10545219
Beschreibung
Quiz von Amanda Burton, aktualisiert more than 1 year ago
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Erstellt von Amanda Burton
vor mehr als 6 Jahre
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Frage 1
Frage
These routes require the use of a syringe and needle or a IV catheter to introduce medications into the body tissues or fluids?
Antworten
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Parenteral
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Gastrointestinal
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Subcutaneous
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Rectal
Frage 2
Frage
Parenteral injections are given for the following purposes?
Antworten
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NPO
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To slow down the action of the drug
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When digestive juices would counteract the effects of the drug
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To hasten the action of the drug
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When the patient is combative
Frage 3
Frage
Principles for safe, effective administration of parenteral medications
Antworten
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Know the medication
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Check drug allergies
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Use only sterile needles and syringes
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Use the longest length of needle
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Label the syringe with the patient's name, room number and time
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Ask for help with frightened children or an uncooperative adult
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Use the same site each injection
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Aspirate the plunger to check for blood
Frage 4
Frage
Which route deposits small amounts of drug solution into the dermal layer?
Antworten
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Intradermal
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Subcutaneous
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Intramuscular
Frage 5
Frage
At what degree should you administer the Intradermal injection
Antworten
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5-15 degrees
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45-90 degrees
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90 degrees
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25-30 degrees
Frage 6
Frage
Which route is used for injecting medication into the tissues below the dermal layer of skin?
Antworten
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Intradermal
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Subcutaneous
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Intramuscular
Frage 7
Frage
The subcutaneous route needs to be administered at what degree angle
Antworten
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5-15 degrees
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45-90 degrees
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90 degrees
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25-30 degrees
Frage 8
Frage
Which route is means of injecting medication into the muscular layer
Antworten
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Intramuscular
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Intradermal
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Subcutaneous
Frage 9
Frage
At which angle of an injection would you administer a intramuscular medication
Antworten
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5-15 degrees
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45-90 degrees
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90 degrees
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25-30 degrees
Frage 10
Frage
Which parts of the syringe are to be kept sterile
Antworten
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Needle
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Tip
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Inside of the barrel
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The inside of the plunger
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Hub
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Outside of the barrel
Frage 11
Frage
What is the lumen
Antworten
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The opening or inside of the needle
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The black stopper within the barrel to measure the medication
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The point of the needle
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The part that connects the needle to the tip of the barrel
Frage 12
Frage
The measuring scale of most 3 mL syringes are
Antworten
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Millimeter
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Milligrams
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Units
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Micrograms
Frage 13
Frage
Your giving 52 units of a medication what would syringe would you use
Antworten
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Tuberculin
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3 mL
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Insulin
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60 mL
Frage 14
Frage
Your administering 0.25 mL of a medication which would be the syringe to use
Antworten
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Insulin
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Tuberculin
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3 mL
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10 mL
Frage 15
Frage
Which is a larger gauge needle
Antworten
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18
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22
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25
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29
Frage 16
Frage
Adult IM injections frequently use what gauge needle
Antworten
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22-23
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20-21
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27-28
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29-30
Frage 17
Frage
Your fixing to administer a viscous injection which gauge needle would you use
Antworten
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20-21
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22-23
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27-28
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29-30
Frage 18
Frage
What is the meaning of viscous
Antworten
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Thick, sticky
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Thin
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Muddy
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Bloody
Frage 19
Frage
Your giving a patient who ways 300lbs a intramuscular injection you would use a 28 gauge needle
Antworten
- True
- False
Frage 20
Frage
Your giving an elderly patient who weights 105lbs a intramuscular injection you would use a 27 gauge needle.
Antworten
- True
- False
Frage 21
Frage
If a needle stick accords the first thing you should do is was the puncture wound with soap and water
Antworten
- True
- False
Frage 22
Frage
You should always use the one hand scoop method to recap a needle.
Antworten
- True
- False
Frage 23
Frage
When preparing the syringe for use, you should be certain to observe these principles:
Antworten
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Use aseptic technique while handling the syringe and needle.
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Discard the syringe or needle if it becomes contaminated during drug preparation for administration
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Stab the syringe into the mattress when finished till you can get to the sharps container
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Label the syringe with patients name, the medication, and dose
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Prepare the medication in one syringe then transfer to another one
Frage 24
Frage
You should always break glass ampules how
Antworten
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Towards you with thumbs up
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Towards the patient with thumbs down
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Towards the ground thumbs down
Frage 25
Frage
Glass ampules contain multiple doses and need to be refrigerated after
Antworten
- True
- False
Frage 26
Frage
Before breaking open the ampule what should you do
Antworten
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Lightly tap the medication from the tip
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Break with gloved hands
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Break my placing on edge of counter and lightly taping
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Placing a alcohol swab on the tip
Frage 27
Frage
What type of needle needs to be used to withdraw medication out of an ampule
Antworten
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Filter
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Lurelock
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3mL
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Single use
Frage 28
Frage
A medication vial
Antworten
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Is a small bottle with a rubber stopper attached with a metal band
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Can be a single dose or multiple doses
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Is made up entirely of glass or polyurethane
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Contains powder in the base and solution in the top
Frage 29
Frage
The [blank_start]solute[blank_end] must be thoroughly mixed with the diluent before use.
Antworten
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solute
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powder
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medication
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diluent
Frage 30
Frage
Your mixing two different drugs together, what would be a reaction of incompatibilities?
Antworten
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Color change
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precipitation
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clouding
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clear or see through
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powder dissolved slowly
Frage 31
Frage
What is the first step when withdrawing medications from a vial?
Antworten
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Inject desired amount of air into the vial
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pull back plunger to get desired amount of medication
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tap air bubble out of medication
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wipe with alcohol wipe
Frage 32
Frage
A tuberculin syringe is used at a 5 to 15 degree angle between the layers of skin, to injected solution in the epidermis to form a bleb.
Antworten
- True
- False
Frage 33
Frage
The subcutaneous route is used for a variety of medications including:
Antworten
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insulin
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heparin
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narcotics
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immunizations
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TB
Frage 34
Frage
Improper site selection can result in what
Antworten
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damaged nerves
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abscesses
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necrosis
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stage 3 ulcer
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sloughing of skin
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pain
-
cyanosis
Frage 35
Frage
What is the muscle that is the most common location for IM injections in adults?
Antworten
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mid-deltoid
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ventrogluteal
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rectus femoris
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vastus lateralis
Frage 36
Frage
When giving a IM injection to a child or infant which is the preferred muscle location
Antworten
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vastus lateralis
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rectus femoris
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mid deltoid
-
ventrogluteal
Frage 37
Frage
This method reduces pain caused by the irritating drugs that leak or escape along the track into subcutaneous tissue when the needle is withdrawn.
Antworten
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Z-track
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IM
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ID
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Subq
Frage 38
Frage
Symptoms of anaphylactic shock
Antworten
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Urticaria
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bronchiolar constriction
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bronchiolar dilation
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edema
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circulatory collapse
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dehydration
Frage 39
Frage
When administering a parenteral drug you are to check allergies and to observe the patient for 30 minutes after the drug has been given the first time.
Antworten
- True
- False
Frage 40
Frage
Allergic reactions are more common the first time you take them.
Antworten
- True
- False
Frage 41
Frage
Using the Z track method you should do which of the following
Antworten
-
press the side of the hand down and retract the skin and tissue laterally
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Insert the needle at a 45-90 degree angle
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Aspirate the syringe for blood
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slowly inject the medication in intervals
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Wait 10 seconds before withdrawing the needle
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massage the site in a circular motion
Frage 42
Frage
The patient is prescribed a medication via parenteral route, but asks, "Why can't I just take a pill?" What is the best response?
Antworten
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"A parenteral medication lasts longer than an oral medication."
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"It will save you money if we use the parenteral form."
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"Tablets provide a less accurate dose compared to an injection."
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"Digestive juices will counteract the effects of the drug."
Frage 43
Frage
The nurse is preparing to give an average-size adult patient an IM injection of 3 mL of viscous medication. Which equipment should the nurse use?
Antworten
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A 3 mL syringe with a 25-gauge 1 inch needle
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A 5 mL syringe with a 20 gauge 1.5 inch needle
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A 10 mL syringe with a 25 gauge 1.5 inch needle
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A 3 mL syringe with an 18 gauge 2 inch needle
Frage 44
Frage
During an intramuscular injection, the patient moves as the nurse is withdrawing the needle and the nurse accidentally sustains a needle stick injury. What is the priority?
Antworten
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Check he patient's chart for a diagnosis of HIV or hepatitis.
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Call the infection control nurse and ask for advice.
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Scrub the needle stick site with warm water and soap.
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Report immediately to the ER for treatment.
Frage 45
Frage
The nurse is supervising a nursing student who is trying to withdraw 2 mL of medication from an ampule. The nurse would intervene if the student performed which action?
Antworten
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Wraps the neck of the ampule with an alcohol swab.
-
Draws up 2 mL of air into the syringe to insert in the ampule .
-
Taps the stem of ampule to dislodge medication that is trapped in the stem.
-
Inserts a filter needle into the ampule below the surface of the fluid.
Frage 46
Frage
A patient needs a intradermal injection for a tuberculin skin test, but he currently has bilateral forearm cast in place. What is the best alternative site?
Antworten
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Abdomen
-
Lateral upper arm
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Medial upper thigh
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Antecubital space
Frage 47
Frage
Which nursing diagnosis would be the priority if a patient has a severe anaphylactic reaction to a parenteral medication?
Antworten
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Allergy response, Latex
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Anxiety, death
-
Impaired gas exchange
-
Increased cardiac output
Frage 48
Frage
When the nurse is preparing a parenteral injection, medical asepsis is permissible for handling the:
Antworten
-
Shaft of the plunger
-
needle shaft and tip
-
barrel of the syringe
-
solution in the vial
Frage 49
Frage
The nurse must give an IM injection to an 8-month-old. Which injection site is the best choice for this patient?
Antworten
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Dorsogluteal
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Vastus lateralis
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Deltoid
-
Ventrogluteal
Frage 50
Frage
What are the six rights
Antworten
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Drug
-
Route
-
Dose
-
Time
-
Patient
-
Documentation
-
Doctor
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