ETSU PCC2 Exam 1 Questions and
Answers with 100% Complete Verified
Solutions
Which IM injection site is used with young children and
anorexic patients. Patient should lie flat with the knee slightly
flexed or in a sitting position. The needle length is 5/8 to one
inch. - ANSWER Vastus Lateralis
Which IM injection site is the preferred and safest site with few
complications. Ideal for 2-3mL or greater. This has a deep
muscle and it is away from major nerves and blood vessels. The
needle length is 1 1/2 inch - ANSWER Ventrogluteal
Which IM injection site is great for immunizations. Its used for
small volumes of 2mL or less. Its easily accessible but can
potentially be injure nerves and the brachial artery. The needle
length is 1 to 1 1/2 - ANSWER Deltoid
,2|Page
This must be used for all IM injections. This minimizes local skin
irritations and seals in medication. - ANSWER Z-track
What should the nurse assess before entering the room? -
ANSWER Note isolation precautions, latex allergies, or fall
precautions.
Before administering meds in a NG, G, or J tube what should
you check? - ANSWER May need to hold feeding 30 minutes
prior to med admin. Some meds require holding feeding for 2
hours after med admin.
What should you do when preparing meds for NG, G, or J tube?
- ANSWER Make sure tabs are crushable. Check for allergies
What meds are not crushable - ANSWER SR's, extended release,
sublingual, buccals, or enteric coated
What are the steps of giving meds in an NG tube? - ANSWER
stop feeding, verify placement, and check residual. Flush tube
with at least 15mL of sterile water using a 60mL syringe. Draw
up the med. Use syringe to push med or gravity. After meds
, 3|Page
flush tube with at least 30 to 60mL afterward. Document and
leave patient's head of bed elevated for an hour after med
admin.
True or False? You can mix meds as long as you flush 15mL -
30mL of water after - ANSWER False, you must administer meds
separately and flush in between each med
How do you verify placement of an NG tube? - ANSWER Verify
with x-ray, if displaced attach syringe and sprite 5-10mL of
secretions and observe appearance. Determine pH to verify the
placement.
When do you check residuals? - ANSWER Before each feeding
for intermittent feedings and every 4-6 hours for continuous
feedings
What is the gastric residual range? - ANSWER 200 to 500mL
True or False? Don't hold the feeding if residual is <500mL -
ANSWER True