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Medication AdminFundamentals of Nursing

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Question Answer
How quickly should a mixed insulin be administered after preparing it?
Show Answer
5 minutes
What is the preferred site for IM injections?
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Ventrogluteal site
True or False: in low molecular weight heparin injections you don't expel the air bubble from the syringe prior to injection.
Show Answer
TRUE
Where is low molecular weight heparin injected?
Show Answer
At least two inches on either side of the umbilicus in the abdomen.
Which syringe is used for U-500 insulin?
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1 mL tuberculin syringe
What are the recommended sites for insulin injection?
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Upper arm, anterior and lateral thigh, butt, abdomen
Insulin is absorbed most quickly from which injection site?
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Abdomen
If a client is too thin for a Sub-Q injection, where should the injection be done?
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Abdomen
Angle of Sub-Q injection 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
A ____ should be used for all IM injections.
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Z-track
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Intradermal injections should be done at a ____? angle.
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5-15 degrees
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 1mL/10 sec, wait 10 sec and withdraw
What are the best locations for a Sub-Q injection?
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Outer posterior aspect of the upper arm, abdomen below the costal margins/above the iliac crests, anterior aspects of the thighs
The site recommended for heparin injections is the ____.
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abdomen
Rule regarding Sub-Q injection: If you can grasp 2 inches of tissue, insert the needle ____?. If you grasp 1 inch of tissue, insert the needle ____?.
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2 inches= 90 degrees; 1 inch=45 degrees
If a patient is showing signs of circulatory overload following an IV infusion, what should you do?
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Stop IV, assess for abnormal breath sounds, SOA, Intake greater than output.
A child is receiving an antihistamine becomes energized and can't sleep. This is an example of a ____ reaction.
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Idiosyncratic reaction
True or False: The dorsogluteal site is good for IM injections because it is highly vascular and involves less pain.
Show Answer
False. It can result in paralysis or permanent nerve damage. **Not recommended**
IM injections for: Normal client; children, elderly or thin adults; Small children; Small infant.
Show Answer
Normal= 3mL; children, elderly or thin adults= 2mL; Small children= 1 mL; small infant= 0.5 mL
____ and ____ shots require IM injections.
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Flu and pneumonia
____ and ____ influence needle size selection for IM injections.
Show Answer
Weight and amount of adipose tissue. Skinny = 1/2 to 1 inch; fat= 3 inches
  
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