Exam 22: Parenteral Medications

The health care provider orders 4 units of regular insulin and 10 units of NPH insulin subcutaneous before breakfast.The nurse draws the regular insulin into the syringe and is preparing to draw the NPH insulin into the same syringe.When finished, the syringe should contain _________ units.

The nurse is preparing to draw up a medication using a filter needle and a syringe.This equipment is necessary when the medication is being withdrawn from an ______________.

The nurse is preparing to give an intramuscular injection to a toddler.To decrease pain, EMLA cream is applied to the injection site at least ______ hour(s) before administration of the injection.

The nurse is preparing to administer an immunization to a toddler.Which action by the nurse is appropriate?

The nurse administers an injection of iron to a patient using the Z-track method.The nurse recognizes which of the following as advantages of this method? (Select all that apply.)

The nurse is preparing a medication that comes in an ampule.Which action by the nurse is appropriate?

The nurse is preparing to administer a medication using a volume-controlled administration set or Volutrol.Which action should the nurse do first?

The nurse is preparing to give a medication by IV bolus.When assessing the patient's IV insertion site, the nurse notes that it is warm, reddened, and tender.What action should the nurse take first?

A patient with multiple intravenous lines has blood infusing in the right antecubital space, parenteral nutrition infusing through a right subclavian line, and normal saline with potassium infusing in the left forearm.An intravenous medication is ordered stat.The nurse will use the line in the ____________ to administer the medication.

A patient with a continuous IV infusion has an order for ciprofloxacin to be given IV piggyback.Which action by the nurse is appropriate for administering the medication?

The patient is receiving allergy testing.The nurse is using the inner forearm to inject the allergen into the ____________.

The nurse is preparing to administer an intramuscular injection via the Z-track method.Which action should be taken by the nurse?

The nurse is teaching a patient about continuous subcutaneous infusion with an insulin pump.What should the nurse include in the teaching plan?

The nurse is teaching a patient how to mix 5 units of regular insulin and 15 units of NPH insulin in the same syringe.The nurse determines that further instruction is needed if the patient does which of the following?

The nurse is teaching a family member of an obese patient how to administer a subcutaneous U-100 insulin injection to the patient.Which instruction should be included in the teaching plan?

The nurse is preparing an intramuscular injection for a thin elderly patient.The nurse is aware that the maximum volume most likely tolerated by this patient is which amount?

The nurse is preparing several medications that are administered parenterally.The patient receiving which medication will have an intradermal injection?

The nurse follows practice guidelines when administering injections to a patient to avoid which possible complications? (Select all that apply.)

The most frequent route of exposure to bloodborne disease for health care workers is needlestick injury.The nurse recognizes that implementation of _________________ can prevent needlestick injury.

The nurse injects the medication into the loose connective tissue just under the dermis when giving a _____________ injection.