Injections Check Off Flashcards
The nurse is preparing to give a medication via IV bolus. When assessing the PTs IV insertion site, the nurse notes that it is warm, reddened, and tender. What action should the nurse take first?
Slow the infusion rate & slowly inject the med
Inject an analgesic to help the tenderness
D/C the IV infusion
Apply something to the site
Discontinue the IV infusion. If the IV has infiltrated, you do not want the medication to continue into surrounding tissue and damage this tissue.
What are the S/S of phlebitis a nurse may recognize when assessing a PTs IV site?
Redness
Warmth
Swelling
Pallor
Redness, Warmth, Swelling, Tenderness/pain, and edema are all signs of phlebitis.
When administering an IVPB, which is incorrect?
Use the port closest to the PT
Have the IVPB higher than the primary IV solution
Complete the 6 rights
Check drug compatibility
Use the port closest to the patient. For IVPB, the secondary medication should be further away and work off gravity. The primary line should be closest to the patient.
The nurse needs to prevent air emboli that may result from IV therapy. How would the nurse do this?
Check for medication compatibility
Prime the tubing completely
Select a larger-gauge needle or catheter
Use a needless system
Prime the tubing completely. By doing this, you are eliminating any air bubbles that may hurt or cause harm to the patient.
Amoxicillin 500mg PO every 8 hours is prescribed for a client with an infection. The drug is available in a suspension of 125mg/5mL. How many mL should the nurse administer at each dose?
20mL
Order: 500 divided by on hand: 125 = 4mg x 5mL= 20mL
A prescription for gentamicin in a 50mL PB bag of 0.9% NS. How many mL/hr would the nurse ser the infusion pump on to deliver the gentamicin over 30 minutes?
100mL
Order: 50mL/30minutes x 60minutes/1hour = 100 mL/hr
The Z-track method is recommended for IM injections that prevents leakage of meds into the SQ tissue.
True or False?
True. Z-track with IM
SQ- pinch an inch
The nurse is assessing the IV infusion at the beginning of the shift. Which of these would be included in the assessment of the infusion? SATA.
Proper IV solution is infusing according to physicians orders
IV solution is infusing at the proper rate according to physicians orders
IV site date
The infusion is proper according to the nurse’s assessment of the PT needs
Cap. Refill in the fingers
Proper IV solution is infusing according to physicians orders
IV solution is infusing at the proper rate according to physicians orders
IV site date
The infusion is proper according to the nurse’s assessment of the PT needs
The nurse is preparing a med that comes in an ampule. Which action by the nurse is appropriate?
*Use of a filter needle long enough to reach the bottom of the ampule
What is an appropriate angle of the needle for a SQ injection?
*45 or 90
