Chapter 17 Skills in Clinical Nursing 8th Edition by Audrey J. Berman- Shirlee Snyder

Chapter 17 Skills in Clinical Nursing 8th Edition by Audrey J. Berman- Shirlee Snyder

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE.  Choose the one alternative that best completes the statement or answers the question.

• When administering an intradermal medication, the nurse anticipates the formation of a ________ 1) to indicate the medication was injected at the proper

1. A) Diluent B) Wheel C) Wheal                         D) Blister

Answer: C

Explanation: A) A wheal, or small raised area, forms when an intradermal medication is injected at the proper depth. A diluent is the solution used to mix powdered medication into an injectable form. Wheel is a misspelling of the word wheal. The wheal resembles a blister, but this would be incorrect terminology.

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Evaluation

1. A wheal, or small raised area, forms when an intradermal medication is injected at the proper A diluent is the solution used to mix powdered medication into an injectable form. Wheel is a misspelling of the word wheal. The wheal resembles a blister, but this would be incorrect terminology.

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Evaluation

1. A wheal, or small raised area, forms when an intradermal medication is injected at the proper A diluent is the solution used to mix powdered medication into an injectable form. Wheel is a misspelling of the word wheal. The wheal resembles a blister, but this would be incorrect terminology.

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Evaluation

1. A wheal, or small raised area, forms when an intradermal medication is injected at the proper A diluent is the solution used to mix powdered medication into an injectable form. Wheel is a misspelling of the word wheal. The wheal resembles a blister, but this would be incorrect terminology.

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Evaluation

Objective: Learning Outcome 17-1: Define the key terms used in the skills of administering parenteral

medications.

 

• When administering parenteral medications, the nurse considers the viscosity of the fluid when 2) determining:

1. A) The length of the needle B) The size of the syringe required.
2. C) The size of the bevel D) The gauge of the needle required.

Answer: D

Explanation: A)      The viscosity of the fluid is the thickness of the fluid. The thicker the fluid, the larger the bore of the needle required. The larger the bore of the needle, the smaller the gauge required. Viscous fluid might require a 20 gauge needle, while thinner, more watery fluid might require only a 22 gauge needle when giving an intramuscular injection. Length of the needle is not impacted by the viscosity of the fluid but by the route of administration. The size of the syringe is determined by the volume of fluid to administer. While the bevel might increase as the gauge decreases, the size of the bevel is dependent on the gauge chosen. The gauge is not determined by the size of the bevel.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Planning

1. The viscosity of the fluid is the thickness of the The thicker the fluid, the larger the bore of the needle required. The larger the bore of the needle, the smaller the gauge required. Viscous fluid might require a 20 gauge needle, while thinner, more watery fluid might require only a 22 gauge needle when giving an intramuscular injection. Length of the needle is not impacted by the viscosity of the fluid but by the route of administration. The size of the syringe is determined by the volume of fluid to administer. While the bevel might increase as the gauge decreases, the size of the bevel is dependent on the gauge chosen. The gauge is not determined by the size of the bevel.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Planning

1. The viscosity of the fluid is the thickness of the The thicker the fluid, the larger the bore of the needle required. The larger the bore of the needle, the smaller the gauge required. Viscous fluid might require a 20 gauge needle, while thinner, more watery fluid might require only a 22 gauge needle when giving an intramuscular injection. Length of the needle is not impacted by the viscosity of the fluid but by the route of administration. The size of the syringe is determined by the volume of fluid to administer. While the bevel might increase as the gauge decreases, the size of the bevel is dependent on the gauge chosen. The gauge is not determined by the size of the bevel.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Planning

1. The viscosity of the fluid is the thickness of the The thicker the fluid, the larger the bore of the needle required. The larger the bore of the needle, the smaller the gauge required. Viscous fluid might require a 20 gauge needle, while thinner, more watery fluid might require only a 22 gauge needle when giving an intramuscular injection. Length of the needle is not impacted by the viscosity of the fluid but by the route of administration. The size of the syringe is determined by the volume of fluid to administer. While the bevel might increase as the gauge decreases, the size of the bevel is dependent on the gauge chosen. The gauge is not determined by the size of the bevel.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Planning

Objective: Learning Outcome 17-1: Define the key terms used in the skills of administering parenteral

medications.

• The nurse is using a syringe that requires the needle to be screwed into the hub, reducing the risk of 3) the needle or tubing separating from the This type of syringe is described as a:

1. A) Smooth graduated-tip B) Irrigation syringe.
2. C) Luer-Lok D) Safety needle.

Answer: C

Explanation: A)      A syringe requiring the needle to be twisted onto the hub is called a Luer-Lok syringe. A smooth graduated tip, called a non-Luer-Lok syringe, allows the needle to be slid over the tip but does not lock in place. An irrigation syringe is generally a 50 mL or larger syringe used for irrigating. A safety needle is a needle that reduces the risk of injury to the nurse.

Cognitive Level: Knowledge

Client Need: Safe, Effective Care Environment

Nursing Process: Planning

1. A syringe requiring the needle to be twisted onto the hub is called a Luer-Lok A smooth graduated tip, called a non-Luer-Lok syringe, allows the needle to be slid over the tip but does not lock in place. An irrigation syringe is generally a 50 mL or larger syringe used for irrigating. A safety needle is a needle that reduces the risk of injury to the nurse.

Cognitive Level: Knowledge

Client Need: Safe, Effective Care Environment

Nursing Process: Planning

1. A syringe requiring the needle to be twisted onto the hub is called a Luer-Lok A smooth graduated tip, called a non-Luer-Lok syringe, allows the needle to be slid over the tip but does not lock in place. An irrigation syringe is generally a 50 mL or larger syringe used for irrigating. A safety needle is a needle that reduces the risk of injury to the nurse.

Cognitive Level: Knowledge

Client Need: Safe, Effective Care Environment

Nursing Process: Planning

1. A syringe requiring the needle to be twisted onto the hub is called a Luer-Lok A smooth graduated tip, called a non-Luer-Lok syringe, allows the needle to be slid over the tip but does not lock in place. An irrigation syringe is generally a 50 mL or larger syringe used for irrigating. A safety needle is a needle that reduces the risk of injury to the nurse.

Cognitive Level: Knowledge

Client Need: Safe, Effective Care Environment

Nursing Process: Planning

Objective: Learning Outcome 17-1: Define the key terms used in the skills of administering parenteral

medications.

• When handling a syringe, the nurse must maintain sterility of the: (Select all that ) 4)

1. Outside of the
2. Inside of the
3. Outside of the
4. Inside of the
5. Tip of the

Answer: A, B, D, E

Explanation: A) When handling a syringe, the nurse may touch the outside of the barrel and the handle of the plunger. However, in order to maintain sterility, the nurse should never touch any part of the tip, the inside of the barrel, or the shaft and tip of the plunger.

Cognitive Level: Application

Client Need: Safe, Effective Care Environment

Nursing Process: Implementation

1. When handling a syringe, the nurse may touch the outside of the barrel and the handle of the However, in order to maintain sterility, the nurse should never touch any part of the tip, the inside of the barrel, or the shaft and tip of the plunger.

Cognitive Level: Application

Client Need: Safe, Effective Care Environment

Nursing Process: Implementation

1. When handling a syringe, the nurse may touch the outside of the barrel and the handle of the However, in order to maintain sterility, the nurse should never touch any part of the tip, the inside of the barrel, or the shaft and tip of the plunger.

Cognitive Level: Application

Client Need: Safe, Effective Care Environment

Nursing Process: Implementation

1. When handling a syringe, the nurse may touch the outside of the barrel and the handle of the However, in order to maintain sterility, the nurse should never touch any part of the tip, the inside of the barrel, or the shaft and tip of the plunger.

Cognitive Level: Application

Client Need: Safe, Effective Care Environment

Nursing Process: Implementation

1. When handling a syringe, the nurse may touch the outside of the barrel and the handle of the However, in order to maintain sterility, the nurse should never touch any part of the tip, the inside of the barrel, or the shaft and tip of the plunger.

Cognitive Level: Application

Client Need: Safe, Effective Care Environment

Nursing Process: Implementation

Objective: Learning Outcome 17-2: Describe the types of equipment required for parenteral medications:

1. Syringes
2. Needles
3. Ampules
4. Vials