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1. 2. A nurse is preparing to ad- c. "The last shot like that turned my skin colors."
minister an injection to a pa-
tient. Which statement made by The z-track is indicated when the medication being adminis-
the patient is an indication for tered has the potential to irritate sensitive tissues. It is recom-
the nurse to use the Z-track mended that, when administering the IM injection, the z-track
method? method be used to minimize local skin irritation by sealing
a. "I am allergic to many med- the medication in muscle tissue.
ications."
b. "I'm really afraid that a big
needle will hurt."
c. "The last shot like that turned
my skin colors."
d. "My legs are too obese for
the needle to go through."
2. Z-track method used to minimize local skin irritation by sealing the medica-
tion in muscle tissue
pull overlying sking and sub Q tissue laterally to the side 1
-1.5 inches, inject the needle into the muscle leaving in for
10 seconds after injection, then release the skin.
3. Ear drop guidelines: Pt needs to remain lying for 2-3 mins.
Children up to 3: pull auricle
down and back - solution for 1cm or 1/2 inch above opening of ear canal
3+ to adults: auricle upward and
outward
4.
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A patient has ordered to receive Tuberculin syringe
a 0.3 mL of U-500 Insulin. Which
syringe will the nurse obtain to - Because there is no syringe currently designed to prepare
administer the medication? U-500 insulin, many medication errors result from this kind
of insulin.
To prevent erros, ensure that the order for U-500 specifies
units and volumte. and use a tuberculin syringe to draw up
the doses. A 3 mL and u-100 can result in inaccurate dosages.
Needles syringe not okay
5. U-500 insulin Concentrated regular insulin for use in patients who require
high doses due to extreme resistance
6. Trough levels - generally drawn 30 minutes before the drug is adminis-
tered.
If the drug time is 0900, you draw the trough at 0830
7. side effect of vancomycin nephrotox, ototox, red man synd (histamin release, not an
allergy!)
-OTOTOXICIY - hearing. It doesn't affect vision, heart tones or
bowel sounds
8. The nurse is preparing to ad- 25 gauge x 1 inch
minister an injection into the
deltoid muscle of an adult pa-
tient. Which needle size and
length will the nurse choose?
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9. Needle gauge for IM 18-25?
10. Needle gauge for intradermal 25-27
11. Needle gauge for SQ 25-30
12. Needle length for IM 1 to 1 1/2 inches
13. Needle length for SQ 3/8-5/8
14. Needle length for intradermal 3/8-5/8 inch
15. What is the rationale for needle Ensure proper placement of needle. You want to ensure the
aspiration? needle is in the muscle and not in the vascular system.
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