Nokea
In which of the following injections should you avoid aspirating before injecting the medication?
- A. IM injection of antibiotics
- B. ID tuberculosis test
- C. Subcut insulin
- D. IM pain medication
- E. Subcut anticoagulant
Correct Answer: B,C,E
Rationale: Aspiration is not required for intradermal (e.g., TB test) or subcutaneous injections (e.g., insulin, anticoagulants) as these routes are not typically associated with blood vessels.
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Injection of a drug into the upper layers of the skin is known as which route of medication administration?
- A. Intra-articular
- B. Intradermal
- C. Subcutaneous
- D. Intramuscular
Correct Answer: B
Rationale: Intradermal injections deliver medication into the upper layers of the skin.
Select the correct anatomical landmarks for the ventrogluteal site.
- A. Iliac crest
- B. Greater trochanter
- C. Acromion process
- D. Coccyx
- E. Anterior superior iliac spine
Correct Answer: A,B,E
Rationale: The ventrogluteal site is located using the iliac crest, greater trochanter, and anterior superior iliac spine as landmarks.
What gauge and length of needle would you select to administer an IM injection of a nonviscous medication in the ventrogluteal site of a 40-year-old male construction worker who is in good health and weighs 185 pounds?
- A. 25 G, 1 inch
- B. 18 G, 1½ inch
- C. 22 G, 1½ inch
- D. 24 G, 2 inch
- E. 20 G, 1 inch
Correct Answer: C
Rationale: For a healthy adult male, a 22-gauge, 1½-inch needle is appropriate for an IM injection in the ventrogluteal site to ensure adequate muscle penetration for a nonviscous medication.
A nurse needs to administer medication from an ampule. What of the following steps should the nurse take when drawing up this medication?
- A. Snap off the ampule neck using a sterile gauze pad
- B. Hold the ampule away from the body when breaking
- C. Tilt the ampule and place the injection needle into the liquid
- D. Avoid tapping the top of the bottle
- E. Use a filter needle to draw up medication
Correct Answer: A,B,C,E
Rationale: Proper ampule use involves breaking the neck with gauze, holding it away from the body, tilting to access liquid, and using a filter needle to prevent glass particles. Tapping is acceptable to move liquid.
A nurse is caring for a 65-year-old female with type I diabetes. The patient is receiving an insulin bolus for a glucose reading of 310 mg/dL. How will the nurse give the insulin bolus?
- A. Give the medication all at once
- B. Give the medication before meals
- C. Give the medication after meals
- D. Give the medication before and after meals and at bedtime
Correct Answer: A
Rationale: An insulin bolus for a high glucose reading (310 mg/dL) is given all at once to rapidly correct the hyperglycemia.