Injections*
A 90 degree angle is used for this type of injection.
Where might this type of injection be given?
What is Intramuscular; in the deltoid, ventrogluteal, or vastus lateralis
Medications under the tongue - location is called
What is sublingual
What is technique for administering NTG ointment?
Hand Hygiene
Apply gloves
Remove the old patch and clean that area
Choose non hairy area (do not shave site) Lay dose-measuring applicator paper with print side down on flat surface, the ointment will smear print. Squeeze proper length onto applicator paper. Place on skin, oint. side down. Spread in uniform layer DO NOT RUB IN! Cover area where paper is placed and tape. Remove gloves, hand hygiene. Document.
Before a patient is discharged from hospital, what should you have them to do when they are going home on an inhaler or a nebulizer treatment?
What is have the pt. or their family to demonstrate using the equipment correctly and verbalize the medication that they have been prescribed to them at home.
The medication order reads, "give ondansetron 24 mg, 30 minutes before chemotherapy to prevent nausea." The nurse notes that the route is missing from the order. What is the nurses best action?
a. Giving the medication IV because it is for nausea
b. Giving the medication orally because the tablets are available in 24 mg doses
c. Contacting the prescriber to clarify the route of the medication ordered
d. Holding the medication until the prescriber returns to clarify the order
What is - c. Contacting the prescriber to clarify the route of the medication ordered
Method used when wanting to recap a needle after preparing the medication in the medication room.
What is SCOOP method
In military time 4 p.m. would be stated as
What is 1600
When administering inhalers - which should be done first - steroids or bronchodilators?
What are bronchodilators
The RN is developing a care plan for a patient who will be
self-administering insulin injections. which statement reflects a measurable goal that you can follow up on to see if it has been met?
a. The patient will know about insulin injections
b. The patient will understand the principles of insulin preparation
c. The patient will demonstrate proper technique of mixing insulin
d. The patient will comprehend the proper technique of preparing insulin
What is - c. the patient will demonstrate proper technique of mixing insulin
What liquid dosage form is contraindicated for a client who is a recovering alcoholic?
What is elixir because they are clear liquids that are composed of drugs that have been dissolved in alcohol and water. The alcohol content is highly variable, depending on the solubility of the drug. ie. cough syrup and mouth wash are elixirs containing alcohol.
A 45 degree angle is used in this type of injection?
Where might this type of injection be given?
What is subcutaneous injection
In the fat or adipose layer, on the upper back of the arm
Technique for giving ophthalmic solution med
What is have the patient to look up and administer into the lower conjunctival sac, then apply gentle pressure, using a clean tissue to the inner canthus of the eye lid for 1-2 minutes.
5 mL = ________ tsp
What is 1 tsp.
A patient is experiencing chest pain and needs to take a sublingual form of nitroglycerin. Where does the nurse instruct the patient to place the tablet?
a. Under the tongue
b. In the space between the cheek and the gum inside the mouth
c. At the back of the throat for easy swallowing
d. On a non-hairy part of the chest
What is - a. Under the tongue
Which one of these do you use a filtered needle to withdraw the medication?
a. using a vial
b. using an ampule
What is an ampule?
What type of injection do you use a 10 - 15 degree angle?
Where might this type of injection be given?
What is Intradermal.
Given in the dermal layer (forearm, upper chest, back.
Technique for giving ear drops to a child 3 and older and for an adult.
Proper position for the client and the length of time in that position
What is pull earlobe up and back and after adm. then press on tragus of ear and have patient to lye on their side for a few minutes and 5 minutes if having gtts in both ears.
1 kg is = ______ lbs
What is 2.2 lbs
If client is taking a steroid inhaler, what should you instruct them to do after they administer it?
What is have them to rinse their mouth after them are done adm. it.
Explain the landmarks used for a ventrogluteal injection, in an adult, by using your hand?
This is easy accessible when pt is in prone, supine or side-lying position. Locate by placing the palm of the hand on the lateral portion of the greater trochanter with thumb point toward the groin, the index finger on the anterior superior iliac spine, and the middle finger extended to the iliac crest. the inj is made into the center of a V that is formed between the index and middle fingers. pg.133
How long to leave the needle imbedded in the muscle for intramuscular injections.
What is for the count of 3 before removing the needle.
pg. 134
List at least 7 rights of medication administration and preparation. pg. 75
What are: indication, dose, route, medication, time, client, and documentation
Which IV fluid has the highest osmolality?
a. LR
b. 0.45 NS
c. 0.9 NS
D. D5 in 0.9 NS
D. D5 in 0.9 NS is 560 osmolality
hypertonic solution, used to diuresis which draws fluids into vascular compartment, which then can be excreted by kidneys, usually with the help of Lasix. pg. 146
The RN is setting up a teaching session with an 85-year-old patient who is going home on anticoagulant therapy. The LPN is to follow up on teaching to see if it was effective. Which strategy would reflect consideration of the changes resulting from aging that exist with this patient?
a. Show a colorful video about anticoagulant therapy
b. Present all teaching information in one session just before discharge
c. Give the patient pamphlets about medications to read at home
d. Develop large print handouts that reflect verbal information presented
What is - d. Develop large print handouts that reflect verbal information presented
What are landmarks for deltoid injections in adults and what is the ____ mL limit?
Palpate acromion process or top of shoulder and measure 2-3 fingerbreadths, palpate the muscle it is triangle shaped to assess the thickest part of muscle, that is area for the injection.
1 mL or less