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NUR 155 Galen Exam 4 Questions and Complete Rationales Graded A+
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- GALEN COLLEGE OF NURSING
- Institution
- GALEN COLLEGE OF NURSING
NUR 155 Galen Exam 4 Questions and Complete Rationales Graded A+
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NUR 155 Galen Exam 4 Questions andComplete Rationales Graded A+
What size needle is used for IM injections?
What size syringe? - Answer: 19gauge to 25gauge 1 to 3 inch needle
3ml syringe
What size needle do you use for SubQ injections?
What size syringe? - Answer: 25gauge to 31gauge 3/8 to 5/8 inch needle
1ml Syringe
What is the 5 rights of medication administration? - Answer: Right medication
right dose
right pt
right route
right time frame (are the meds due)
DOCUMENTATION
Can you administer an IV medication that has been prepared by another nurse? - Answer: NO!!! no
matter how emergent
Can you administer a packaged drug (unopened) that another nurse has handed off to you to
administer? - Answer: YES
You make a med error, what is the FIRST and most important step into solving this problem? - Answer:
ASSESS THE PATIENT
You are suspecting that your patient is having an allergic reaction to the IV medication, what is the first
and most important step into solving this problem? - Answer: Stop the medication, and asses the pt
, What are the signs and symptoms of an allergic reaction? - Answer: Shortness of breath/difficulty
breathing
If you have an order for a pt that is just for a headache like Tylenol, can you give that medication for a
fever? - Answer: NO you have to call the doctor and get a new order that is for fever
If your pt is having a hard time swallowing their PO potassium due to the pill being to large, what can
you do to help the pt take their medication? - Answer: call the pharmacy and have them change the pill
from pill form to a liquid form
What is the Z track method? - Answer: This is used for IM injections. Use nondominant hand to pull skin
laterally and hold it in position while giving injection. Release skin immediately after withdrawing needle
to seal off the injection site. This prevents the medication from leaking through the more sensitive
subcutaneous tissue from the muscle. Done at the ventrogluteal or dorsogluteal sites.
Are you supposed to aspirate an IM injection? - Answer: YES! DG always pull back to see if the syringe
has blood in it.
What do you do if you aspirate an IM injection and you get blood return? - Answer: Start over! new
injection site, new medication.
What is the main thing to remember when giving an IM injection in the deltoid? - Answer: No more than
1mL of medication
If a pt has scheduled mediation, and you go into asses your pt and they are sleeping, do you have to
wake that pt to give them their scheduled medication? - Answer: YES! if the medication is scheduled it
can be given within the hour that medication is due!
Your pt calls out for their PRN pain medication, you finally get the chance to pull your medication, you
walk into the room to asses your pt and they are sleeping, do you have to wake the pt up to give them
their PRN medication? - Answer: NO! you do not have to wake up the pt for a PRN medication, at that
point you would go waste your medication and pull the meds again once the pt wakes up.
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