Chapter 35: Administering Intradermal, Subcutaneous, and Intramuscular Injections

Chapter 35: Administering Intradermal, Subcutaneous, and Intramuscular Injections

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. When the 8-year-old child complains that he does not want to have a “shot,” the nurse explains that the use of a parenteral route:

ANS:   B

The parenteral route will hasten the action of the medication. Although the equipment is better, there is still some pain involved in a parenteral application. The parenteral method is not always the best way to administer a medication.

DIF:    Cognitive Level: Application             REF:    p. 674              OBJ:    Theory #2

TOP:    Medication Administration: Parenteral

KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity: Pharmacological Therapies

2. To ensure the proper administration of a tuberculin test, the nurse will:

ANS:   D

An intradermal injection should be done using a 1 mL syringe with a 25, 27, or 29 gauge needle that is 5/8 inch long. The needle is inserted at a 15 degree angle, and medication is injected slowly to form a bump or a bleb underneath the skin.

DIF:    Cognitive Level: Application             REF:    p. 675              OBJ:    Theory #1

TOP:    Medication Administration: Intradermal

KEY:   Nursing Process Step: Planning

MSC:   NCLEX: Pharmacological Integrity: Pharmacological Therapies

3. The best angle to insert the needle when administering a subcutaneous injection is at an angle of:

ANS:   A

The needle is inserted at a 45- or 90-degree angle depending on the needle length and the size of the patient.

DIF:    Cognitive Level: Comprehension      REF:    p. 675              OBJ:    Theory #1

TOP:    Medication Administration: Subcutaneous

KEY:   Nursing Process Step: Planning

MSC:   NCLEX: Pharmacological Integrity: Pharmacological Therapies

4. The nurse computes the dose of medication as 2.4 million units of penicillin to be delivered in 4 mL. The nurse should:

ANS:   C

The maximum number of milliliters that can be injected into the ventrogluteal muscle is 3 mL. If the person has small muscle mass, or if the dose exceeds 3 mL, the dose should be divided into two doses.

DIF:    Cognitive Level: Analysis                  REF:    p. 690              OBJ:    Theory #1

TOP:    Intramuscular Medication Administration

KEY:   Nursing Process Step: Planning

MSC:   NCLEX: Pharmacological Integrity: Pharmacological Therapies

5. The nurse understands that the only part of the syringe that can be touched and not contaminated is the:

ANS:   B

The needle, inside of the barrel, sides of the plunger, and tip of the syringe must be kept sterile.

DIF:    Cognitive Level: Knowledge             REF:    p. 676

OBJ:    Clinical Practice #2                            TOP:    Injection Equipment

KEY:   Nursing Process Step: Planning

MSC:   NCLEX: Safe, Effective Care Environment: Safety and Infection Control