Nokea
What screening test is accomplished by performing an intradermal injection?
- A. Diabetes
- B. Tuberculosis
- C. Hepatitis
- D. Meningitis
Correct Answer: B
Rationale: Intradermal injection absorption is slow, which makes it the best route for tuberculosis screening.
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What landmarks are used for the administration of an intramuscular injection into the gluteal site?
- A. The tip of the coccyx and the greater trochanter
- B. Between the center of the gluteus and the iliac spine
- C. Between the posterior iliac crest and the greater trochanter
- D. On an imaginary line between the center of the gluteus and the greater trochanter
Correct Answer: C
Rationale: The gluteal site is marked by the greater trochanter and the posterior iliac crest.
What is 0.9% expressed as a decimal?
- A. 9
- B. 0.9
- C. 0.09
- D. 0.009
Correct Answer: D
Rationale: Remove the % and move the decimal point two places to the left.
The nurse cautions a patient taking an anticoagulant that he should avoid taking aspirin because one drug may increase the action of the other drug. What is the correct term for this effect?
- A. Compatibility
- B. Antagonism
- C. Synergism
- D. Cooperation
Correct Answer: C
Rationale: When one drug increases the action of another drug, it is called synergism.
When a patient comes into the emergency department with a narcotic overdose the nurse anticipates that the patient will be treated with Narcan. What drug classification is Narcan?
- A. Enhancer
- B. Substitute
- C. Control
- D. Antagonist
Correct Answer: D
Rationale: An antagonist is a drug that will block the action of another drug, such as Narcan with Demerol.
When giving a subcutaneous injection to a very thin patient how does the nurse alter the injection technique?
- A. Using a 23-gauge needle
- B. Spreading the skin before injection
- C. Pinching up the skin and inserting the needle at a 45-degree angle
- D. Injecting the medicine quickly to reduce pain
Correct Answer: C
Rationale: The subcutaneous technique changes when injecting a thin patient. The selection of needles is the same (-in needle of 27 or 28 gauge), the site selection is the same, but the technique changes to pinch up the skin and inject at a 45-degree angle.