Nclex Exam Review For Test Bank 2023 IM meds - CORRECT ANSWER -quickly absorbed, 90 degree angle, 19 -23 G needle, 1 -
2" length, average adult:11/2, 22G, mandatory to aspirate, purpose is to deposit meds into deep muscle for quick absorption deltoid muscle - CORRECT ANSWER -only used for 1 -2 ml of med b/c is smaller muscle quickest absorption - CORRECT ANSWER -#1 is abdomen, #2 is arm, #3 is buttock Insulin - CORRECT ANSWER -done sub -q into fatty tissue, measured in Units, draw up air prior and insert into vial Regular insulin - CORRECT ANSWER -onset:15 -30 mins, clear, peak:30 -11/2 hr., duration:3 -4 hrs., can mix with intermed.& short Humulog - CORRECT ANSWER -onset:15 -30mins., clear, peak: 30 -11/2, duration: 3 -4 hrs., mix with intermed., reg, s hort NPH - CORRECT ANSWER -onset:1 -4hr., cloudy, peak:6 -10hrs., duration:10 -16, up to 24 hrs., cannot mix!! Lantus - CORRECT ANSWER -onset:1 -2hr., clear, no peak, duration:24 hrs., cannot be combined Regular insulin - CORRECT ANSWER -only insulin that can be given IV rotate injection sites - CORRECT ANSWER -to slow formation of scar tissue most insulins - CORRECT ANSWER -given right befor meals to control blood sugar when mixing insulins - CORRECT ANSWER -put air into cloudy first, then clear NPH - CORRECT ANSWER -has regular insulin in it already sliding scale - CORRECT ANSWER -always given with short acting insulin such as reg/ humulog sub-q injections - CORRECT ANSWER -45-90 degree angle, 25G needle, 1/2 -1" length, below dermis/above muscle heparin/lovanox - CORRECT ANSWER -bruising will occur aroun inj. sites, apply pressure for at least 30 seconds, check for bleeding gums, stools, sheck V/S for internal bleeding with anticoagulants Intradermal injections - CORRECT ANSWER -10 degree angle, 25 -27G needle, 5/8 -1/2" needle, barely cover bevel under skin, do not do near a vein, do to the side, used for PPD&allergy testing TB testing - CORRECT ANSWER -read 48 -72 hrs later, inject 0.1 ml, assess for induration(hard bump), measure in mm, greater than 5 mm is queestionable, 5 -10 need CXR, redness indicates localized reaction not a concern, problem is induration bacteriacidal - CORRECT ANSWER -able to kill bacteria bacteriostatic - CORRECT ANSWER -retards bacteria growth broad spectrum - CORRECT ANSWER -atbs that are effective against many organisms catecholamine - CORRECT ANSWER -neurotransmitters that play important role in body's stress response cathartic - CORRECT ANSWER -meds used to treat constipation depressant - CORRECT ANSWER -slows down mental/ physical processes narrow spectrum - CORRECT ANSWER -atbs that are effective agaist a few mo's nephrotoxicity - CORRECT ANSWER -toxicity due to blood and protien in the urine opiate - CORRECT ANSWER -pain relievers r/t opium ototoxicity - CORRECT ANSWER -toxic effect r/t damage to 8th cranial nerve resulting in dizziness, tinnitus, gradual hearing loss septicemia - CORRECT ANSWER -generalized infection throughout body vasoconstrictor - CORRECT ANSWER -constrict blood vessels tetracycline - CORRECT ANSWER -atb lanolin - CORRECT ANSWER -dermatologic valium - CORRECT ANSWER -sedative/hypnotic, a tranquilizer (trade name Valium) used to relieve anxiety and relax muscles morphine - CORRECT ANSWER -narcotic
