Question 1

The nurse administers an injection of iron to a patient using the Z-track method.The nurse recognizes which of the following as advantages of this method?

Accepted Answer

The Z-track method is used to prevent leakage of medication into subcutaneous tissue and to prevent irritation of sensitive tissue by sealing the medication in the muscle.

Question 2

A patient has medication ordered to be given by intravenous (IV)bolus.The nurse recognizes which advantage of this type of administration?

Accepted Answer

IV bolus administration involves giving medication in small volumes, allowing for precise dosing and avoiding the risk of fluid overload that comes with larger volumes of IV fluids. It also results in a rapid onset of medication effects, which may be necessary in emergency situations. However, because of the quick administration, medications given by IV bolus can be more irritating to the veins.

Question 3

The nurse is preparing to administer an intravenous (IV)medication that must be diluted in 60 mL of fluid and then given over 45 minutes.Which of the following methods can the nurse use to give this medication?

Accepted Answer

The answer of The nurse is preparing to administer an...

Question 4

The nurse is preparing a subcutaneous injection for a patient.The nurse is careful not to touch which part of the syringe or needle?

Accepted Answer

The answer of The nurse is preparing a subcutaneous injection...

Question 5

The nurse informs the patient that the medication will be absorbed rapidly because it was injected into tissue with a rich blood supply.The patient has just received a ______________ injection.

Accepted Answer

The answer of The nurse informs the patient that the...

Question 6

The nurse is teaching a patient how to give a subcutaneous injection.The nurse includes which sites as acceptable for this route of administration?

Accepted Answer

The outer aspect of the upper arms, the abdomen, and the anterior thighs are common sites for subcutaneous injections due to their accessibility and the presence of subcutaneous tissue. The ventrogluteal area is typically used for intramuscular injections, not subcutaneous.

Question 7

The nurse injects the medication into the loose connective tissue just under the dermis when giving a _____________ injection.

Accepted Answer

The answer of The nurse injects the medication into the...

Question 8

The nurse is preparing to give an intramuscular injection to a toddler.To decrease pain,a eutectic mixture of local anesthetics (EMLA)cream is applied to the injection site at least ______ hour(s)before administration of the injection.

Accepted Answer

The answer of The nurse is preparing to give an...

Question 9

The most frequent route of exposure to bloodborne disease for health care workers is needlestick injury.The nurse recognizes that implementation of _________________ can prevent needlestick injury.

Accepted Answer

The answer of The most frequent route of exposure to...

Question 10

An experienced nurse recognizes that the dorsogluteal injection site is no longer used for intramuscular injections because of the risk of damaging the _______________.

Accepted Answer

The answer of An experienced nurse recognizes that the dorsogluteal...

Question 11

While checking the patient's intravenous (IV)site,the nurse notices that the site is cool,pale,and swollen.She immediately stops the IV infusion,realizing that these are signs indicating _____________.

Accepted Answer

The answer of While checking the patient's intravenous (IV)site,the nurse...

Question 12

The patient is complaining of tenderness at his intravenous (IV)insertion site.The nurse examines the site and notices that the site is swollen,warm,and reddened.The nurse stops the intravenous infusion,realizing that the patient has ________________.

Accepted Answer

The answer of The patient is complaining of tenderness at...

Question 13

The health care provider orders 4 units of regular insulin and 10 units of NPH insulin subcutaneous before breakfast.The nurse draws the regular insulin into the syringe and is preparing to draw the NPH insulin into the same syringe.When finished,the syringe should contain _________ units.

Accepted Answer

The answer of The health care provider orders 4 units...

Question 14

The patient is receiving allergy testing.The nurse is using the inner forearm to inject the allergen into the ____________.

Accepted Answer

The answer of The patient is receiving allergy testing.The nurse...

Question 15

The nurse is preparing to administer an intramuscular medication.In determining which size needle and syringe to use to administer the medication,the nurse must consider which of the following?

Accepted Answer

The nurse must consider the volume of medication to ensure the syringe can hold the entire dose, the viscosity of the medication to choose an appropriate needle gauge, and the size and weight of the patient to select the correct needle length for effective intramuscular delivery.

Question 16

The nurse is teaching a patient about continuous subcutaneous infusion with an insulin pump.What should the nurse include in the teaching plan?

Accepted Answer

Insulin is absorbed most consistently in the abdomen,so a site should be chosen in the abdomen away from the waistline.The site is changed every 2 to 7 days unless erythema or leaking occurs.An occlusive transparent dressing is used over the site.The skin should be gently pinched or lifted up to ensure that the needle will enter subcutaneous tissue.

Question 17

A patient with multiple intravenous lines has blood infusing in the right antecubital space,parenteral nutrition infusing through a right subclavian line,and normal saline with potassium infusing in the left forearm.An intravenous medication is ordered stat.The nurse will use the line in the ____________ to administer the medication.

Accepted Answer

The answer of A patient with multiple intravenous lines has...

Question 18

The nurse is preparing to draw up a medication using a filter needle and a syringe.This equipment is necessary when the medication is being withdrawn from an ______________.

Accepted Answer

The answer of The nurse is preparing to draw up...

Question 19

The student nurse is preparing to administer an intravenous (IV)bolus medication through a small-gauge IV catheter.The student notes that there is no blood return on aspiration.Which action by the student should the nursing instructor question?

Accepted Answer

The absence of blood return during aspiration may indicate that the catheter has dislodged or is not in the vein. Therefore, the nursing instructor should question the student's decision to administer medication through the catheter without confirming its placement. Option A is a good step in assessing the site for complications. Option C is also valid once the nurse confirms the catheter's placement, but it should not be done before confirming placement. Option D is not appropriate because it assumes the catheter is correctly placed, which has not been confirmed by the absence of blood return.

Question 20

The nurse follows practice guidelines when administering injections to a patient to avoid which possible complications?

Accepted Answer

The answer of The nurse follows practice guidelines when administering...

Quiz 22: Administration of Parenteral Medications