Solutions
deltoid site (IM) Correct Answers -Palpate the lower edge of
the acromion process, which forms the base of a triangle in line
with the midpoint of the lateral aspect of the upper arm
-The injection site is in the center of the triangle, about 1-2
inches below the acromion process
-Or locate the site by placing four fingers across the deltoid
muscle with the top finger along the acromion process
-The injection site is three fingers below the acromion process
digoxin action Correct Answers Inhibits sodium-potassium
ATPase, which makes more calcium available for contractile
proteins, resulting in increased cardiac output; increases force of
contraction (positive ionotropic effect); decreases heart rate
(negative chronotropic effect); decreases AV conduction speed
digoxin adverse effects Correct Answers Yellow-green halos,
bradycardia
digoxin assessments Correct Answers Apical pulse >60,
potassium level (3.5-5 mEq/L), digoxin therapeutic level (0.8-2
ng/ml)
digoxin contraindications Correct Answers Ventricular
fibrillation, ventricular tachycardia
digoxin indications/use Correct Answers Treats heart failure
and atrial fibrillation/flutter; decreases edema, pulse,
respirations, and crackles
, digoxin parameters Correct Answers Assess apical pulse, do
not administer and call provider if pulse is less than 60
heparin action Correct Answers Prevents conversion of
fibrinogen to fibrin and prothrombin to thrombin by enhancing
inhibitory effects of antithrombin III
heparin adverse effects Correct Answers Hematuria, bruising
heparin assessments Correct Answers Assess for bleeding
gums, aPTT (30-40 seconds) and PTT(60-70 seconds), location
of last injection
heparin contraindications Correct Answers Bleeding, peptic
ulcer disease, severe hypertension
heparin indications/use Correct Answers Prevention of new
thrombi (clot) formation, prevention of growth of new clots;
prevention and treatment in MI
heparin parameters Correct Answers aPTT (30-40 seconds) and
PTT levels (60-70 seconds)
IM injection needle size Correct Answers 18 to 25 gauges and
5/8 to 1 1/2 inches long
influenza injection action Correct Answers Imparts immunity
against the influenza virus by stimulating production of
antibodies that are specific to the disease