Nokea
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.
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A parenteral route of medication administration is one that bypasses which of the following?
- A. Stomach
- B. Kidneys
- C. Skin
- D. Heart
- E. Liver
Correct Answer: A,E
Rationale: Parenteral routes (e.g., injections) bypass the gastrointestinal system (stomach) and first-pass metabolism in the liver.
You are about to administer a standard P.P.D. to a 31-year-old male. Which of the following needles and syringes would be appropriate to use?
- A. Tuberculin syringe with 27-G, ??-inch needle
- B. 1-mL syringe with 20-G, 1½-inch needle
- C. Insulin syringe with 25-G, ??-inch needle
- D. 3-mL syringe with 25-G, ½-inch needle
- E. 1-mL syringe with 18-G, 1-inch needle
Correct Answer: A
Rationale: A tuberculin syringe with a 27-gauge, ??-inch needle is appropriate for a PPD test, which is an intradermal injection requiring a small volume and fine needle.
Which of the following steps should the nurse perform when combining two types of insulin and administering them?
- A. Always withdraw intermediate-acting insulin first
- B. When mixing insulins, remember 'clear before cloudy'
- C. Inject with 20-G, 1-inch needle
- D. Insert needle at a 45- or 90-degree angle
- E. Mix Lantus with regular insulin
Correct Answer: B,D
Rationale: When mixing insulins, draw up clear (regular) insulin before cloudy (intermediate-acting) to avoid contamination. A 45- or 90-degree angle is used for subcutaneous injections. Lantus should not be mixed with other insulins.
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.
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.