Nokea
What is the maximum volume you can instill in the ventrogluteal site of a very large muscular female of approximately 240 pounds?
- A. 3 mL
- B. 2 mL
- C. 1 mL
- D. 0.5 mL
- E. 0.1 mL
Correct Answer: A
Rationale: The ventrogluteal site in a large, muscular adult can accommodate up to 3 mL due to its larger muscle mass.
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Which of the following sites would be appropriate to use for an intramuscular injection in a 14-month-old infant with pneumonia?
- A. Femoris rectus
- B. Deltoid
- C. Vastus lateralis
- D. Ventrogluteal
- E. Dorsogluteal
Correct Answer: C,D
Rationale: The vastus lateralis and ventrogluteal sites are appropriate for IM injections in a 14-month-old due to sufficient muscle mass and safety.
Which of the following statements regarding insulin is(are) accurate?
- A. All insulin types can be mixed with other types.
- B. When drawing up regular and intermediate-acting insulins into the same syringe, you must draw the regular insulin first.
- C. Daily injection sites should be rotated once a week.
- D. Insulin is best kept in a dark, dry cabinet.
- E. The preferred site for administering insulin is the back of the upper arm.
Correct Answer: B
Rationale: b is correct because regular (clear) insulin should be drawn up first to prevent contamination with intermediate-acting (cloudy) insulin. a is incorrect as not all insulins can be mixed (e.g., Lantus cannot be mixed). c is incorrect as sites should be rotated daily, not weekly. d is incorrect as insulin should be stored in a refrigerator or cool place, not a dry cabinet. e is incorrect as the abdomen is the preferred site for insulin due to consistent absorption.
Which site is the site of choice for IM injections in the majority of patients?
- A. Dorsal gluteal
- B. Deltoid
- C. Ventrogluteal
- D. Vastus lateralis
Correct Answer: C
Rationale: The ventrogluteal site is preferred for IM injections due to its safety, minimal risk of nerve or blood vessel damage, and adequate muscle mass.
The health-care provider has written an order to administer a PPD to Thomas Staccotti. As you gather your equipment and supplies, you know that you will need which of the following size needles and syringe?
- A. 18 g ? 1 in
- B. 20 g ? 7/8 in
- C. 25 g ? 7/8 in
- D. 23 g ? 1 in
Correct Answer: C
Rationale: For a PPD (purified protein derivative) test, which is an intradermal injection, a small gauge needle (25?27 gauge) with a short length (3/8 to 5/8 inch) is required to ensure the medication is injected just below the skin surface. A 25 g ? 7/8 in needle is appropriate.
A nurse is caring for a patient who is receiving a basal/bolus insulin for type 1 diabetes. The nurse understands basal/bolus
- A. Allows for flexibility for mealtime and lifestyle.
- B. Allows for no flexibility for mealtime and lifestyle.
- C. Allows for flexibility for lifestyle.
- D. Allows for flexibility for mealtime.
Correct Answer: A
Rationale: Basal/bolus insulin regimens mimic natural insulin release, providing flexibility for both mealtime and lifestyle adjustments.