side and inserts the needle at a 90° angle.
C)After injecting the medication,the student releases the skin and waits 10 seconds before removing the needle.
D)After injecting the medication,the student waits 5 seconds before removing the needle and releasing the skin.

Question 20

The nurse is preparing an intramuscular injection requiring 5 mL of fluid to be administered.Which action by the nurse is the most appropriate?

A)Preparing two injections and administering one into each deltoid muscle
B)Preparing one injection and administering it into the vastus lateralis muscle
C)Preparing one injection and administering it into the ventrogluteal site
D)Preparing two injections and administering one into each gluteus maximus muscle

Question 21

The nurse hangs an intermittent intravenous medication that is given every 6 hours using a secondary set.When the nurse returns to assess the IV,the last drop of fluid infuses from the secondary set.Which action by the nurse is the most appropriate?

A)Restart the primary IV infusion by unclamping the roller clamp for the primary tubing.
B)Disconnect the secondary set tubing and discard it.
C)Assess that the primary IV is running at the proper rate.
D)Lower the primary IV bag to the proper height.

Question 22

When using needles,the nurse must be diligent in preventing needlesticks.What is one way in which needlesticks can be prevented?

A)Not recapping the needle after client use
B)Use of gloves
C)Use of 18 gauge needle
D)Use of multiple needles

Question 23

Which client situation would the nurse need to report to the health care provider as soon as it is noted?

A)The client with normal saline infusing IV who complains of pain at the IV site,noted to be slightly red
B)The client with a continuous infusion of heparin whose IV site is noted to be red,edematous,and painful to touch
C)The client who accidentally discontinued an IV and requires a new IV insertion
D)The client whose saline lock is not patent,and who requires a new lock to be inserted

Question 24

The nurse is noting a pain medication order for the client.The medication is ordered to be given intravenously.When instructing the client about the rate of absorption,the nurse makes sure that the client understands how this drug will affect him or her.Which statement by the client indicates an appropriate understanding of the information presented?

A)"I will be able to take a bath after the medication is given."
B)"Since the medication is going to be given IV,it will take effect rapidly."
C)"I will be able to take a walk with my family."
D)"My doctor told me that the medication would burn when being administered."

Question 25

The nurse is administering an IV push medication through an existing saline lock.The facility where the nurse works has a policy that a heparin flush is used to maintain patency of the saline lock.After preparing the medication,which action by the nurse is the most appropriate?

A)Prepare two syringes with normal saline and one syringe with heparin.
B)Prepare two syringes with heparin flush and one syringe with normal saline.
C)Prepare one syringe with heparin flush and one syringe with normal saline.
D)Prepare two syringes with heparin flush and one syringe with normal saline

Question 26

Which routes of medication administration are considered parenteral?

A)Subcutaneous
B)Inhalation
C)Epidural
D)Intradermal
E)Transdermal

Question 27

The nurse is caring for a client receiving IV medications.After infusing an IV antibiotic,the nurse assesses the IV site and finds it to be red and edematous,and the client is complaining of pain at the site.Which would the nurse document in the nursing notes regarding the infiltration?

A)Incident report
B)Health care provider notification and any orders received
C)Amount of fluid infused per shift on the intake and output record
D)Size and location of erythematous area
E)Actions taken to correct the problem