Fundamental Nursing Skills and Concept 10th Edition Timby
Fundamental Nursing Skills and Concept 10th Edition Timby
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Chapter 34- Parenteral Medications
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | A nurse needs to combine two different prescribed drugs in a syringe and then administer them to a client. Which of the following precautions should the nurse take when preparing and administering these drugs? | |
| A) | Withdraw exact amounts of each drug from each container. | |
| B) | Inject half of the final contents of the syringe into one site and the second half into a different site. | |
| C) | Shake the syringe for at least 30 seconds after drawing up each drug. | |
| D) | Expel both the drugs separately into a third container before drawing them up for administration. | |
| Ans: | A | |
| Feedback: | ||
| When combining more than one drug in a single syringe, the nurse should take exact amounts from each drug container because once the drugs are in the barrel of the syringe, there is no way to expel one without expelling the other. It is unnecessary to shake the syringe for 30 seconds or to use two injection sites. The two drugs would not be combining in a third, separate container before being drawn up. | ||
| 2. | A nurse is showing an elderly client the correct method of self-administering an insulin injection at home using an insulin pen. Which of the following points should the nurse tell the client in order to avoid lipoatrophy and lipohypertrophy? | |
| A) | Change the needle daily. | |
| B) | Rotate the site with each injection. | |
| C) | Apply local anesthetic to the injection site a few minutes prior to injection. | |
| D) | Massage the injection site for 30 seconds after administration. | |
| Ans: | B | |
| Feedback: | ||
| The nurse should tell the client to rotate the injection site each time an insulin injection is administered to prevent lipoatrophy and lipohypertrophy. The needle should be changed after each injection, not only once per day. Local anesthetic need not be applied to the injection site when administering insulin as the needle used causes very little discomfort. There is also no need to massage the injection site when insulin is administered. | ||
| 3. | A nurse should read the instructions stated on a vial before reconstituting it and administering it to a client. Which of the following instructions are stated on the label of a vial? | |
| A) | Type of needle to be used for withdrawal | |
| B) | Directions for administering the drug | |
| C) | Best site for administering the drug | |
| D) | Amount of diluent to be added | |
| Ans: | D | |
| Feedback: | ||
| When reconstitution is necessary, the drug label lists instructions such as the amount of diluent to be added and the type of diluent to be used, but not the type of needle. The label states the dosage per volume after reconstitution, not the best site for administering the drug after the reconstitution. It also states the directions for storing the drug, not the directions for administering the drug to a client. | ||
| 4. | A nurse is administering an injection to a client with the needle at a 15-degree angle. Which of the following injections can be administered at this angle? | |
| A) | Intradermal | |
| B) | Subcutaneous | |
| C) | Intramuscular | |
| D) | Intravenous | |
| Ans: | A | |
| Feedback: | ||
| When giving an intradermal injection, the nurse instills the medication shallowly at a 10- to 15-degree angle of entry. When the nurse administers a subcutaneous injection, the angle of entry is either 45 degrees or 90 degrees, whereas for intramuscular injections the angle is 90 degrees. | ||
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