NUR 336 Final Exam Review Questions and Verified Answers
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Course
NUR 336
Institution
NUR 336
A nurse is preparing to administer an intramuscular injection at the ventrogluteal site. Which of the following needle lengths should the nurse select for an adult of average size? 1 1/2 inches
A nurse is preparing to give an intramuscular injection into the left ventrogluteal muscle. Which of the...
NUR 336 Final Exam Review Questions
and Verified Answers
A nurse is preparing to administer an intramuscular injection at the ventrogluteal site.
Which of the following needle lengths should the nurse select for an adult of average
size? ✅1 1/2 inches
A nurse is preparing to give an intramuscular injection into the left ventrogluteal muscle.
Which of the following actions should the nurse take to locate the site of injection?
✅Use the heel of the hand and index finger to locate the vastus lateralis muscle
A nurse is preparing to administer an insulin injection to a client. Which of the following
actions should the nurse take? ✅Rotate the injection sites
A nurse is preparing to administer an intradermal injection. Which of the following
actions should the nurse take to ensure proper technique? ✅Use a tuberculin syringe
with a 5/8-inch, 25 gauge needle
A nurse is preparing to administer a subcutaneous injection to a client. Which of the
following should the nurse assess first? ✅If the client has allergies to the medication
Which of the following terms indicates that a medication is given via an injection?
✅Parenteral
What is an injection? ✅Insertion of a substance into the body, container or space
What should you do when preparing and administering medications by injection? ✅-
Keep distractions to a minimum
-Double-check all calculations
-Avoid shortcuts
-Follow the 10 rights of medication administration
What size syringes would you use for injections? ✅Typically 1 to 5 mL
What are the three parts of a syringe? ✅-Barrel
-Tip
-Plunger
You must keep the inside of all three parts sterile as you prepare and administer an
injection!
,What is a Luer-lock? ✅Standardized connectors that securely join small-scale fluid
fittings making leak-free connections. Luer locks can be found on needles, syringes and
catheters, and other medical devices.
*A twist-on locking mechanism that fastens the needle securely to the syringe*
How do you secure the needle when using a syringe with a non-Luer-lock tip? ✅Push
on it, then twist it slightly while applying pressure
When are filter needles used to administer an injection? ✅NEVER; they are required
when drawing up certain types of medications
What does the needle's gauge reflect? ✅The diameter of the needle
-Larger gauge: narrower (smaller) diameter of the needle
How is the length of a needle chosen? ✅Based on intended use
What do safety devices on needles reduce the risk of? ✅Needlestick injury
What are the three parts of a needle? ✅-Bevel (slanted tip)
-Shaft
-Hub (the part that attaches to the syringe)
You must keep all three parts sterile as you prepare the administer the injection!
If you have to recap a clean needle, such as after drawing up a medication, what
technique should be used to avoid an accidental needlestick? ✅One-handed scoop
method
When should you recap a needle that has been in contact with a client? ✅NEVER
What are the 4 types of injections? ✅-Intradermal
-Subcutaneous
-Subcutaneous insulin
-Intramuscular
What type of injections require a needle diameter of 25- to 27-gauge? ✅-Intradermal
-Subcutaneous
What type of injection requires a needle diameter of 28- to 31-gauge? ✅Subcutaneous
insulin
What type of injection requires a needle diameter of 18- to 25-gauge? ✅Intramuscular
,What type of injection requires a needle length of 1/2- to 5/8-inch? ✅Intradermal
What type of injection requires a needle length of 3/8- to 5/8-inch? ✅Subcutaneous
What type of injection requires a needle length of 5/16- to 1/2-inch? ✅Subcutaneous
insulin
What type of injection requires a needle length of 5/8- to 1 1/2-inch? ✅Intramuscular
What type of injection requires a needle angle of 5 to 15 degrees? ✅Intradermal
What type of injections require a needle angle of 45 to 90 degrees? ✅-Subcutaneous
-Subcutaneous insulin
What type of injection requires a needle angle of 90 degrees? ✅Intramuscular
What should you consider when choosing a needle for an injection to ensure accurate
administration of the medication? ✅-Client's age
-Client's size
-Injection site
-Type of medication being administered
What are the primary source of exposure to bloodborne diseases? ✅Needlestick
injuries
What are vials? ✅-Plastic or glass containers in which liquid or powdered medication is
packaged in an airtight and sterile environment
-They are sealed with a rubber stopper
-You access the medication by pushing a sterile needle through the center of the
stopper
-May be single-use or multidose (if a preservative has been added to the solution).
Either way, many agencies require that a multidose vial be discarded 1 month after it is
opened, no matter how much medication remains in the vial
What does multidose mean? ✅Form of packaging of a medication in which more than
one dose is available
How do you mix medications in one syringe so that the client receives only one injection
instead of two separate injections? ✅air, air, medication, medication (NRRN)
*If one vial is a single-use vial, it should be N in this scenario, having the medication
withdrawn from it last in the sequence
What is reconstitution? ✅To restore a dried substance to a fluid form
, What is diluent? ✅Substance, such as water, glycerin, or starch, added to another to
reduce its potency or thin its consistency
What is an ampule? ✅-Small, sealed, single-use glass or plastic container for holding
sterile medications and solutions
-To access the medication, snap the top off at the scored neck with a protective pad
What is a filter needle? ✅-Needle with a filter that prevents small particles of
medication, glass, or rubber from entering the barrel of the syringe and being injected
into the client
-Must be used for withdrawing medication from an ampule to keep any glass particles
from entering the syringe. Before administering the injection, remove the filter needle
and replace it with an appropriate needle for injection!!
What does needle aspiration mean? ✅Withdrawal of secretions, gas, fluid, or tissue
from the body or a container, using a needle and a device that acts on negative
pressure, often a syringe
What is the function of intramuscular (IM) injections? ✅Deposit medication deeply into
vascular tissue, thus allowing rapid absorption
What are acceptable sites for IM injections? ✅-Deltoid
-Vastus lateralis
-Ventrogluteal
-Dorsogluteal site was widely accepted and used previously, but current evidence has
demonstrated that it is not acceptable due to its high risk for injury
What should you do when preparing an IM injection? ✅-Examine the site to determine
whether there is adequate muscle tissue
-Avoid any areas with lesions, trauma, inflammation, or bony prominences
-Rotate injection sites when injections are regularly scheduled to prevent tissue damage
Why is the Z-track method preferred for intramuscular injections? ✅To prevent
subcutaneous tissue irritation caused when medication leaks into the tissues
What are intradermal injections used for? ✅-Skin testing
-Administration of local anesthetics
What are appropriate sites for Intradermal injections? ✅-Inner forearm (ensure that it is
free of lesions and hair)
-Upper back
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