What gauge needles are appropriate for intradermal injections? Select all that apply.
- A. 26 gauge
- B. 28 gauge
- C. 29 gauge
- D. 25 gauge
- E. 27 gauge
Correct Answer: A,D,E
Rationale: A 1-mL syringe with a 25- to 27-gauge needle that is 1/4 to 5/8 inches long is best suited for intradermal injections.
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What actions can nurses take to help prevent drug errors? Select all that apply.
- A. Rechecking all calculations
- B. Always administering the drug before answering any of the client's questions
- C. Avoiding distractions and concentrating on only one task at a time
- D. Confirming any questionable orders
- E. Practicing the five+ 1 rights of drug administration
Correct Answer: A,C,D,E
Rationale: In addition to following the five+ 1 rights of drug administration, a nurse can employ the following strategies to aid in the prevention of drug errors: confirm any questionable orders; when calculations are necessary, verify them with another nurse; listen to the client when he or she questions a drug, the dosage, or the drug regimen; never administer the drug until the client's questions have been adequately researched; and avoid distractions and concentrate on only one task at a time.
What action is most appropriate immediately after administering an opioid drug?
- A. Monitoring the vital signs of the patient
- B. Documenting administration of the drug
- C. Informing the patient about the type of drug
- D. Updating the physician regarding the patient's condition
Correct Answer: B
Rationale: After administration of any drug, the nurse should immediately document the administration. After the documentation is complete, the nurse can record the patient's vital signs. The patient needs to be informed about the drug before the administration. The physician need not be immediately informed, unless the client develops severe adverse reactions.
What types of orders for drug therapy might the nurse expect to find in a client's medical record? Select all that apply.
- A. Standing order
- B. STAT order
- C. Single order
- D. Alternate order
- E. PRN order
Correct Answer: A,B,C,E
Rationale: Common orders given by health care providers for drug therapy include the standing order, the single order, the PRN order, and the STAT order.
When documenting, which abbreviations are appropriate for use in accredited healthcare organizations? Select all that apply.
- A. IU
- B. QD
- C. 0.2 mg
- D. Units
Correct Answer: C,D
Rationale: Always use a leading zero when writing decimals (i.e., 0.2 mg, not .2 mg) and leave off the trailing zero (i.e., 2 mg, not 2.0 mg). Always write out units, international units, and daily; do not use U, IU, or QD.
What routes are used for parenteral drug administration? Select all that apply.
- A. Subcutaneous
- B. Intramuscular
- C. Intradural
- D. Intravenous
- E. Intradermal
Correct Answer: A,B,D,E
Rationale: A nurse can administer parenteral drugs via subcutaneous, intramuscular, intravenous, intradermal, and, in some instances, intra-arterial routes by means of a catheter placed by a physician in an artery. The primary health care provider can administer a drug via the intradural route.
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