NUR1023C Exam 3 Review Guide – Questions With
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Terms in this set (126)
Medication Errors The nurse's priorities are to determine the effects on
the pt and intervene to offset any adverse effects of
the error. Actions include immediate and ongoing
assessment, notification of the prescribing health
care provider, initiation of interventions as prescribed
to offset any adverse effects, and documentation
related to the event. As soon as the pt is assessed
and stable, the error should be reported.
Syringe and Needle Sizes/Choices The 3 common types of syringes are standard,
tuberculin, and insulin.
Needle Gauge The needle diameter, common ranges are between
18 to 30. The lower the number the bigger the
diameter of the needle.
Needle Length Varies from 0.25 to 3 inches. Depends on the age,
size of the pt, and the route of administration.
Subcutaneous Syringe: 1-3 ml
Needle: 25-27 gauge, 3/8 to 5/8 inches
Site Selection: Abdomen, lateral aspects of the upper
arm and thigh, scapular area of the back, and upper
ventrodorsal gluteal area
,Intradermal Syringe: 1 ml tuberculin
Needle: 25-27 gauge, 1/4 to 5/8 inch
Site Selection: Inner forearm, upper arm, and across
the scapula
Intramuscular Syringe: Adults-up to 3 ml
Infants-0.5 - 1 ml
Needle: 20-25 gauge, 1-3 inches, for oil based
solutions use 18-20 gauge
Site Selection: Ventrogluteal, vastus lateralis, and
deltoid. To determine depends on the age of the pt.
Infant-vastus lateralis
Children-vastus lateralis or deltoid
Adult-ventrogluteal or deltoid
Intravenous Syringe: Depends on the med amount
Needle: Typically a large gauge, 1 inch needle;
needless blunt-tip cannula or Luer-Lok used with
associated intravenous ports.
Site Selection: Vein
Insulin Syringes 0.5 to 1 ml with preattached needles. 26-31 gauge
and 5/16 to 1/2 inch.
Ventrogluteal Site Palm goes on the greater trochanter of the femur, the
index finger goes toward the anterior superior iliac
spine, and the rest of the hand goes toward the iliac
crest.
Vastus Lateralis Use the greater trochanter and the patella as the
landmarks when finding the injection site.
, Deltoid The landmarks used are the acromion process and
the axillary line. The needle gos in 1 to 2 inches below
the acromion process.
Max Volumes For IM injections, the vastus lateralis and
ventrogluteal sites can hold up to 5 ml, the deltoid
can only hold up to 1 ml.
Intradermal injections can only hold up to 1 ml.
Oral Medication Route Easy and most convenient, absorbed in the stomach
and small intestine, can be in pill, liquid or powder
form. Enteric coated and extended release
medications should never be crushed as the enteric
coated protects the oral and gastric mucosa from
irritating meds and extended release can allow
absorption all at once rather than over a time period.
Sublingual Medication Route Allows for rapid absorption, is placed under the
tongue and allowed to dissolve.
Buccal Medication Route Allows for rapid absorption, is placed in the side of
the mouth against the inner cheek.
Topical Medication Route Placed on the skin surface, mucous membranes, or in
body cavities, are applied directly to the skin for a
local effect. Skin must be clean before applied.
Transdermal Medication Route Designed to be absorbed through the skin for
systemic effect, usually in a patch form. Skin must be
cleansed before application. Old patch must be
taken off before a new patch is administered.
Opthalmic Medication Route Eyedrops and ointments, they are used for irritation,
infections, diagnostic procedures, or to anesthetize
the eye for procedures. Due to cross contamination,
each pt should have their own individual bottle.
Verified Solutions
Save
Terms in this set (126)
Medication Errors The nurse's priorities are to determine the effects on
the pt and intervene to offset any adverse effects of
the error. Actions include immediate and ongoing
assessment, notification of the prescribing health
care provider, initiation of interventions as prescribed
to offset any adverse effects, and documentation
related to the event. As soon as the pt is assessed
and stable, the error should be reported.
Syringe and Needle Sizes/Choices The 3 common types of syringes are standard,
tuberculin, and insulin.
Needle Gauge The needle diameter, common ranges are between
18 to 30. The lower the number the bigger the
diameter of the needle.
Needle Length Varies from 0.25 to 3 inches. Depends on the age,
size of the pt, and the route of administration.
Subcutaneous Syringe: 1-3 ml
Needle: 25-27 gauge, 3/8 to 5/8 inches
Site Selection: Abdomen, lateral aspects of the upper
arm and thigh, scapular area of the back, and upper
ventrodorsal gluteal area
,Intradermal Syringe: 1 ml tuberculin
Needle: 25-27 gauge, 1/4 to 5/8 inch
Site Selection: Inner forearm, upper arm, and across
the scapula
Intramuscular Syringe: Adults-up to 3 ml
Infants-0.5 - 1 ml
Needle: 20-25 gauge, 1-3 inches, for oil based
solutions use 18-20 gauge
Site Selection: Ventrogluteal, vastus lateralis, and
deltoid. To determine depends on the age of the pt.
Infant-vastus lateralis
Children-vastus lateralis or deltoid
Adult-ventrogluteal or deltoid
Intravenous Syringe: Depends on the med amount
Needle: Typically a large gauge, 1 inch needle;
needless blunt-tip cannula or Luer-Lok used with
associated intravenous ports.
Site Selection: Vein
Insulin Syringes 0.5 to 1 ml with preattached needles. 26-31 gauge
and 5/16 to 1/2 inch.
Ventrogluteal Site Palm goes on the greater trochanter of the femur, the
index finger goes toward the anterior superior iliac
spine, and the rest of the hand goes toward the iliac
crest.
Vastus Lateralis Use the greater trochanter and the patella as the
landmarks when finding the injection site.
, Deltoid The landmarks used are the acromion process and
the axillary line. The needle gos in 1 to 2 inches below
the acromion process.
Max Volumes For IM injections, the vastus lateralis and
ventrogluteal sites can hold up to 5 ml, the deltoid
can only hold up to 1 ml.
Intradermal injections can only hold up to 1 ml.
Oral Medication Route Easy and most convenient, absorbed in the stomach
and small intestine, can be in pill, liquid or powder
form. Enteric coated and extended release
medications should never be crushed as the enteric
coated protects the oral and gastric mucosa from
irritating meds and extended release can allow
absorption all at once rather than over a time period.
Sublingual Medication Route Allows for rapid absorption, is placed under the
tongue and allowed to dissolve.
Buccal Medication Route Allows for rapid absorption, is placed in the side of
the mouth against the inner cheek.
Topical Medication Route Placed on the skin surface, mucous membranes, or in
body cavities, are applied directly to the skin for a
local effect. Skin must be clean before applied.
Transdermal Medication Route Designed to be absorbed through the skin for
systemic effect, usually in a patch form. Skin must be
cleansed before application. Old patch must be
taken off before a new patch is administered.
Opthalmic Medication Route Eyedrops and ointments, they are used for irritation,
infections, diagnostic procedures, or to anesthetize
the eye for procedures. Due to cross contamination,
each pt should have their own individual bottle.
