NUR 336 FINAL EXAM STUDY GUIDE WITH COMPLETE
SOLUTION
INJECTIONS (8 questions)
medication safety in giving injections
answers: 6 rights
ID site choices and technique
answers: inner forearm, upper back
stretch skin at injection site using thumb or forefinger of non-dominant hand.
With needle almost against patient's skin, insert needle at 5-15 degrees with bevel
up and advance approx. 3mm. Slowly inject the medication, making sure a bleb
appears.
slowly inject the medication, making sure a bleb appears.
IM site choices and technique
answers: deltoid, ventrogluteal, dorsogluteal, vastus lateralis
pinch up skin/muscle or spread skin tightly (depending on client size, age and site
being used).
Inject needle quickly and firmly (darting motion) at a 90 degree angle, do not let
go of syringe, anchor.
,aspirate for blood. If no blood appears slowly inject medication (1 mL/ 10 sec.).
When done injecting smoothly and steadily withdraw needle. Note: not all
intramuscular injections will need aspiration; check drug handbook / facility
policy/ procedure
subQ site choices and technique
answers: abdomen, thigh, upper arm, lower back
pinch up skin
Inject quickly at a degree angle; release skin if it is pinched; if giving
heparin or using injection pen continue to pinch skin; do not let go of syringe,
anchor.
slowly inject medication without aspiration
use of filter straws
answers: use with ampules
needle sizes / syringe sizes
answers: ID: 25-27 gauge, 3/8th-5/8th inch
IM: 20-25 gauge, 1-1 1/2 inches
subQ: 25-27 gauge, 3/8th-5/8th inch
safety
answers: Withdraw needle completely discard used syringe in sharps container
(DO NOT re-cap). If using syringe with a safety device, push shield over needle
and discard into sharps container
, parenteral vs non-parenteral route
answers: Parenteral includes intramuscular, subcutaneous, intradermal,
intravenous, intrathecal, and epidural routes.
Non-parenteral includes oral, sublingual, topical, transdermal, ophthalmic, otic,
nasal, rectal, and vaginal routes. ... The oral route is the most often used route for
administering medications.
INSULIN ADMINISTRATION (2 questions)
answers: 2 questions
mixing insulins
answers: regular --> NPH
air into NPH, air into regular, draw up regular, draw up NPH
insulin syringes and needles
answers: in units
BLOOD GLUCOSE (2 questions)
answers: 2 questions
technique of obtaining blood sample
answers: clean site with alcohol, let dry, poke, wipe away first drop, take second
drop
fasting glucose range
SOLUTION
INJECTIONS (8 questions)
medication safety in giving injections
answers: 6 rights
ID site choices and technique
answers: inner forearm, upper back
stretch skin at injection site using thumb or forefinger of non-dominant hand.
With needle almost against patient's skin, insert needle at 5-15 degrees with bevel
up and advance approx. 3mm. Slowly inject the medication, making sure a bleb
appears.
slowly inject the medication, making sure a bleb appears.
IM site choices and technique
answers: deltoid, ventrogluteal, dorsogluteal, vastus lateralis
pinch up skin/muscle or spread skin tightly (depending on client size, age and site
being used).
Inject needle quickly and firmly (darting motion) at a 90 degree angle, do not let
go of syringe, anchor.
,aspirate for blood. If no blood appears slowly inject medication (1 mL/ 10 sec.).
When done injecting smoothly and steadily withdraw needle. Note: not all
intramuscular injections will need aspiration; check drug handbook / facility
policy/ procedure
subQ site choices and technique
answers: abdomen, thigh, upper arm, lower back
pinch up skin
Inject quickly at a degree angle; release skin if it is pinched; if giving
heparin or using injection pen continue to pinch skin; do not let go of syringe,
anchor.
slowly inject medication without aspiration
use of filter straws
answers: use with ampules
needle sizes / syringe sizes
answers: ID: 25-27 gauge, 3/8th-5/8th inch
IM: 20-25 gauge, 1-1 1/2 inches
subQ: 25-27 gauge, 3/8th-5/8th inch
safety
answers: Withdraw needle completely discard used syringe in sharps container
(DO NOT re-cap). If using syringe with a safety device, push shield over needle
and discard into sharps container
, parenteral vs non-parenteral route
answers: Parenteral includes intramuscular, subcutaneous, intradermal,
intravenous, intrathecal, and epidural routes.
Non-parenteral includes oral, sublingual, topical, transdermal, ophthalmic, otic,
nasal, rectal, and vaginal routes. ... The oral route is the most often used route for
administering medications.
INSULIN ADMINISTRATION (2 questions)
answers: 2 questions
mixing insulins
answers: regular --> NPH
air into NPH, air into regular, draw up regular, draw up NPH
insulin syringes and needles
answers: in units
BLOOD GLUCOSE (2 questions)
answers: 2 questions
technique of obtaining blood sample
answers: clean site with alcohol, let dry, poke, wipe away first drop, take second
drop
fasting glucose range
