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Exam 37: Administering Intradermal, Subcutaneous, and Intramuscular Injections

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Question 1

Multiple Choice

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As the nurse is giving an intramuscular injection, she notes blood returning into the syringe with aspiration.Which actions should the nurse take? Select all that apply.

A) Withdraw the needle
B) Dispose of the medication-filled syringe
C) Push the needle deeper into the muscle
D) Proceed with the injection
E) Try again with a new dose and needle

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Question 2

Multiple Choice

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The nurse is preparing an intramuscular injection for a client.The presence of which of the following may contraindicate the injection? Select all that apply.

A) Aspirin
B) Acetaminophen
C) Ginseng
D) Calcium
E) Potassium

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Question 3

Multiple Choice

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The student nurse is preparing to provide 25 mg meperidine (Demerol) IM for pain.The Pyxis is loaded with prefilled 50 mg meperidine syringes.The supervising nurse appropriately intervenes if the student nurse:

Under the appropriate supervision of the RN, the LPN/LVN is teaching a 40-year-old client how to self-administer insulin.The client also has impaired vision.Which actions are appropriate for this client? Select all that apply.

The nurse educator is teaching students about the phenomenon of first-pass metabolism.Which of the statements made by the instructor are accurate? Select all that apply.

The nurse is preparing to reconstitute a medication in a multiple-dose vial.The nurse correctly understands that the most essential step in this process is

The nurse is preparing to provide a subcutaneous injection.The nurse's technique would correctly include:

Which safety steps should the nurse take prior to administering a heparin injection? Select all that apply.

The nurse is preparing to provide an intramuscular injection to a newborn client.Which size needle is appropriate for this client?

The nurse recognizes that a 22 g * 1.5-inch needle would be most appropriate for a(n) :

A nurse correctly recognizes that the safest and most comfortable site for an intramuscular (IM) injection in adults is:

The nurse is administering an intradermal injection for tuberculin testing.Unless contraindicated, the nurse will use the client's:

To prevent complications from intramuscular injections, a nurse should do which of the following? Select all that apply.

While injecting insulin into the client, the nurse rotates injection sides around the abdomen.Which is the nurse trying to prevent? Select all that apply.

In which situations would the rectus femoris be used for intramuscular injections? Select all that apply.

The nurse is providing care for a 32-year-old with suspected bowel obstruction who is receiving intramuscular injections of narcotic pain medication.The client states, "I hate shots.Why can't I just take a pill?" The nurse could best respond with:

A nurse correctly recognizes that which of the following types of syringe is calibrated in milliliters?

The nurse is preparing to administer insulin that was drawn up in the medication room.The nurse uses a one-handed scoop method to:

The nurse sees that the health-care provider has ordered a subcutaneous heparin injection for a client.Which actions should the nurse take to administer this medication safely?

A nurse handling a syringe before administering an injection correctly keeps which parts of the syringe sterile?