Medication Administration ***TEST BANK REVIEW***
Study online at https://quizlet.com/_c0tmil
1. 2. A nurse is preparing to ad- c. "The last shot like that turned my skin colors."
minister an injection to a pa-
tient. Which statement made by The z-track is indicated when the medication being adminis-
the patient is an indication for tered has the potential to irritate sensitive tissues. It is recom-
the nurse to use the Z-track mended that, when administering the IM injection, the z-track
method? method be used to minimize local skin irritation by sealing
a. "I am allergic to many med- the medication in muscle tissue.
ications."
b. "I'm really afraid that a big
needle will hurt."
c. "The last shot like that turned
my skin colors."
d. "My legs are too obese for
the needle to go through."
2. Z-track method used to minimize local skin irritation by sealing the medica-
tion in muscle tissue
pull overlying sking and sub Q tissue laterally to the side 1
-1.5 inches, inject the needle into the muscle leaving in for
10 seconds after injection, then release the skin.
3. Ear drop guidelines: Pt needs to remain lying for 2-3 mins.
Children up to 3: pull auricle
down and back - solution for 1cm or 1/2 inch above opening of ear canal
3+ to adults: auricle upward and
outward
4.
, Medication Administration ***TEST BANK REVIEW***
Study online at https://quizlet.com/_c0tmil
A patient has ordered to receive Tuberculin syringe
a 0.3 mL of U-500 Insulin. Which
syringe will the nurse obtain to - Because there is no syringe currently designed to prepare
administer the medication? U-500 insulin, many medication errors result from this kind
of insulin.
To prevent erros, ensure that the order for U-500 specifies
units and volumte. and use a tuberculin syringe to draw up
the doses. A 3 mL and u-100 can result in inaccurate dosages.
Needles syringe not okay
5. U-500 insulin Concentrated regular insulin for use in patients who require
high doses due to extreme resistance
6. Trough levels - generally drawn 30 minutes before the drug is adminis-
tered.
If the drug time is 0900, you draw the trough at 0830
7. side effect of vancomycin nephrotox, ototox, red man synd (histamin release, not an
allergy!)
-OTOTOXICIY - hearing. It doesn't affect vision, heart tones or
bowel sounds
8. The nurse is preparing to ad- 25 gauge x 1 inch
minister an injection into the
deltoid muscle of an adult pa-
tient. Which needle size and
length will the nurse choose?
, Medication Administration ***TEST BANK REVIEW***
Study online at https://quizlet.com/_c0tmil
9. Needle gauge for IM 18-25?
10. Needle gauge for intradermal 25-27
11. Needle gauge for SQ 25-30
12. Needle length for IM 1 to 1 1/2 inches
13. Needle length for SQ 3/8-5/8
14. Needle length for intradermal 3/8-5/8 inch
15. What is the rationale for needle Ensure proper placement of needle. You want to ensure the
aspiration? needle is in the muscle and not in the vascular system.
Study online at https://quizlet.com/_c0tmil
1. 2. A nurse is preparing to ad- c. "The last shot like that turned my skin colors."
minister an injection to a pa-
tient. Which statement made by The z-track is indicated when the medication being adminis-
the patient is an indication for tered has the potential to irritate sensitive tissues. It is recom-
the nurse to use the Z-track mended that, when administering the IM injection, the z-track
method? method be used to minimize local skin irritation by sealing
a. "I am allergic to many med- the medication in muscle tissue.
ications."
b. "I'm really afraid that a big
needle will hurt."
c. "The last shot like that turned
my skin colors."
d. "My legs are too obese for
the needle to go through."
2. Z-track method used to minimize local skin irritation by sealing the medica-
tion in muscle tissue
pull overlying sking and sub Q tissue laterally to the side 1
-1.5 inches, inject the needle into the muscle leaving in for
10 seconds after injection, then release the skin.
3. Ear drop guidelines: Pt needs to remain lying for 2-3 mins.
Children up to 3: pull auricle
down and back - solution for 1cm or 1/2 inch above opening of ear canal
3+ to adults: auricle upward and
outward
4.
, Medication Administration ***TEST BANK REVIEW***
Study online at https://quizlet.com/_c0tmil
A patient has ordered to receive Tuberculin syringe
a 0.3 mL of U-500 Insulin. Which
syringe will the nurse obtain to - Because there is no syringe currently designed to prepare
administer the medication? U-500 insulin, many medication errors result from this kind
of insulin.
To prevent erros, ensure that the order for U-500 specifies
units and volumte. and use a tuberculin syringe to draw up
the doses. A 3 mL and u-100 can result in inaccurate dosages.
Needles syringe not okay
5. U-500 insulin Concentrated regular insulin for use in patients who require
high doses due to extreme resistance
6. Trough levels - generally drawn 30 minutes before the drug is adminis-
tered.
If the drug time is 0900, you draw the trough at 0830
7. side effect of vancomycin nephrotox, ototox, red man synd (histamin release, not an
allergy!)
-OTOTOXICIY - hearing. It doesn't affect vision, heart tones or
bowel sounds
8. The nurse is preparing to ad- 25 gauge x 1 inch
minister an injection into the
deltoid muscle of an adult pa-
tient. Which needle size and
length will the nurse choose?
, Medication Administration ***TEST BANK REVIEW***
Study online at https://quizlet.com/_c0tmil
9. Needle gauge for IM 18-25?
10. Needle gauge for intradermal 25-27
11. Needle gauge for SQ 25-30
12. Needle length for IM 1 to 1 1/2 inches
13. Needle length for SQ 3/8-5/8
14. Needle length for intradermal 3/8-5/8 inch
15. What is the rationale for needle Ensure proper placement of needle. You want to ensure the
aspiration? needle is in the muscle and not in the vascular system.
