Nurse 140 Final Exam Questions and Correct Answers
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Course
NUR 140
Institution
NUR 140
What are the three checks a nurse uses before administration? 1. When the nurse reaches for the unit dose package or container 2. After retrieval from the drawer and compared with the emar/MAR or compared with the emar/MAR immediately before pouring from a multi-dose container 3. Before giving the ...
Nurse 140 Final Exam Questions and
Correct Answers
What does AIDET stand for? ✅acknowledge, introduce, duration, explanation, thank
you
What are the three checks a nurse uses before administration? ✅1. When the nurse
reaches for the unit dose package or container
2. After retrieval from the drawer and compared with the emar/MAR or compared with
the emar/MAR immediately before pouring from a multi-dose container
3. Before giving the unit dose medication to the patient, or when replacing the multi-
dose container in the drawer or shelf.
What are the 9 RIGHTS for safe medication administration and the 2 EXTRA RIGHTS?
✅1. Right medication
2. Right Patient
3. Right Dosage
4. Right Route
5. Right Time
6. Right Reason
7. Right (appropriate) assessment data
8. Right Documentation
9. Right Response
10. Right to Education
11. Right to Refuse
List the proper possible patient identifiers (eight of them) ✅- Patient Name
- Birthdate
- MRN
- Barcode Scanner
- Current Photograph
- Armband
- ID/MRN can be the same depending on facility.
- Scanning the barcode is another identifier.
List the sites on the body where subcutaneous injections can be given (five of them)
✅Outer aspect of the upper arm, abdomen from below costal margin to the iliac crests,
anterior aspects of the thigh, the upper back, and the upper ventral or dorso-gluteal
areas.
List the 3 sites recommended for Intramuscular injections ✅1. Ventrogluetal
2. Deltoid
3. Vastus Lateralis
,CDC states do not use _________ for intramuscular ✅Dorso-gluteal
Which site is recommended for vaccines administered to infants? ✅Vastus lateralis
Which site is recommended for viscous or oily medications in adults? ✅Ventro
Glueteal
Why is the Z-track technique recommended for intramuscular injections? ✅Many of the
drugs given intramuscularly can cause irritation to subcutaneous tissues when back flow
into the tissues occurs along the injection track. The technique ensures that medication
does not leak back along the needle track and into the subcutaneous tissue
Give 2 examples of when the Z-track technique is recommended ✅1. For patients
receiving injections over an extended period
2. Older adults who have decreased muscle mass
What type of tissue does a subcutaneous injection get administered into? ✅Adipose
tissue
What insertion angle is used for subcutaneous injection? ✅45-90 degrees
What are 2 popular medications administered via subcutaneous injection? ✅1. Heparin
2. Insulin
Between what layers of the skin do intradermal injections go? ✅Into the dermis, just
below the epidermis
What insertion angle is used for intradermal injection? ✅5-15 degrees
List 3 uses for intradermal injection ✅1. TB
2. Allergy tests
3. Local Anesthesia
What are techniques for reducing discomfort from injections? ✅1. Select a needle of
the smallest gauge that is appropriate for site and solution and select correct needle
length
2. Be sure needle is free of medication that may irritate superficial tissues
3. Use Z-track technique for IM
Inject into relaxed muscles
4. Do not inject areas that feel hard on palpation or tender
5. Insert needle with dart like motion without hesitation and remove quickly at same
angle as insertion
6. Do not administer more solution in one injection than is recommended
7. Inject the solution slowly, 10 seconds per 1 ML
8. Apply gentle pressure after injection, unless contraindicated
, 9. Allow fearful patients to talk about their fears and answer questions truthfully.
10. Rotate sites when the patient is to receive repeated injections
11. For children, provide age-appropriate support and involve parent/guardian when
possible.
When mixing insulin in a syringe, which is drawn first? Which is second? ✅Air is
inserted first into NPH (modified) then into Regular (unmodified), then regular is drawn
up, and NPH is drawn up after. This is to prevent Regular insulin (fast
acting/unmodified) from getting into NPH (long acting/modified) and causing the next
patient who gets NPH to become hypoglycemic, a potentially lethal condition.
What is a PRN order? ✅"pro re nata" As needed
What is a standing order? ✅A routine order, orders the doctor writes for their
hospitalized patients
What is a one-time order? ✅Directive is carried out only once, at the time specified by
prescriber
What is a stat order? ✅Single order, carried out immediately
What equipment is needed for administration of an injection for a client who has no
transmission-based precautions? ✅1. Prescribed medication
2. Sterile syringe and needle, correct size for type of administration
3. Antimicrobial swab
4. Disposable gloves
5. Small gauze square
6. Emar/MAR
Parts of the Syringe ✅
Donning PPE ✅Wash hands first, Gown, mask, googles, gloves. (goes up the body
and then to the hands)
Doffing PPE ✅gloves, goggles, gown, mask, wash hands
Types of isolation precautions ✅airborne, droplet, contact
Hand hygiene ✅1. Wet hands
2. Lather hands and wrists with moderate amount of soap for at least 20 seconds
making sure elbows are below the sink but hands are not touching the sink
3. Scrub nails for at least 5 to 10 seconds on each hand
4. Rinse hands (no flicking)
5. Use paper towels to dry hands from finger tips down
6.. Use separate paper towel to turn off sink
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