Chapter 22, Parenteral Medications Video Solutions, Clinical Nursing Skills and Techniques

Problem 1

The nurse needs to reconstitute a medication for an intramuscular injection. Which action would indicate that the procedure was completed correctly?
1 The nurse shakes the vial after the fluid is injected into it to mix it completely.
2 The nurse determines the amount of prepared medication and concentration needed before adding the appropriate diluent.
3 The powder is injected slowly into the vial of diluent.
4 The nurse evaluates the concentration after the diluent and powder are mixed.

Rupsa Sarkar

Numerade Educator

01:13

Problem 2

The nurse is mixing two medications in one syringe. One medication is in a vial, and the other is in an ampule. Which sequence of preparation is correct?
1 The nurse withdraws the medication from the vial first.
2 The nurse prepares the medication from the ampule first.
3 The nurse draws all the medication out of both the ampule and the vial.
4 The nurse inserts air into the ampule first.

John Nicolle

Numerade Educator

03:05

Problem 3

An average-size 30 -year-old woman is to have an intramuscular injection in the ventrogluteal site. Which needle is appropriate for administering the aqueous-based medication?
126 gauge, $5 / 8$ inch
2 20 gauge, $11 / 2$ inch
3 25 gauge, 1 inch
4 22 gauge, $11 / 2$ inch

Prabhu Ramji

Numerade Educator

02:34

Problem 4

Before administration of an intravenous (IV) push medication, the nurse notes that the patient's $\mathrm{IV}$ site is cool, pale, and swollen. The nurse should take which action?
1 Stop the current IV infusion and change it to another site
2 Slow the rate of the IV infusion
3 Flush the IV line with a normal saline flush
4 Take off the IV dressing and place a new one on that is not as tight

Guilherme Barros

Numerade Educator

01:05

Problem 5

Which action is the most important for the nurse to implement before giving an intravenous (IV) push medication?
1 Diluting the medication to minimize vein irritation
2 Stopping the primary (maintenance) fluid infusion
3 Assessing the IV insertion site
4 Ensuring that the correct filter needle is used to withdraw the medication from the vial

Simran Hiranandani

Numerade Educator

03:01

Problem 6

Which of the following assessment findings indicates a positive tuberculin reaction in a patient with no known risk factors for tuberculosis?
1 A large area of redness and swelling at the injection site
2 An induration of $18 \mathrm{~mm}$
3 Frequent, productive cough accompanied by a fever
4 Sudden onset of shortness of breath and wheezing

Danielle Ashley

Numerade Educator

01:34

Problem 7

Which of the following symptoms may indicate that a patient has sustained an injury to a nerve after an intramuscular (IM) injection?
1 Pain, numbness, and tingling at the injection site 2 hours after the injection
2 Pain experienced during the injection
3 Urticaria, eczema, wheezing, and dyspnea
4 Nausea, vomiting, and diarrhea

Jennifer Stoner

Numerade Educator

03:05

Problem 8

Match the needle size to use when administering an injection in each situation listed.
1 25-gauge, $5 / 8$ - to 1 -inch
2 22-gauge, $11 / 2$ -inch
3 27-gauge, $5 / 8$ -inch
a Intradermal Mantoux test
b Children older than 1 year
c Average-size female receiving intramuscular injection

Prabhu Ramji

Numerade Educator

01:04

Problem 9

A patient with diabetes is experiencing low blood glucose levels. The nurse teaches the patient to use which of the following when he or she experiences low blood glucose.
1 Drink 4 ounces of sugar-free juice
2 Eat several saltine crackers with peanut butter
3 Eat one or two hard candies
4 Drink at least 4 ounces of fruit juice

Joanna Quigley

Numerade Educator

00:53

Problem 10

______________, ______________, and _____________ are symptoms of an anaphylactic reaction.

Courtney Burson

Numerade Educator