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N5451 Skills Lab Video Quizzes - Module 5 Injectable Medications
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N5451 Skills Lab Video Quizzes - Module 5 Injectable Medications A nurse is preparing a medication from a glass ampule. After breaking the ampule, the nurse notes blood on the gauze pad. What should the nurse do first? Discard the ampule and medication Blood on the gauze pad indicates the nurse h...

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  • August 28, 2024
  • 8
  • 2024/2025
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N5451 Skills Lab Video Quizzes - Module 5 Injectable
Medications



A nurse is preparing a medication from a glass ampule. After breaking the ampule, the
nurse notes blood on the gauze pad. What should the nurse do first?
Discard the ampule and medication Blood on the gauze pad indicates the nurse has
been cut while opening the glass ampule. The nurse should first discard the ampule and
medication in case contamination has occurred. The nurse would then clean and
bandage the wound, and then obtain a new ampule and prepare a new dose, using a
new gauze pad. After preparing a new dose of medication, it would be administered as
prescribed. The injury should be reported as per facility policy.


What is the best method for opening an ampule of morphine for a prescribed IV push?
Wrap a small gauze pad around the neck and use a snapping motion to break the top at
the scored line in the neck. When opening an ampule, the nurse would use a small
gauze pad or dry alcohol wipe to hold the top and use a snapping motion to break off
the top of the ampule at the scored line. The pad protects the fingers from the glass as
the ampule is opened. A twisting motion is not recommended. Applying pressure with a
gloved hand to the top of the ampule will not effectively break the scored line at the
neck.


What is the best way for the nurse to remove air bubbles from the syringe after drawing
up medication from an ampule?
Withdraw the needle from the ampule, tap the syringe, and push on the plunger. The
best way to remove air bubbles from the syringe is to wait until the needle has been
withdrawn to tap the syringe and expel the air carefully by pushing on the plunger.
Leaving the needle in the solution and pushing on the plunger may cause the solution to
spill over the ampule. Taping the withdrawn syringe, reinserting the needle and
withdrawing more solution will not assist in removing air bubbles. Inserting the tip of the
needle into the ampule and inverting the ampule is the procedure for withdrawing
medication, not removing air.


What will the nurse do with the filter needle after withdrawing medication from an
ampule?
Remove the filter needle and attach the administration needle. Once the medication is
in the syringe, the nurse would remove the filter needle from the syringe and attach a
new administration needle. To prevent glass shards from contaminating the medication,
this needle is not used to administer the medication or inject air into the medication.

, Filter needles are not used to administer medications to clients as the glass shards
would cause injury. Filter needles should be discarded, not saved for later use.


The nurse is withdrawing insulin from a vial to prepare an injection for a client. After
removing the metal cap on the vial, what would be the nurse's next step in the
procedure?
Swab the rubber top with an antimicrobial swab and allow it to dry. When withdrawing
medications from a vial, the nurse would remove the metal or plastic cap protecting the
rubber stopper, swab the rubber top with an antimicrobial, and allow it to dry. The nurse
would then inject air into the rubber cap with the needle tip while holding the vial on a
flat surface.


How much air does the nurse inject into a vial prior to withdrawing the medication?
Equal to the amount of the medication dosage The nurse would draw back an amount
of air into the syringe that is equal to the specific dose of medication to be drawn.
Because a vial is a sealed container, before fluid is removed, injection of an equal
amount of air is required to prevent the formation of a partial vacuum. If not enough air
is injected, the negative pressure makes it difficult to withdraw the medication.


The nurse is teaching a client with diabetes to withdraw insulin from a vial when the
client and the client asks why it is recommended to recap the needle after withdrawing
the medication. What is the best response by the nurse?
"Recapping the needle maintains sterility of the needle before injecting." The needle
should be recapped after withdrawing medication to maintain the sterility of the needle
prior to injecting. Recapping the needle will not prevent medication from leaking out.
Recapping the needle will not prevent contamination of the syringe. If a needle has
been used only to draw up medication, there is no risk of contamination from bodily
fluids, so a needle stick is not a concern. Never recap a needle that was used on a
person. Always engage the safety device and put it directly into the sharps container.


What is the correct procedure for preparing an insulin injection for a client who requires
two types of insulin?
Check the drug administration book for insulin compatibility. If the client requires two
insulin injections, the nurse would check the drug administration book or compatibility
table (not with the health care provider) to see if they are compatible before mixing them
together in one syringe. Two separate syringes of insulin would be necessary if the
drugs are not compatible; therefore, it is important to check the drug administration book
for compatibility before choosing the syringe.

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