Chapter 35. Administering Intradermal, Subcutaneous, and Intramuscular Injections

1. When reconstituting a medication from a powder, the nurse will: (Select all that apply.) a. confirm the type of diluent required. b. use only a 23-gauge needle to inject a reconstituted medication. c. thoroughly mix solute with diluent. d. roll the solute between hands to warm powder. e. label the medication as to the amount of medication per volume after dilution. ANS: A, C, E After confirming the type of diluent required, the solute must be mixed thoroughly with the recommended diluent, then labeled as to the amount of medication per volume after dilution. DIF: Cognitive Level: Application REF: p. 681 OBJ: Clinical Practice #4 TOP: Mixing Medications from Powder KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity: Pharmacological Therapies COMPLETION 1. The IM injection site recommended for infants under 12 months of age is the . ANS: vastus lateralis The vastus lateralis muscle is the site of choice for infants under 12 months for IM injections. DIF: Cognitive Level: Knowledge REF: p. 693|Skill 35-3 OBJ: Theory #2 TOP: Medication Administration - Intramuscular KEY: Nursing Process Step: N/A MSC: NCLEX: N/A ORDERING S - The Marketplace to Buy and Sell your Study Material 1. You are preparing to mix short-acting and long-acting insulin. Prioritize these steps accordingly. (Separate letters with a comma and space as follows: A, B, C, D, E, F.) a. Withdraw prescribed amount of short-acting insulin. b. Inject air into short-acting insulin. c. Check medications with eMAR and MAR using three medication checks. d. Choose and prepare site before injection. e. Withdraw prescribed amount of long-acting insulin. f. Inject air into long-acting insulin. ANS: C, F, B, A, E, D These are the proper steps to take when mixing short- and long-acting insulin in one syringe. DIF: Cognitive Level: Analysis REF: p. 682|Skill 35-2 OBJ: Clinical Practice #5 TOP: Mixing Short- and Long-Acting Insulin in One Syringe KEY: Nursing Process Step: Implementation MSC: NCLEX: Pharmacological Therapies