Basic Pharmacology for Nurses 17th Ed by Clayton - Willihnganz
Basic Pharmacology for Nurses 17th Ed by Clayton - Willihnganz
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Chapter 09: Parenteral Administration: Safe Preparation of Parenteral Medications
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | Plunger |
| b. | Tip |
| c. | Luer Lok |
| d. | Barrel |
ANS: D
The barrel contains the calibrations necessary for measurement. The plunger, the tip, and the Luer Lok do not have the calibrations indicated on them.
DIF: Cognitive Level: Knowledge REF: Page 116 OBJ: 1
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Safe, Effective Care Environment
NOT: CONCEPT(S): Clinical Judgment; Safety
| a. | 18-gauge, 1 inch needle |
| b. | 20-gauge, inch needle |
| c. | 27-gauge, 1 inch needle |
| d. | 25-gauge, inch needle |
ANS: C
The most appropriate needle gauge for pediatric IM injections is a 25- or 27-gauge, 1 inch needle. An 18-gauge, 1 inch needle is too short and too large in diameter for pediatric injections. A 20-gauge, inch needle is too short and too large in diameter for pediatric injections. A 25-gauge, inch needle is too short for pediatric IM injections.
DIF: Cognitive Level: Application REF: Page 119 OBJ: 2
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity
NOT: CONCEPT(S): Clinical Judgment; Safety; Development
| a. | A syringe calibrated in minims |
| b. | A syringe calibrated in units |
| c. | A syringe calibrated in tenths of mL |
| d. | A syringe calibrated in mL |
ANS: B
A syringe calibrated in units is used for insulin. A tuberculin syringe is not properly calibrated for use with insulin. A syringe calibrated in mL or in tenths of mL would not be an accurate way to measure insulin doses.
DIF: Cognitive Level: Comprehension REF: Page 117 OBJ: 2 | 4
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity
NOT: CONCEPT(S): Clinical Judgment; Safety
| a. | Consider the rim of the ampule as sterile. |
| b. | Use a filter needle to withdraw the medication. |
| c. | Wrap a paper towel around the neck of the ampule before breaking it. |
| d. | Inject 0.5 mL of air into the ampule before withdrawing the medication. |
ANS: B
Filtered needles are used to withdraw the medication and then changed before administration of the injection. The rim of the ampule is considered to be contaminated because of the possible presence of broken glass. Paper towels do not protect the nurse from broken glass. The ampule is not airtight, so no air needs to be injected into it before removing the medication.
DIF: Cognitive Level: Application REF: Page 125 OBJ: 6
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity
NOT: CONCEPT(S): Clinical Judgment; Safety
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