Nokea
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.
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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.
The term basal refers to the minimum requirements when the body is
- A. Resting.
- B. Active.
- C. Asleep.
- D. Eating.
Correct Answer: A
Rationale: Basal insulin meets the body's minimum insulin needs during resting states, maintaining stable blood glucose levels.
You would aspirate before injecting the medication in which of the following injections?
- A. 1 mL promethazine IM in the dorsagluteal
- B. 1 mL purified protein derivative ID
- C. Novolin R insulin 4 units subcut
- D. Heparin 1,000 units subcut
- E. Cyanocobalamin 1,000 mcg Z-track
Correct Answer: A,E
Rationale: Aspiration is performed for IM injections, including Z-track, to check for blood and avoid intravenous administration. It is not required for intradermal or subcutaneous injections.
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.
Which of the following drugs requires a second and third nurse to verify the dosage?
- A. Insulin
- B. Epinephrine
- C. Heparin
- D. Purified protein derivative
Correct Answer: A,C
Rationale: Insulin and heparin are high-alert medications requiring double or triple verification to prevent dosage errors.