NR 224 FUNDAMENTALS QUESTIONS AND ANSWERS/ A+ GRADE
What needle length is for a Subcutaneous (SubQ) injection technique?
⅜-⅝
What are some locations that are acceptable injections site for subcutaneous
(SubQ) medication administration?
- Posterior aspect of the upper arms
- Below the costal margins to iliac crest
- abdomen
- Anterior aspects of the thighs
- Scapular areas of upper back
- Upper ventral or dorsal Gluteal areas
What angle is an appropriate angle for a subcutaneous (SubQ) injection?
- between 45-90 degree
What needle length is acceptable for an Intramuscular (IM) injection?
- 1- 1 ½ inch
What is techniques are utilizing in a intramuscular (IM) injection?
- Z Track method
What does the Z-track method entail?
- Pulling overlying skin 2-3 cm laterally or downward
What are some things an RN should do while utilizing a Z track method for IM
injections?
- make sure blood does not come back into the needle (Aspirate)
What is an exception of looking for Aspirate in IM injections?
- when giving a vaccine
What are some locations for IM injection sites?
- Ventrogluteal
-Vastus Lateralis
- Deltoid
What angle should an Intramuscular (IM) injection be given at?
- 90 degree angle
What type of injection only penetrates the top layers of the skin?
- intradermal
What is the typical needle length of an intradermal needle?
-½-⅝
What technique should a RN utilize to administer a intradermal injection?
- Needle level up
- bled will appear if administered to correct depth
What should an RN remember post intradermal medication administration
- Do not massage the injection site after administration
Where are some locations that can be utilized for intradermal injection sites?
- Inner forearm
- Upper back
What is a transdermal patch?
A patch with an adhesive backing which contains a drug, that is applied to the skin.
, How does drugs enter circulation with a transdermal patch?
- The drug enters the circulation after being absorbed through the skin.
How long can a transdermal patch be placed on a patient?
- 12 hours to 7 days
What are some things that should be noted regarding transdermal patches during
the medication history?
- Ask about transdermal patch utilization
What should you include in your documentation when it comes to transdermal
patches?
- Location of new patch
- Removal of the old patch
If a patch is difficult to see, what should a RN do?
- Label the patch
What are some side effects of leaving a patch on for too long?
- Respiratory depression
- Coma
- Death
Where is a sublingual medication placed?
- under the tongue to dissolve
What are important instructions an RN should give during sublingual medication
administration?
Instruct the patient to do the following:
- Do not swallow
- Do not drink anything
When can a patient resume swallowing / drinking items in a sublingual
medication administration?
- after the medication has completely dissolved under the tongue
What are Ophthalmic drops used for?
- administering medications via the eyes
What are some aspects an RN should avoid while utilizing Ophthalmic drops for
medication administration?
- Avoid instilling any form eye meds directly onto the corneas
- Avoid touching eyelids or other eye structures w/ eye dropper or ointment tubes
What are some aspects an RN should remember when utilizing Ophthalmic
drops?
- Never allow a patient to utilize another patient's eye drops
- use eye medication only for the impacted eye
What are some education topics an RN can educate clients on?
- purpose of medications
- dosage of medications
- side effects of medications
- possible adverse reactions of meds
What are some questions you can ask a patient to determine their level of
understanding regarding medications administration?
- When do you take meds?
- How do you take your meds?
What needle length is for a Subcutaneous (SubQ) injection technique?
⅜-⅝
What are some locations that are acceptable injections site for subcutaneous
(SubQ) medication administration?
- Posterior aspect of the upper arms
- Below the costal margins to iliac crest
- abdomen
- Anterior aspects of the thighs
- Scapular areas of upper back
- Upper ventral or dorsal Gluteal areas
What angle is an appropriate angle for a subcutaneous (SubQ) injection?
- between 45-90 degree
What needle length is acceptable for an Intramuscular (IM) injection?
- 1- 1 ½ inch
What is techniques are utilizing in a intramuscular (IM) injection?
- Z Track method
What does the Z-track method entail?
- Pulling overlying skin 2-3 cm laterally or downward
What are some things an RN should do while utilizing a Z track method for IM
injections?
- make sure blood does not come back into the needle (Aspirate)
What is an exception of looking for Aspirate in IM injections?
- when giving a vaccine
What are some locations for IM injection sites?
- Ventrogluteal
-Vastus Lateralis
- Deltoid
What angle should an Intramuscular (IM) injection be given at?
- 90 degree angle
What type of injection only penetrates the top layers of the skin?
- intradermal
What is the typical needle length of an intradermal needle?
-½-⅝
What technique should a RN utilize to administer a intradermal injection?
- Needle level up
- bled will appear if administered to correct depth
What should an RN remember post intradermal medication administration
- Do not massage the injection site after administration
Where are some locations that can be utilized for intradermal injection sites?
- Inner forearm
- Upper back
What is a transdermal patch?
A patch with an adhesive backing which contains a drug, that is applied to the skin.
, How does drugs enter circulation with a transdermal patch?
- The drug enters the circulation after being absorbed through the skin.
How long can a transdermal patch be placed on a patient?
- 12 hours to 7 days
What are some things that should be noted regarding transdermal patches during
the medication history?
- Ask about transdermal patch utilization
What should you include in your documentation when it comes to transdermal
patches?
- Location of new patch
- Removal of the old patch
If a patch is difficult to see, what should a RN do?
- Label the patch
What are some side effects of leaving a patch on for too long?
- Respiratory depression
- Coma
- Death
Where is a sublingual medication placed?
- under the tongue to dissolve
What are important instructions an RN should give during sublingual medication
administration?
Instruct the patient to do the following:
- Do not swallow
- Do not drink anything
When can a patient resume swallowing / drinking items in a sublingual
medication administration?
- after the medication has completely dissolved under the tongue
What are Ophthalmic drops used for?
- administering medications via the eyes
What are some aspects an RN should avoid while utilizing Ophthalmic drops for
medication administration?
- Avoid instilling any form eye meds directly onto the corneas
- Avoid touching eyelids or other eye structures w/ eye dropper or ointment tubes
What are some aspects an RN should remember when utilizing Ophthalmic
drops?
- Never allow a patient to utilize another patient's eye drops
- use eye medication only for the impacted eye
What are some education topics an RN can educate clients on?
- purpose of medications
- dosage of medications
- side effects of medications
- possible adverse reactions of meds
What are some questions you can ask a patient to determine their level of
understanding regarding medications administration?
- When do you take meds?
- How do you take your meds?
