NCLEX REVIEW FROM TEST BANK QUESTIONS AND
ANSWERS A+ GRADED.
IM meds - - quickly absorbed, 90 degree angle, 19-23 G needle, 1-2" length, average adult:11/2, 22G,
mandatory to aspirate, purpose is to deposit meds into deep muscle for quick absorption
-deltoid muscle - - only used for 1-2 ml of med b/c is smaller muscle
-quickest absorption - - #1 is abdomen, #2 is arm, #3 is buttock
-Insulin - - done sub-q into fatty tissue, measured in Units, draw up air prior and insert into vial
-Regular insulin - - onset:15-30 mins, clear, peak:30-11/2 hr., duration:3-4 hrs., can mix with intermed.&
short
-Humulog - - onset:15-30mins., clear, peak: 30-11/2, duration: 3-4 hrs., mix with intermed., reg, short
-NPH - - onset:1-4hr., cloudy, peak:6-10hrs., duration:10-16, up to 24 hrs., cannot mix!!
-Lantus - - onset:1-2hr., clear, no peak, duration:24 hrs., cannot be combined
-Regular insulin - - only insulin that can be given IV
-rotate injection sites - - to slow formation of scar tissue
-most insulins - - given right befor meals to control blood sugar
-when mixing insulins - - put air into cloudy first, then clear
, -NPH - - has regular insulin in it already
-sliding scale - - always given with short acting insulin such as reg/ humulog
-sub-q injections - - 45-90 degree angle, 25G needle, 1/2-1" length, below dermis/above muscle
-heparin/lovanox - - bruising will occur aroun inj. sites, apply pressure for at least 30 seconds, check for
bleeding gums, stools, sheck V/S for internal bleeding with anticoagulants
-Intradermal injections - - 10 degree angle, 25-27G needle, 5/8-1/2" needle, barely cover bevel under
skin, do not do near a vein, do to the side, used for PPD&allergy testing
-TB testing - - read 48-72 hrs later, inject 0.1 ml, assess for induration(hard bump), measure in mm,
greater than 5 mm is queestionable, 5-10 need CXR, redness indicates localized reaction not a concern,
problem is induration
-bacteriacidal - - able to kill bacteria
-bacteriostatic - - retards bacteria growth
-broad spectrum - - atbs that are effective against many organisms
-catecholamine - - neurotransmitters that play important role in body's stress response
-cathartic - - meds used to treat constipation
-depressant - - slows down mental/physical processes
-narrow spectrum - - atbs that are effective agaist a few mo's
ANSWERS A+ GRADED.
IM meds - - quickly absorbed, 90 degree angle, 19-23 G needle, 1-2" length, average adult:11/2, 22G,
mandatory to aspirate, purpose is to deposit meds into deep muscle for quick absorption
-deltoid muscle - - only used for 1-2 ml of med b/c is smaller muscle
-quickest absorption - - #1 is abdomen, #2 is arm, #3 is buttock
-Insulin - - done sub-q into fatty tissue, measured in Units, draw up air prior and insert into vial
-Regular insulin - - onset:15-30 mins, clear, peak:30-11/2 hr., duration:3-4 hrs., can mix with intermed.&
short
-Humulog - - onset:15-30mins., clear, peak: 30-11/2, duration: 3-4 hrs., mix with intermed., reg, short
-NPH - - onset:1-4hr., cloudy, peak:6-10hrs., duration:10-16, up to 24 hrs., cannot mix!!
-Lantus - - onset:1-2hr., clear, no peak, duration:24 hrs., cannot be combined
-Regular insulin - - only insulin that can be given IV
-rotate injection sites - - to slow formation of scar tissue
-most insulins - - given right befor meals to control blood sugar
-when mixing insulins - - put air into cloudy first, then clear
, -NPH - - has regular insulin in it already
-sliding scale - - always given with short acting insulin such as reg/ humulog
-sub-q injections - - 45-90 degree angle, 25G needle, 1/2-1" length, below dermis/above muscle
-heparin/lovanox - - bruising will occur aroun inj. sites, apply pressure for at least 30 seconds, check for
bleeding gums, stools, sheck V/S for internal bleeding with anticoagulants
-Intradermal injections - - 10 degree angle, 25-27G needle, 5/8-1/2" needle, barely cover bevel under
skin, do not do near a vein, do to the side, used for PPD&allergy testing
-TB testing - - read 48-72 hrs later, inject 0.1 ml, assess for induration(hard bump), measure in mm,
greater than 5 mm is queestionable, 5-10 need CXR, redness indicates localized reaction not a concern,
problem is induration
-bacteriacidal - - able to kill bacteria
-bacteriostatic - - retards bacteria growth
-broad spectrum - - atbs that are effective against many organisms
-catecholamine - - neurotransmitters that play important role in body's stress response
-cathartic - - meds used to treat constipation
-depressant - - slows down mental/physical processes
-narrow spectrum - - atbs that are effective agaist a few mo's
