Chapter 09: Photo Atlas of Drug Administration

Chapter 09: Photo Atlas of Drug Administration

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

4. When administering medication by IV bolus (push), the nurse will occlude the IV line by which method?

a.	Not pinching the IV tubing at all
b.	Pinching the tubing just above the injection port
c.	Pinching the tubing just below the injection port
d.	Pinching the tubing just above the drip chamber of the infusion set

 

 

ANS:  B

Before a medication is injected by IV push, the IV line is occluded by pinching the tubing just above the injection port. The other locations are incorrect.

 

DIF:    COGNITIVE LEVEL: Understanding (Comprehension)    REF:   p. 128

TOP:   NURSING PROCESS: Implementation

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

 

5. The nurse has an order to administer an intramuscular (IM) immunization to a 2-month-old child. Which site is considered the best choice for this injection?

a.	Deltoid
b.	Dorsogluteal
c.	Ventrogluteal
d.	Vastus lateralis

 

 

ANS:  D

The vastus lateralis is the preferred site of injection of drugs such as immunizations for infants. The other sites are not appropriate for infants. The ventrogluteal site is the preferred site for adults and children. The deltoid site is used only for the administration of immunizations to toddlers, older children, and adults (not infants) and only for small volumes of medication. The dorsogluteal site is no longer recommended because of the possibility of nerve injury.

 

DIF:    COGNITIVE LEVEL: Understanding (Comprehension)    REF:   p. 122

TOP:   NURSING PROCESS: Implementation

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

 

6. The nurse needs to administer insulin subcutaneously to an obese patient. Which is the proper technique for this injection?

a.	Using the Z-track method
b.	Inserting the needle at a 5- to 15-degree angle until resistance is felt
c.	Pinching the skin at the injection site, and then inserting the needle to below the tissue fold at a 90-degree angle
d.	Spreading the skin tightly over the injection site, inserting the needle, and then releasing the skin

 

 

ANS:  C

The proper technique for a subcutaneous injection for an obese patient is to pinch the skin at the site and inject the needle to below the skin fold at a 90-degree angle.

 

DIF:    COGNITIVE LEVEL: Applying (Application)                  REF:   p. 116

TOP:   NURSING PROCESS: Implementation

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

 

7. The nurse will plan to use the Z-track method of intramuscular (IM) injections for which situation?

a.	The medication is known to be irritating to tissues.
b.	The patient is emaciated and has very little muscle mass.
c.	The medication must be absorbed quickly into the tissues.
d.	The patient is obese and has a deep fat layer below the muscle mass.

 

 

ANS:  A

The Z-track method is used for medications known to irritate tissues or for medications that are painful or cause stains to the tissues. It also prevents the deposit of medication into more sensitive subcutaneous tissues. The other options are not appropriate situations for the Z-track method.

 

DIF:    COGNITIVE LEVEL: Understanding (Comprehension)    REF:   p. 120

TOP:   NURSING PROCESS: Planning

MSC:  NCLEX: Physiological Integrity: Reduction of Risk Potential