Exam (elaborations)
Nursing 317 Exam I Questions With Correct Detailed Answers.
- Course
- Institution
Nursing 317 Exam I Questions With Correct Detailed Answers.
[Show more]
Content preview
Nursing 317 Exam I Questions WithCorrect Detailed Answers.
Intradermal (15 degrees) - ANSWER- allergies, small volume
Subcutaneous (45 degrees) - ANSWER- absorbed through capillaries, slower
absorption than IM, minimize trauma, reduce risk of striking blood vessel
Intramuscular (90 degrees) - ANSWER- immunizations
intravenous - ANSWER- antibiotics, fluids, piggyback
Adipose tissue - ANSWER- can affect degree of injections
Reading a syringe - ANSWER- Measure at the line closest to tip, not bottom line closest
to plunger
Types of Syringes - ANSWER- hypodermic, insulin, tuberculin, large for wound
irrigation, safety syringes (0.5-60 mL), Plain-tip, Luer Lock, resusable plungers
(carpuject, tubex), prefilled
Hub - ANSWER- part of syringe where you gauge number
shaft - ANSWER- main part of needle
bevel - ANSWER- tip of needle
Intradermal gauges - ANSWER- 25-27; 3/8" to 5/8"
Intramuscular gauges - ANSWER- 20-25; deltoid 1-1-.5"; VastusLatteralis 5/8-1";
VentroGluteal 1-1.5"
Intramuscular spots - ANSWER- Deltoid, VastusLatteralis, VentroGluteal
subcutaneous gauges - ANSWER- 25-27 gauge, 3/8-5/8"
Needle Safety - ANSWER- do not recap needle after injection, use safety syringe to
cover needle, puncture proof container
Giving an injection - ANSWER- check orders, draw up drug, check ID, 3 checks
Removing Medication from vial - ANSWER- check order, assemble syringe and access
cannula, wipe with alcohol, invent and remove med, label
, IM injections - ANSWER- check ID, med order, pick site, cleanse area, hold syringe like
dart, 90 degrees, Z-track, hold for 5 seconds, do not aspirate immunizations
Reconstituting a drug - ANSWER- check orders, tap ampule, snap neck with alcohol
wipe, aspirate drug using filter needle/straw, recap filter needle, remove needle, place
new needle on to avoid broken glass
Mixing meds from one vial and one ampule - ANSWER- inject air into vial, prepare and
withdraw med from vial, withdraw drug from ampule using filter needle, change needle
Mixing meds in one syringe from two vials - ANSWER- check compatibility and
allergies, be sure total amount is appropriate for injection, clean tops of both vials, inject
are in both vials (2 then 1), withdraw from vial 1 then 2
Preparing insulin from 2 vials - ANSWER- check orders, rotate intermediate (cloudy)
insulin--20 rotations, wipe both with alcohol, take needle off guard/place on tray, pull
plunger of syringe to desired number of units of intermediate, then repeat with
regular/clear insulin
withdraw clear/regular then cloudy/intermediate
subcutaneous injection - ANSWER- cleanse area, stabilize site, hold syringe like dart
(45-90 degrees), insert needle, inject drug, withdraw needle, activate needle safety
IM injection sites--Ventrogluteal - ANSWER- preferred; large volume, viscous, irritating
meds, supine or lateral, flex knee and hip to relax, gluteus medius and minimus, greater
trochanter, anterior superior iliac spine, dorsal crest of iliac spine
Vastus Lateralis - ANSWER- supine, knee slightly flexed, anterior lateral aspect of thigh,
greater trochanter of femur, lateral femoral condyle
Deltoid - ANSWER- 2mL or less, acromion process 1-2" below
Z track - ANSWER- pull skin and SQ tissue 1-1.5" to one side, insert needle, aspirate,
inject (10 secs per mL), maintain traction for 10 secs before withdrawing needle, release
skin as withdraw and apply pressure
do not use if patient has too small of muscle mass, instead pinch or grasp
SQ injection sites - ANSWER- avoid 1-2" radius around umbilicus, not outer thing, hold
skin or pinch skin, inject over several seconds
Insulin and heparin - ANSWER- check dose and type, do not aspirate, wait before
withdrawing needle, no rubbing, rotate sites, change heparin needle before giving
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Divinehub. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
77254 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now