Nokea
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.
You may also like to solve these questions
Which muscle(s)/site(s) is(are) used for injections in infants who are younger than 7 months?
- A. Femoris rectus
- B. Deltoid
- C. Vastus lateralis
- D. Ventrogluteal
- E. Dorsogluteal
Correct Answer: C
Rationale: The vastus lateralis is the preferred site for IM injections in infants younger than 7 months due to its adequate muscle mass and safety.
What gauge and length needle would you select to administer an IM injection of a viscous medication, such as gamma globulin, in the ventrogluteal site of a 29-year-old male body builder who is in good health and weighs 203 pounds?
- A. 25 g ? 1.5 in
- B. 20 g ? 1/2 in
- C. 21 g ? 7/8 in
- D. 24 g ? 1 in
- E. 18 g ? 1½ in
Correct Answer: E
Rationale: For a viscous medication like gamma globulin in a muscular adult, a larger gauge (18?21 g) and longer needle (1?1½ in) are needed to penetrate the muscle deeply. An 18 g ? 1½ in needle is appropriate for the ventrogluteal site in a muscular male.
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 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.
What angle of insertion should be used for intradermal injections?
- A. 15 degrees
- B. 30 degrees
- C. 45 degrees
- D. 90 degrees
Correct Answer: A
Rationale: Intradermal injections require a shallow angle (10?15 degrees) to place the medication just under the skin surface.