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Before administering insulin, which difference(s) would the LPN identify from injecting the medication intramuscularly? Select all that apply.
Insulin is injected into subcutaneous tissue not muscle
Aspiration is not necessary because of fewer blood vessels in subcutaneous tissue
Regular subcutaneous injections require site rotations
The nurse is preparing an injectable medication for administration in the medication room prior to administering to the patient. What is the best nursing action to take to maintain safe drug administration?
Use the scoop method to recap the needle, change the needle, and administer
The nurse is attempting to flush an intravenous (IV) catheter without success. The site has no redness, swelling, or pain. The nurse determines the difficulty is most likely due to which of the following?
Thrombus
The nurse is assisting in a code situation for a critically ill patient. What type of drug route administration should the nurse anticipate being used?
Intravenous
Which action would be the most notable difference between administering an intradermal injection (ID) and a subcutaneous (SC) injection?
The skin is held taut for an ID injection
Mr. George is a 46 year old gentleman who is hospitalized with COPD. He is to receive 350,000 U Penicillin IM. Which angle is appropriate when administering the medication in the dorsalgluteal site?
90 degree angle
While preparing a patient with diabetes for discharge, the nurse recognizes that teaching has been effective by which of the following statements?
"I will rotate sites along my thighs and across my abdomen."
The LPN is assigned medication administration to a patient. Which action would the LPN take if one of the drugs is administered by IV push?
Reminds the RN of the LPN's scope of practice
The nurse is preparing to administer albuterol to a patient with a history of asthma. Which route does the nurse anticipate will be used to administer this medication?
Metered-dose inhaler
The nurse is providing instructions to a patient on how to administer prescribed eye drops. Which action, if observed by the nurse, indicates that additional teaching is needed?
Touching the eye with the applicator while dispensing medication
The nurse is instructing a patient diagnosed with diabetes on self-injection technique for insulin. Which action, if observed by the nurse, warrants immediate intervention?
The patient performs aspiration following injection into the skin
The nurse is preparing to administer a vaccination to an 18-month-old toddler for which the intramuscular route is indicated. Which site should the nurse use?
Vastus lateralis
After administering eye drops, apply gentle pressure to the inner corner of the eye to prevent which of the following?
Medication from entering the systemic circulation
Which specific action would be vital for administering a Z-track injection correctly?
Holding the skin laterally 1 inch away from the injection site
The LPN is preparing to administer a medication to a patient via a transdermal patch. Which administration detail(s) would be specific to this process? Select all that apply.
Inspect the application site
Make sure all edges adhere to the skin
Carefully expose the adhesive backing
Correct answer
The LPN is assisting with the care of a patient hospitalized with pancreatitis who is placed on total parental nutrition (TPN). For which reason would the LPN understand the TPN being infused into a large vein?
There is a risk of damage to a peripheral vein by TPN additives
When preparing to give an intramuscular injection into the deltoid muscle, the nurse recalls that the volume in the syringe should not exceed:
1 mL
A nurse working at the health clinic is administering tuberculosis tests. The test will need to be repeated if which of the following is noted?
Some of the medication leaks after completion of the injection
Common sites for subcutaneous medication administration include: (Select all that apply)
posterior upper arms
abdomen
the thigh
Semisolid medications come in a variety of formats. Which medication would be considered semisolid? (select all that apply)
Ointments,Gels,Plasters,Creams,Lotions
The LPN is preparing a medication to be administered to a toddler via an intramuscular (IM) vaccine. Which needle would be correct for the LPN to select?
A 1 inch, 24 gauge needle
An IV solution can include all of the following except
D250NS
Which patient would be considered only for an intramuscular (IM) injection at the ventrogluteal site?
An adult unable to stand
The nurse initiates therapy with normal saline nasal spray, 2 sprays per nostril tid prn. Prior to administration, the best action by the nurse is:
Have the patient blow their nose
The LPN is assisting with the care of a patient who just returned to the unit after abdominal surgery. The health-care provider prescribes the patient to be on a patient controlled analgesia (PSA) pump. Which observed behavior would the LPN report to the RN?
The family pushes the PCA pump button without patient prompting