Exam 22: Administration of Parenteral Medications

The nurse administers a tuberculin screening test to a patient who has no known risk factors for tuberculosis (TB).When the test site is read 48 hours later,which result is considered positive?

The nurse is preparing to give a medication by intravenous (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?

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

A patient has medication ordered to be given by intravenous (IV)bolus.The nurse recognizes which advantage of this type of administration?

A patient has orders for 10 units of glargine insulin and 5 units of regular insulin to be given at the same time.Which action by the nurse is appropriate?

The nurse is preparing to administer an intravenous (IV)antibiotic using a mini-infusion pump.Which action should the nurse do first?

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

The nurse is teaching a patient how to inject low-molecular-weight heparin.What instruction should be included in the teaching plan?

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

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 administer an intramuscular medication.In determining which size needle and syringe to use to administer the medication,the nurse must consider which of the following? (Select all that apply. )

An experienced nurse recognizes that the dorsogluteal injection site is no longer used for intramuscular injections because of the risk of damaging the _______________.

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to draw up a medication using a filter needle and a syringe.This equipment is necessary when the medication is being withdrawn from an ______________.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 patient is receiving allergy testing.The nurse is using the inner forearm to inject the allergen into the ____________.

The student nurse is preparing to administer an intravenous (IV)bolus medication through a small-gauge IV catheter.The student notes that there is no blood return on aspiration.Which action by the student should the nursing instructor question?

The nurse is preparing to administer an intravenous (IV)medication that must be diluted in 60 mL of fluid and then given over 45 minutes.Which of the following methods can the nurse use to give this medication? (Select all that apply. )

The nurse informs the patient that the medication will be absorbed rapidly because it was injected into tissue with a rich blood supply.The patient has just received a ______________ injection.

A student nurse is preparing to administer an intramuscular injection into the ventrogluteal muscle.The nursing instructor should question which action by the student?

While checking the patient's intravenous (IV)site,the nurse notices that the site is cool,pale,and swollen.She immediately stops the IV infusion,realizing that these are signs indicating _____________.