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Chapter 37 Nursing concepts Flashcards | StudBud
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Chapter 37 Nursing concepts
Chapter 37 Nursing concepts
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1
method of IM injection prevents irritating and dark-colored medications, from leaking out of the injection site
y-track
Z-track
x-track
2
the rectus femoris site is not used in infants and children
False
True
3
The advantages of administering medications by injection
Better absorption of drugs that are poorly absorbed via the oral route
Rapid onset time
preventing gastrointestinal irritation
Ease of administration to uncooperative or unconscious patients
4
you should always activate the needle guard immediately after removal of the needle from the skin.
False
True
5
You should avoid injecting air directly into medications doing so may....
create bubbles that will prevent you from drawing an exact dose of med
create the exact dose of medication
6
An ID injection is the injection of a small amount of fluid into the...
dermis
epidermis
sub-que
7
The most common parenteral routes are classified as
intramuscular.
all of these above
intradermal
subcutaneous,
8
A standard syringe is most frequently used for?
sub cut sandwiches
Sub cut or IM injections
epidurals and insulin
IM and epidurals
9
THE THREE PARTS OF A SYRINGE?...
A beginning middle and end
a barrel, a plunger and a tip that connects to the needle
A barrel a stack, and a tip that connects to the needle
10
To prevent needlestick injuries you should never...
recap used needles, bend, break, or cut needles before disposal
recap a used needle without gloves, bend break, or cut needles
11
You should always avoid using single-dose vials more than once
True
False
12
a small, sealed glass drug container that must be broken to withdraw the medication
vial
syringe
ampule
13
When inserting a sub cut injection you should hold the needle at a ________ angle.
45 degree angle
15 degree angle
90 degree angle
14
Heparin should never be given IM. A continuous IV drip will require constant monitoring of the infusion rate.
False
True
15
If bubbles are present, pull back on the plunger and fill the syringe with approximately?...
5 ml of medication
Whatever you want to fill it with
1 ml of medication
16
when a PPD, is used to test an individual for the presence of tuberculosis how much solution will the nurse inject
a small volume (0.1 mL) intradermally
a small volume (O.5 mL) intradermally
17
When recapping a clean needle, use the....
one-handed scoop technique
one-recapping method
18
The bevel should always faceing?
downward when piercing the skin
upward when piercing the skin
19
When should I use a 22-27 gauge needle
Intramuscular injection
Intradermal injection
Subcutaneous injection
20
If the correct ID injection technique is used, a pale elevation of the skin called the ________ will appear
wheel
barrel
injection site
wheel of fortune
21
pinch a large skinfold between your thumb and fingers, lifting the subcutaneous layer off the muscle when....
administering insulin injection
administering a subcutaneous injection
22
Injection sites should NOT be rotated to establish consistent blood insulin levels and reduce the risk of tissue damage
True
False
23
when a drug is weakened during metabolism that occurs during the first pass through the liver it is known as
second-pass metabolism
first-pass metabolism.
metabolisim breakthrough
24
When inserting a ID or PPD you should insert at a ________ angle
90 degree angle
45 degree angle
15 degree angle
25
you must change the filter needle after drawing up the medication and attach a new regular needle before administering
when using filter needles and ampules
when using needles for Sub Que injections
when administering insulin
26
these are single-dose ready-to-use, disposable syringes, some with an attached needle and some to which you must attache
prefilled syringes
insulin syringes
TB syringes
27
The subcut route is useful when ..?
the nurse doesn' t know where is to do it
administering insulin and Lovenox an anticoagulant.
a slow and continuous absorption is required
28
What are the parenteral routes of medication administration
ID, subcut, IM, and IV
oral route
mucosus route
29
The process of dissolving powdered drugs using a liquid such as sterile normal saline or sterile water is known as
reconstruct
put it in the bottle
reconstitution.
deconsitution
30
a device for filtering debris such as glass shards from ampules or rubber cores from vials
a insulin needle
a sub que needle
a filter needle
31
Heparin should always be given IM. A continuous IV drip will require constant monitoring of the infusion rate.
False
True
32
5/8" - 1/2" needles can be used with
ID and PPD Only
ID, PPD and Sub-cut
IM only
33
any break in the skin’s integrity places the patient at risk for infection, which is why it is imperative that you use..
the stringent sterile technique
The 45 degree technique
the 90 degree technique
34
The absolute minimum knowledge that you should acquire about each drug includes
correct route, side affects, antidote if needed, insurance
allergies, classification, why does the patient need it, correct dose
35
parenteral administration disadvantages?...
not a fun procedure for nurses
Invasive and uncomfortable for the patient
Carries a risk of infection and nerve injury
36
site most frequently used for tuberculin testing, using a substance called tuberculin purified protein derivative (PPD)
the butt
the vastus laterus
left or right ventral forearm
37
a glass container of medication with a rubber stopper that must be punctured with a needle for medication removal
syringe
vial
insulin
38
always administer heparin slowly into the subcutaneous tissue and leave the needle in place for about 5 to 10 seconds
True
False
39
It is crucial to check the compatibility of medications before mixing and injecting them.
False
True
40
Long-acting insulins, such as insulin glargine (Lantus), are never mixed with other insulins.
True
False
41
routes of administration that escape first-pass metabolism include
IV, IM and Sub Que routes
sublingual, buccal, and parenteral routes
we'll be talking the long route.
42
The tuberculin (TB) syringe is a smaller-diameter syringe that holds a total volume of...
I cc
5 mL
1 mL
10 mL
43
sites used for allergy testing.
left and right forearms only
left or right ventral forearm, upper chest, and upper back
