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Medication Administration BasicsMedical-Surgical Nursing-7th edition

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Question Answer
Once the needle for an IM injection has been inserted into the muscle, what happens next?
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Pull back on plunger 5-10 seconds to ensure no blood is present. Inject slowly at a rate of 1 mL/10 seconds. Wait 10 seconds and withdraw.
Intradermal injections should be done at a _______ degree angle.
Show Answer
5-15 degree
A _______ should be used for all IM injections.
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Z-track
What is the preferred site for IM injections?
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Ventrogluteal site
The smaller the needle gauge, the _______ the diameter.
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larger
True or False? When preparing a vial with powder for injection, it is not necessary to withdraw the needle once the solution has been injected into the vial.
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False; The needle needs to be withdrawn to mix the contents.
True or False? If bubbles are aspirated into a syringe from an ampule while drawing the med., you should expel it back and retry.
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False; Remove the needle from ampule and invert syringe. Tap to cause bubbles to rise, depress plunger to force out.
True or False? You should inject air into a vial to make it easier to aspirate.
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TRUE
Vials requiring reconstitution should never be _______.
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Shaken (roll to mix)
When mixing medications from a vial and an ampule, which should be drawn first?
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The vial.
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Which flush solution, saline or heparin, the preferred method?
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Saline (0.9%), 2-3 mL; *flushing IV lock
What 3 types of containers are used for volume-controlled infusions?
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Volume control sets, piggy back/tandem, and mininfusers.
What is the difference between a piggyback and a tandem setup for volume controlled IV infusions?
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Piggyback: 25-250 mL bag connected to UPPER Y-port. Placed higher than primary infusion. Infuse one at a time. Tandem: 25-100 mL bag connected to lower Y-port. Equal height to primary infusion. Infuses same time as primary infusion.
Why does a tandem volume controlled infusion need to be monitored closely?
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If it isn't immediately clamped when the med is infused, the IV solution from the primary line will back up into the tandem line.
Volume control administration sets are small (50-150 mL) and attach _______ the primary infusion bag.
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below
A mini infusion pump give meds in _______mL increments within controlled infusion times using standard syringes.
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5-60 mL
A heparin or saline lock is an example of what type of venous access?
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Intermittent
What are the major advantages of an intermittent venous access?
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Cost savings; Convenience (doesn't require constant monitoring); and Increases mobility, safety and comfort for client.
After medication has been administered via intermittent venous access, what should be done?
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Must flush it to keep it patent.
Why is the Z-track method used for IM injections?
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Protects the sub Q tissues from irritating parenteral fluids.
Angle of sub Q injections in normal sized client... In an obese client...
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Normal - 45-90 degrees; Obese - pinch skin and inject at 90 degree angle below tissue fold
  
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