IM Injections
The angle used for IM injections
What is 90 degrees?
The angle used for subcutaneous injections
What is 45 to 90 degrees?
What nurses should wear on their hands while administering injections
What are gloves?
A nurse administers insulin subcutaneously and massages the site afterward to “help absorption.”
What is massaging insulin after injection?
The provider orders 250 mg IM. The vial reads 100 mg/mL. This is the number of mL you will administer.
What is 2.5 mL?
The preferred site for injections in adults
What is ventrogluteal?
Air is injected into this vial of insulin first when mixing intermediate and fast-acting.
What is the intermediate?
This IM site is preferred in adults because it reduces the risk of sciatic nerve injury.
What is the ventrogluteal site?
After giving an IM injection, the nurse recaps the needle using both hands before walking to the sharps container.
What is two-handed needle recapping?
A child is prescribed 150 mg IM. The medication is available as 75 mg/0.5 mL. This is the correct volume to administer.
What is 1 mL?
The length of needle needed for an intramuscular injection for a 6'2" 230 pound male client
What is 1 1/2 inch?
The name for the type of scale used when blood glucose is checked and the client gets rapid acting insulin based on the glucose level.
What is sliding scale or correction scale?
After giving an injection, this should be done immediately to prevent needlestick injury.
What is activate the safety device and dispose of the needle in a sharps container?
A nurse administers 3 mL of medication into the deltoid muscle of an adult.
What is exceeding the safe volume for the deltoid site?
The order reads: Regular insulin 8 units SQ. The vial is U-100 insulin. This is the number of mL drawn up.
What is 0.08 mL?
This site is 3-5 CM below the acromion process.
What is the deltoid?
How the nurse should hold a needle and syringe when giving the injection.
What is like a dart?
This technique is used when administering irritating IM medications to prevent tracking of medication into subcutaneous tissue.
What is the Z-track technique?
While preparing to give an IM injection, the nurse identifies the dorsogluteal site without assessing landmarks and proceeds with injection.
What is improper landmarking and unsafe site selection?
A client’s blood glucose is 278 mg/dL. Sliding scale states:
251–300 = 6 units.
The nurse also has an order for NPH 20 units at 0800.
This is the total number of insulin units administered at 0800
What is 26 units?
(6 units regular + 20 units NPH)
This site is no longer used due to the risk of nerve damage
What is the ventrogluteal?
This technique helps minimize scar tissue when administering subcutaneous insulin
What is rotating sites?
This is the FIRST action a nurse should take after sustaining a needlestick injury.
What is wash the area with soap and water?
A nurse prepares regular insulin and NPH insulin by drawing up the cloudy insulin first, then the clear insulin.
What is incorrect insulin mixing order?
An adult is ordered 3.8 mL IM. The maximum recommended volume per ventrogluteal site is 3 mL. This is the number of injections the nurse should administer.
What is two?