You are administering a flu vaccine to a patient. You perform hand hygiene, locate your site and swab with alcohol. You allow the alcohol to dry, uncap the needle and administer the injection. You dispose of the syringe and needle in the sharps container. Which of the following actions increased the risk for infection? A) You failed to cap the needle after the injection. Feedback: INCORRECT Clean gloves should be worn whenever administering an injection to reduce the risk of a secondary infection. To avoid an accidental needle stick you should not recap the needle after administering the injection.
The needle safety device should be activated and/or the needle and syringe placed in a sharps container. To obtain maximum effectiveness, the alcohol should be allowed to dry prior to administering the injection. Taking the patient’s temperature would do nothing to prevent a secondary infection. B) You allowed the alcohol to dry before administering the injection. Feedback: INCORRECT Clean gloves should be worn whenever administering an injection to reduce the risk of a secondary infection. To avoid an accidental needle stick you should not recap the needle after administering the injection.
The needle safety device should be activated and/or the needle and syringe placed in a sharps container. To obtain maximum effectiveness, the alcohol should be allowed to dry prior to administering the injection. Taking the patient’s temperature would do nothing to prevent a secondary infection. C) You failed to assess the patient’s temperature. Feedback: INCORRECT Clean gloves should be worn whenever administering an injection to reduce the risk of a secondary infection. To avoid an accidental needle stick you should not recap the needle after administering the injection.
The needle safety device should be activated and/or the needle and syringe placed in a sharps container. To obtain maximum effectiveness, the alcohol should be allowed to dry prior to administering the injection. Taking the patient’s temperature would do nothing to prevent a secondary infection. D) You failed to apply clean gloves after performing hand hygiene. Feedback: CORRECT Clean gloves should be worn whenever administering an injection to reduce the risk of a secondary infection. To avoid an accidental needle stick you should not recap the needle after administering the injection.
The needle safety device should be activated and/or the needle and syringe placed in a sharps container. To obtain maximum effectiveness, the alcohol should be allowed to dry prior to administering the injection. Taking the patient’s temperature would do nothing to prevent a secondary infection. Points Earned: | 0. 0/1. 0 | | Correct Answer(s):| D| 2. A 65-year-old, 61-kg patient, is ready for her annual flu vaccine that is delivered intramuscularly. What size needle would you use to administer this IM injection in the deltoid muscle of this patient? A) 25-gauge 3/8” needle Feedback: INCORRECT.
A 1” to 1. 5” needle is used for IM injections in the deltoid. A 3/8” needle is used for intradermal injections. A 5/8” needle is used for subcutaneous injections. B) 25-gauge 5/8” needle Feedback: INCORRECT A 1” to 1. 5” needle is used for IM injections in the deltoid. A 3/8” needle is used for intradermal injections. A 5/8” needle is used for subcutaneous injections. C) 25-gauge 1” needle Feedback: CORRECT A 1” to 1. 5” needle is used for IM injections in the deltoid. A 3/8” needle is used for intradermal injections. A 5/8” needle is used for subcutaneous injections. Points Earned: | 0. 0/1.
0 | | Correct Answer(s):| C| 3. You have just completed giving a patient her injection and are turning to deposit the syringe and uncovered needle into the sharps container. Suddenly her daughter runs between you and the sharps container. You stick the child with the needle. What should you do? A) Tell the mother and child it is okay and continue disposing of the used syringe. Feedback: INCORRECT It is important to notify the supervisor so that this incident is correctly documented and the needle-stick policy of the agency is followed. Giving a patient inaccurate information is never acceptable.
Correct response will reduce the risk of legal action following this incident. The local health department would be unable to provide assistance, since the injury occurred in the clinic. B) Notify your supervisor, who will be responsible for walking the mother and child through your clinic’s needle-stick procedure. Feedback: CORRECT It is important to notify the supervisor so that this incident is correctly documented and the needle-stick policy of the agency is followed. Giving a patient inaccurate information is never acceptable. Correct response will reduce the risk of legal action following this incident.
The local health department would be unable to provide assistance, since the injury occurred in the clinic. C) Direct the mother and child to the local county health department. Feedback: INCORRECT It is important to notify the supervisor so that this incident is correctly documented and the needle-stick policy of the agency is followed. Giving a patient inaccurate information is never acceptable. Correct response will reduce the risk of legal action following this incident. The local health department would be unable to provide assistance, since the injury occurred in the clinic. D) Provide treatment to the needle-stick site.
Feedback: INCORRECT It is important to notify the supervisor so that this incident is correctly documented and the needle-stick policy of the agency is followed. Giving a patient inaccurate information is never acceptable. Correct response will reduce the risk of legal action following this incident. The local health department would be unable to provide assistance, since the injury occurred in the clinic. Points Earned: | 1. 0/1. 0 | | Correct Answer(s):| B| 4. The correct dosage is measured on a syringe: A) Where the head of the plunger touches the sides of the barrel of the syringe Feedback: CORRECT.
To draw up medication accurately, you should line up the middle ring of the head of the plunger where it touches the barrel with the correct line marked on the side of the barrel (that is equivalent to the dosage prescribed). Loading medication to the point of the plunger would result in more than the prescribed dosage. Loading the medication to the bottom end of the plunger would result in less than the prescribed dose. Loading medication to anywhere on the head of the plunger would result in an inaccurate dose. B) Where the medication touches the point of the plunger Feedback: INCORRECT.
To draw up medication accurately, you should line up the middle ring of the head of the plunger where it touches the barrel with the correct line marked on the side of the barrel (that is equivalent to the dosage prescribed). Loading medication to the point of the plunger would result in more than the prescribed dosage. Loading the medication to the bottom end of the plunger would result in less than the prescribed dose. Loading medication to anywhere on the head of the plunger would result in an inaccurate dose. C) Where the bottom end of the head of the plunger attaches to the remainder of the plunger Feedback: INCORRECT.
To draw up medication accurately, you should line up the middle ring of the head of the plunger where it touches the barrel with the correct line marked on the side of the barrel (that is equivalent to the dosage prescribed). Loading medication to the point of the plunger would result in more than the prescribed dosage. Loading the medication to the bottom end of the plunger would result in less than the prescribed dose. Loading medication to anywhere on the head of the plunger would result in an inaccurate dose. D) Anywhere on the head of the plunger Feedback: INCORRECT
To draw up medication accurately, you should line up the middle ring of the head of the plunger where it touches the barrel with the correct line marked on the side of the barrel (that is equivalent to the dosage prescribed). Loading medication to the point of the plunger would result in more than the prescribed dosage. Loading the medication to the bottom end of the plunger would result in less than the prescribed dose. Loading medication to anywhere on the head of the plunger would result in an inaccurate dose. Points Earned: | 0. 0/1. 0 | | Correct Answer(s):| A| 5. You are preparing an IM injection from a liquid vial.
You have selected a 25-gauge, 1. 5-inch needle, but you are experiencing great difficulty withdrawing the fluid from the vial. You notice as you tip the vial up that the solution is very thick. What should you do? A) Add diluent to the vial so the solution is easier to withdraw. Feedback: INCORRECT Remember that gauge is the inverse of the diameter of the needle. As the needle gauge gets smaller, the diameter gets larger. Using a larger-diameter needle will make it easier to withdraw the viscous medication from the vial. Adding more diluent would alter the concentration of the medication by diluting it.
The problem is that the solution is too viscous for this gauge needle. Adding more air would increase the pressure within the vial. Choosing a smaller diameter needle would only increase the difficulty of withdrawing the viscous medication. B) Add more air to the vial. Feedback: INCORRECT Remember that gauge is the inverse of the diameter of the needle. As the needle gauge gets smaller, the diameter gets larger. Using a larger-diameter needle will make it easier to withdraw the viscous medication from the vial. Adding more diluent would alter the concentration of the medication by diluting it.
The problem is that the solution is too viscous for this gauge needle. Adding more air would increase the pressure within the vial. Choosing a smaller diameter needle would only increase the difficulty of withdrawing the viscous medication. C) Change needles and use a 21-gauge, 1. 5-inch needle. Feedback: CORRECT Remember that gauge is the inverse of the diameter of the needle. As the needle gauge gets smaller, the diameter gets larger. Using a larger-diameter needle will make it easier to withdraw the viscous medication from the vial. Adding more diluent would alter the concentration of the medication by diluting it.
The problem is that the solution is too viscous for this gauge needle. Adding more air would increase the pressure within the vial. Choosing a smaller diameter needle would only increase the difficulty of withdrawing the viscous medication. D) Change needles and use a 27-gauge, 1. 5-inch needle. Feedback: INCORRECT Remember that gauge is the inverse of the diameter of the needle. As the needle gauge gets smaller, the diameter gets larger. Using a larger-diameter needle will make it easier to withdraw the viscous medication from the vial. Adding more diluent would alter the concentration of the medication by diluting it.
The problem is that the solution is too viscous for this gauge needle. Adding more air would increase the pressure within the vial. Choosing a smaller diameter needle would only increase the difficulty of withdrawing the viscous medication. Points Earned: | 0. 0/1. 0 | | Correct Answer(s):| C| 6. As you are preparing a subcutaneous injection, you accidentally touch the tip of the syringe with your hand as you are attaching the needle. What should you do? A) Nothing, because you will apply disposable clean gloves when you administer the injection. Feedback: INCORRECT.
You have contaminated the syringe. Getting a new sterile syringe would be your only choice to ensure the patient’s safety. The tip is a part of the syringe you should avoid touching. B) Nothing, because this is a part of the syringe that you can touch. Feedback: INCORRECT You have contaminated the syringe. Getting a new sterile syringe would be your only choice to ensure the patient’s safety. The tip is a part of the syringe you should avoid touching. C) Wipe the tip of the syringe off with an alcohol swab and attach the needle. Feedback: INCORRECT You have contaminated the syringe.
Getting a new sterile syringe would be your only choice to ensure the patient’s safety. The tip is a part of the syringe you should avoid touching. D) Get a new sterile syringe. Feedback: CORRECT You have contaminated the syringe. Getting a new sterile syringe would be your only choice to ensure the patient’s safety. The tip is a part of the syringe you should avoid touching. Points Earned: | 0. 0/1. 0 | | Correct Answer(s):| D| 1. The physician has ordered 20 mg furosemide (Lasix) IV now. The medication is available in an ampule. You place a gauze pad around the neck of the ampule and snap the neck of the ampule away from yourself.
You place the top of the ampule in the sharps container and prepare to withdraw the medication using a filter needle. What step did you forget? A) You forgot to apply clean gloves prior to breaking the ampule. Feedback: INCORRECT It is unnecessary to wear gloves for preparation of the medication. Gloves will fail to protect your hands from injury while breaking the ampule, rather the gauze pad protects your fingers from trauma from the breaking glass. You should check that the medication is located in the bottom of the ampule. Tapping the top of the ampule ensures that all medication is dislodged from the top of the ampule.
You should snap the neck of the ampule away from your hands to protect you from glass shards. Squeezing the top of the ampule would increase your chance of crushing the top of the ampule with your hand. B) You forgot to check that all medication is in the bottom part of the ampule prior to breaking. Feedback: CORRECT It is unnecessary to wear gloves for preparation of the medication. Gloves will fail to protect your hands from injury while breaking the ampule, rather the gauze pad protects your fingers from trauma from the breaking glass. You should check that the medication is located in the bottom of the ampule.
Tapping the top of the ampule ensures that all medication is dislodged from the top of the ampule. You should snap the neck of the ampule away from your hands to protect you from glass shards. Squeezing the top of the ampule would increase your chance of crushing the top of the ampule with your hand. C) You forgot the correct direction in which to snap the ampule. Feedback: INCORRECT It is unnecessary to wear gloves for preparation of the medication. Gloves will fail to protect your hands from injury while breaking the ampule, rather the gauze pad protects your fingers from trauma from the breaking glass.
You should check that the medication is located in the bottom of the ampule. Tapping the top of the ampule ensures that all medication is dislodged from the top of the ampule. You should snap the neck of the ampule away from your hands to protect you from glass shards. Squeezing the top of the ampule would increase your chance of crushing the top of the ampule with your hand. D) You forgot to squeeze the top of the ampule as you are breaking it. Feedback: INCORRECT It is unnecessary to wear gloves for preparation of the medication.
Gloves will fail to protect your hands from injury while breaking the ampule, rather the gauze pad protects your fingers from trauma from the breaking glass. You should check that the medication is located in the bottom of the ampule. Tapping the top of the ampule ensures that all medication is dislodged from the top of the ampule. You should snap the neck of the ampule away from your hands to protect you from glass shards. Squeezing the top of the ampule would increase your chance of crushing the top of the ampule with your hand. Points Earned: | 0. 0/1. 0 | | Correct Answer(s):| B| 2.
Why do you use a filter needle to withdraw medication from an ampule? A) It maintains sterility of the needle. Feedback: INCORRECT When an ampule is broken, small glass particles may break off and enter the medication. The filter needle prevents these particles from being drawn into the syringe with the medication. B) It prevents entry of glass into the syringe. Feedback: CORRECT When an ampule is broken, small glass particles may break off and enter the medication. The filter needle prevents these particles from being drawn into the syringe with the medication. C) It prevents dulling of the needle.
Feedback: INCORRECT When an ampule is broken, small glass particles may break off and enter the medication. The filter needle prevents these particles from being drawn into the syringe with the medication. D) It maintains the safety of the needle. Feedback: INCORRECT When an ampule is broken, small glass particles may break off and enter the medication. The filter needle prevents these particles from being drawn into the syringe with the medication. Points Earned: | 0. 0/1. 0 | | Correct Answer(s):| B| 3. When withdrawing medication from a vial, why is it important to first inject air into the vial?
A) It prevents the buildup of negative pressure in the vial. Feedback: CORRECT Injecting air into the vial’s air space prevents the accumulation of air bubbles. Air is injected into the vial to prevent the buildup of negative pressure in the vial to allow ease of withdrawal of medication from the vial. B) It prevents the buildup of positive pressure in the vial. Feedback: INCORRECT Injecting air into the vial’s air space prevents the accumulation of air bubbles. Air is injected into the vial to prevent the buildup of negative pressure in the vial to allow ease of withdrawal of medication from the vial.
C) It prevents the accumulation of air bubbles. Feedback: INCORRECT Injecting air into the vial’s air space prevents the accumulation of air bubbles. Air is injected into the vial to prevent the buildup of negative pressure in the vial to allow ease of withdrawal of medication from the vial. D) It prevents contamination of the medication. Feedback: INCORRECT Injecting air into the vial’s air space prevents the accumulation of air bubbles. Air is injected into the vial to prevent the buildup of negative pressure in the vial to allow ease of withdrawal of medication from the vial.
Points Earned: | 1. 0/1. 0 | | Correct Answer(s):| A| 4. You have the medication administration record, the ampule of medication, alcohol swabs, and a medication label. Identify the remaining equipment needed to deliver 0. 6 mL of medication IM from an ampule: (Select all that apply. ) A) Filter needle B) Diluent C) 25- to 27-gauge needle D) Disposable gloves E) 21- to 25-gauge needle F) 5/8 – 1” length needle G) 1 – 1. 5” length needle H) 1-mL syringe Feedback: INCORRECT A filter needle and small gauze pad or unopened alcohol swab are used when withdrawing medication from the medication ampule.
Disposable gloves are indicated when administering the injection to the patient for personal protection from possible contact with body fluids. Because the injection is to be given intramuscularly, the filter needle will be changed to a 21- to 25-gauge, 1- to 1. 5” needle for administration. A 1-mL syringe is chosen when precise measurements are indicated, especially if this were a child. A 1- to 3-mL syringe could also be used for subcutaneous and IM injections. Points Earned: | 0. 0/5. 0 | | Correct Answer(s):| A, D, E, G, H| 5.
You have the medication administration record, the vial of medication, alcohol swabs, and a medication label. Identify the remaining equipment needed to deliver 0. 5 mL of medication subcutaneously from a liquid vial: (Select all that apply. ) A) Needle for withdrawing B) Diluent C) 50- or 100-unit syringe D) 25- to 27-gauge needle E) Disposable gloves F) 21- to 25-gauge needle G) 3/8” length needle H) 3/8 – 5/8” length needle I) 1 – 1. 5” length needle J) 1-mL syringe Feedback: INCORRECT A needle for withdrawing and a small gauze pad or unopened alcohol swab are used for withdrawing medication from the medication vial.
Disposable gloves are indicated when administering the injection to the patient for personal protection from possible contact with body fluids. The needle used for withdrawing medication will be changed before administration because the needle may become dull from entering the rubber stopper of the medication vial. This will help prevent tracking of medication left on the shaft of the needle and pain from using a dull needle. Because the injection is to be given subcutaneously, the preferred size for administration is a 25- to 27-gauge, 1/2 to 5/8” needle.
A 1-mL syringe is chosen when precise measurements are indicated, especially if this were a child. A 1- to 3-mL syringe could also be used for subcutaneous and IM injections. Points Earned: | 2. 0/5. 0 | | Correct Answer(s):| A, D, E, H, J| 6. You have the medication administration record, the vial of dry medication, alcohol swabs, and a medication label. Identify the remaining equipment needed to administer intramuscularly to an average-size adult 1 mL of medication from a vial that requires reconstitution: (Select all that apply. ) A) Needle for withdrawing B) Diluent C) 50- or 100-unit syringe D) 1- to 3-mL syringe.
E) Disposable gloves F) 26- to 27-gauge needle G) 21- to 25-gauge needle H) 3/8” length needle I) 5/8” length needle J) 1 – 1. 5” length needle Feedback: INCORRECT A needle for withdrawing and a small gauze pad or unopened alcohol swab are used for withdrawing diluent, for injecting diluent into the medication vial, and for withdrawing the reconstituted medication from the medication vial. A 1- to 3-mL syringe is the preferred choice for an IM injection of this amount given to an adult. Disposable gloves are indicated when administering the injection to the patient for personal protection from possible contact with body fluids.
The needle used for withdrawing medication will be changed before administration because the needle may become dull from entering the rubber stopper of the vial of diluent and/or the vial of medication. This will help prevent tracking of medication left on the shaft of the needle and pain from using a dull needle. Because the injection is to be given intramuscularly, the preferred size for administration is a 21- to 25-gauge, 1- to 1. 5” needle. Points Earned: | 0. 0/6. 0 | | Correct Answer(s):| A, B, D, E, G, J| 7. You have the medication administration record, the vials of medication, alcohol swabs, and a medication label.
Identify the remaining equipment needed to deliver a total volume of 1. 4 mL IM injection to an average-size adult from two vials: (Select all that apply. ) A) Needle for withdrawing B) 50- or 100-unit syringe C) 3-mL syringe D) 25- to 27-gauge needle E) Disposable gloves F) 21- to 25-gauge needle G) 5/8” length needle H) 1 – 1. 5” length needle I) 1 – 3” length needle J) 1-mL syringe Feedback: INCORRECT A needle for withdrawing and a small gauze pad or unopened alcohol swab are used for withdrawing the medication from the medication vials. A 1- to 3-mL syringe is the preferred choice for an IM injection of this amount given to an adult.
Disposable gloves are indicated when administering the injection to the patient for personal protection from possible contact with body fluids. The needle used for withdrawing medication will be changed before administration because the needle may become dull from entering the rubber stopper of the two vials of medication. This will help prevent tracking of medication left on the shaft of the needle and pain from using a dull needle. Because the injection is to be given intramuscularly, the preferred size for administration is a 21- to 25-gauge, 1- to 1. 5” needle. Points Earned: | 0. 0/5. 0 | |.
Correct Answer(s):| A, C, E, F, H| 8. Match the information required for labeling a reconstituted powder vial to the descriptions. A. Diluent and concentration missing | B. Medication and initials missing | C. Date and time missing | D. Complete | Date: 12/15 Time: 1200 Diluent: bacteriostatic water for injection Concentration: 2. 2 mL = 1 g Diluent: Bacteriostatic water for injection Medication: penicillin G potassium Concentration: 3. 2 mL = 1,000,000 units penicillin G potassium Initials: JB Date: 10/22 Time: 1400 Diluent: Sterile water for injection Medication: Cefadyl Concentration: 1.
2 mL = 500 mg Cefadyl Initials: KS Date: 02/12 Time: 0600 Diluent: sodium chloride for injection Medication: Staphcillin Concentration: 2 mL = 1 g Staphcillin Initials: BC Date: 04/07 Time: 1000 Medication: ticarcillin Initials: LT Points Earned: | 0. 0/5. 0 | | Correct Answer(s):| Medication and initials missing :Date: 12/15 Time: 1200 Diluent: bacteriostatic water for injection Concentration: 2. 2 mL = 1 g , Date and time missing :Diluent: Bacteriostatic water for injection Medication: penicillin G potassium Concentration: 3. 2 mL = 1,000,000 units penicillin G potassium Initials: JB , Complete :Date: 10/22.
Time: 1400 Diluent: Sterile water for injection Medication: Cefadyl Concentration: 1. 2 mL = 500 mg Cefadyl Initials: KS , Complete :Date: 02/12 Time: 0600 Diluent: sodium chloride for injection Medication: Staphcillin Concentration: 2 mL = 1 g Staphcillin Initials: BC , Diluent and concentration missing :Date: 04/07 Time: 1000 Medication: ticarcillin Initials: LT | 9. Given the drug order digoxin (Lanoxin) 100 mcg IM daily and drug label , the correct dose is _______ mL. Do not include the unit of measure in answer; only calculated dose.
Credit: Brown, M. & Mulholland, J.Drug Calculations, 8e, page 132 ©2008, Mosby, St. Louis, Missouri. Feedback: INCORRECT Points Earned: | 0. 0/1. 0 | | Correct Answer(s):| 0. 4| 10. Given the drug order morphine sulfate 5 mg subcutaneous q4h and drug label , the correct dose is ______ mL. Do not include the unit of measure in answer; only calculated dose. Credit: Brown, M. & Mulholland, J. Drug Calculations, 8e, page 308, ©2008, Mosby, St. Louis, Missouri. Feedback: CORRECT Points Earned: | 1. 0/1. 0 | | Correct Answer(s):| 0. 5| 11. Given the drug order streptomycin sulfate 0. 64 g IM daily and drug label , the correct dose is ______ mL.
Do not include the unit of measure in answer; only calculated dose. Credit: Brown, M. & Mulholland, J. Drug Calculations, 8e, page 159, ©2008, Mosby, St. Louis, Missouri. Feedback: INCORRECT Points Earned: | 0. 0/1. 0 | | Correct Answer(s):| 1. 6| 12. Given the drug order states morphine sulfate 7mg and atropine . 03 mg IM preoperatvely and drug label. , ______ mL is the total volume to be administered. Credit: Brown, M. & Mulholland, J. Drug Calculations, 8e, page 131, ©2008, Mosby, St. Louis, Missouri. Feedback: CORRECT Points Earned: | 1. 0/1. 0 | | Correct Answer(s):| 1. 3|.
13. Instructions: Match the drug order to the dispensary label. A. Credit: Brown, M. & Mulholland, J. Drug Calculations, 8e, page 132, ©2008, Mosby, St. Louis, Missouri. | B. Credit: Brown, M. & Mulholland, J. Drug Calculations, 8e, page 308, ©2008, Mosby, St. Louis, Missouri. | C. Credit: Brown, M. & Mulholland, J. Drug Calculations, 8e, page 159, ©2008, Mosby, St. Louis, Missouri. | D. Credit: Brown, M. & Mulholland, J. Drug Calculations, 8e, page 116, ©2008, Mosby, St. Louis, Missouri. | Morphine sulfate 8 mg and hydroxyzine hydrochloride (Vistaril) 25 mg IM postoperatively.
Digoxin (Lanoxin) 100 mcg intramuscular every day Morphine sulfate 5 mg subcutaneous every 4 hours Streptomycin sulfate 0. 64 g IM every day Points Earned: | 1. 0/4. 0 | | Correct Answer(s):| Credit: Brown, M. & Mulholland, J. Drug Calculations, 8e, page 116, ©2008, Mosby, St. Louis, Missouri. :Morphine sulfate 8 mg and hydroxyzine hydrochloride (Vistaril) 25 mg IM postoperatively. , Credit: Brown, M. & Mulholland, J. Drug Calculations, 8e, page 132, ©2008, Mosby, St. Louis, Missouri. :Digoxin (Lanoxin) 100 mcg intramuscular every day , Credit: Brown, M. & Mulholland, J.
Drug Calculations, 8e, page 308, ©2008, Mosby, St. Louis, Missouri. :Morphine sulfate 5 mg subcutaneous every 4 hours , Credit: Brown, M. & Mulholland, J. Drug Calculations, 8e, page 159, ©2008, Mosby, St. Louis, Missouri. :Streptomycin sulfate 0. 64 g IM every day | 14. Instructions: Read the drug information sheet linked to each drug name below. Match the drug to reactions that assistive personnel should report to you. A. Difficulty breathing, muscle flaccidity, cyanosis, rash, extreme somnolence, tachycardia, palpitations, abdominal distention, nausea, vomiting, confusion | B.
Unusual bleeding or bruising, flank pain, confusion, lack of urine output | C. Respiratory depression, rash, severe nausea, vomiting, constipation | D. Pulse rate below 60, nausea, vomiting, halos or “yellow” vision | Meperidine hydrochloride 50 mg and atropine 0. 3 mg Streptomycin sulfate Digoxin (Lanoxin) Morphine sulfate Points Earned: | 0. 0/4. 0 | | Correct Answer(s):| Difficulty breathing, muscle flaccidity, cyanosis, rash, extreme somnolence, tachycardia, palpitations, abdominal distention, nausea, vomiting, confusion :Meperidine hydrochloride 50 mg and atropine 0.
3 mg , Unusual bleeding or bruising, flank pain, confusion, lack of urine output :Streptomycin sulfate , Pulse rate below 60, nausea, vomiting, halos or “yellow” vision :Digoxin (Lanoxin) , Respiratory depression, rash, severe nausea, vomiting, constipation :Morphine sulfate | 15. Before giving the patient an injection from a vial, you change needles. This is done to: (Select all that apply. ) A) Provide a sharper needle for a less painful injection. B) Provide a more sterile needle to prevent secondary infection. C) Prevent medication from tracking through tissues. D) Prevent medication from becoming contaminated.
Feedback: INCORRECT Needles are changed because inserting a needle through a rubber stopper may dull the needle and cause a more painful injection. Fluid along the shaft of the needle used to aspirate the fluid from the vial has the potential to track through the patient’s tissues. This can cause pain and in some cases damage to the underlying tissues. Points Earned: | 0. 0/2. 0 | | Correct Answer(s):| A, C| 1. You prepare to administer a subcutaneous injection to a normal-size adult on the upper left arm. You choose a needle: A) 7/8 inch in length Feedback: INCORRECT.
Generally a needle half the width of the skin fold will deposit medication into subcutaneous tissue. For an average-size adult the needle is inserted at a 45-degree angle to deposit medication in the subcutaneous tissue. If a patient is obese, the injection should be given at a 90-degree angle. A 7/8 inch needle is too long for a subcutaneous injection in an average-size adult. A needle length of 1 to 1. 5 inches is appropriate for an IM injection in a normal-size adult. It would be too long for a subcutaneous injection in an average-size adult. B) 5/8 inch in length to insert at a 90-degree angle.
Feedback: INCORRECT Generally a needle half the width of the skin fold will deposit medication into subcutaneous tissue. For an average-size adult the needle is inserted at a 45-degree angle to deposit medication in the subcutaneous tissue. If a patient is obese, the injection should be given at a 90-degree angle. A 7/8 inch needle is too long for a subcutaneous injection in an average-size adult. A needle length of 1 to 1. 5 inches is appropriate for an IM injection in a normal-size adult. It would be too long for a subcutaneous injection in an average-size adult. C) Half of the width of the skin fold.
Feedback: CORRECT Generally a needle half the width of the skin fold will deposit medication into subcutaneous tissue. For an average-size adult the needle is inserted at a 45-degree angle to deposit medication in the subcutaneous tissue. If a patient is obese, the injection should be given at a 90-degree angle. A 7/8 inch needle is too long for a subcutaneous injection in an average-size adult. A needle length of 1 to 1. 5 inches is appropriate for an IM injection in a normal-size adult. It would be too long for a subcutaneous injection in an average-size adult. D) 1 to 1. 5 inches in length Feedback: INCORRECT.
Generally a needle half the width of the skin fold will deposit medication into subcutaneous tissue. For an average-size adult the needle is inserted at a 45-degree angle to deposit medication in the subcutaneous tissue. If a patient is obese, the injection should be given at a 90-degree angle. A 7/8 inch needle is too long for a subcutaneous injection in an average-size adult. A needle length of 1 to 1. 5 inches is appropriate for an IM injection in a normal-size adult. It would be too long for a subcutaneous injection in an average-size adult. Points Earned: | 0. 0/1. 0 | | Correct Answer(s):| C| 2. After giving a subcuta.