Injections: IM, SC, ID

Question 1

Which action by the nurse ensures patient safety when administering an intramuscular injection?
A. Putting on clean gloves before administration
B. Rotating injection sites
C. Aspirating for blood return when administering a vaccine
D. Injecting the medication quickly

Answer 1

b; decrease risk of hypertrophy

Question 2

When preparing an intramuscular injection, what can the nurse do to reduce the patient’s risk for infection?
A. Wear clean gloves.
B. Use a 3-ml syringe.
C. Clean the injection site with an alcohol swab.
D. Massage the injection site.

Answer 2

c

Question 3

What can the nurse do to minimize the patient’s risk for injury when delivering an intramuscular injection?
A. Instruct the patient to relax.
B. Insert the needle at a 45-degree angle.
C. Pull back on the plunger after inserting the needle.
D. Pull the skin taut at the injection site when inserting the needle.

Answer 3

c

Question 4

Which site is most commonly used for intramuscular injections?
A. Ventrogluteal
B. Abdominal
C. Deltoid
D. Dorsogluteal

Answer 4

a

Question 5

Which action by the nurse helps to ensure that the medication is delivered into the muscle when administering an intramuscular injection?
A. Using a 1-inch needle
B. Inserting the needle at a 45- to 60-degree angle
C. Withdrawing the needle immediately after delivering the medication
D. Aspirating for blood return before injecting the medication

Answer 5

d

Question 6

t/f you should use an injection site in an area with bruising, induration, muscular atrophy, reduced blood flow, or signs of infection.

Answer 6

false

Question 7

Where does IM injection deposit medication into?

Answer 7

deep muscle tissue, which has a rich blood supply, allowing medication to absorb faster than by the subcutaneous route. However, there is an increased risk for injecting drugs directly into blood vessels

Question 8

What type of needle should you use for an immunization?

Answer 8

gauge range of 22 to 25.2

Question 9

What degree you administer a should IM injection?

Answer 9

Administer IM injections so the needle is perpendicular to the patient’s body and as close to a 90-degre

Question 10

What is the Z-track method?

Answer 10

a technique for pulling the skin during an injection, is recommended for IM injections;prevents leakage of medication into subcutaneous tissues, seals medication in the muscle, and minimizes irritation

Question 11

Which site is not recommended for IM injections?

Answer 11

dorsogluteal site; because it is close to neurovascular structures

Question 12

What position should a pt be in for a ventrogluteal IM injection

Answer 12

lie in either the supine or lateral position

Question 13

How many mL are allowed when giving a IM injection in the deltoid?

Answer 13

2 mL

Question 14

What site is recommended for vaccinations in adults?

Answer 14

deltoid

Question 15

Where is the injection site for a deltoid IM injection located?

Answer 15

The injection site is three finger width below the acromion process

Question 16

What is the most medication should be administered in an single IM injection?

Answer 16

no more than 5 mL

Question 17

What are ID injection typically used for?

Answer 17

skin testing (e.g., tuberculosis screening and allergy)

Question 18

What type of syringe should be used for Mantoux Tuberculin Skin Test?

Answer 18

a short (6 to 13 mm [¼ to ½ inch]), fine-gauge (27-G) needle with a short bevel is used to administer an injection intradermally

Question 19

What is the correct needle insertion angle for ID injections?

Answer 19

5 to 15 degrees

Question 20

What is a new alternative to the traditional method of TB testing?

Answer 20

microneedle patch

Question 21

What is microneedle patch?

Answer 21

less expensive alternative to current diagnostic tests and has the potential to be a reliable alternative to the Mantoux technique

Question 22

When administering an intradermal injection, which outcome would require the nurse to withdraw the needle and begin again?
A. Aspiration of blood prior to injecting the medication
B. Inability to feel resistance when injecting the medication
C. Formation of a 6-mm bleb at the injection site
D. Appearance of a lesion resembling a mosquito bite at the injection site

Answer 22

b

Question 23

Which statement might the nurse make to nursing assistive personnel (NAP) when caring for a patient who is prescribed an intradermal injection?
A. “Be sure to wear clean gloves during the injection.”
B. “Tell him it’s OK; the site should look like a mosquito bite.”
C. “Immediately report any patient complaints of itching or dyspnea.”
D. “Remind the patient to come back in 48 to 72 hours so we can evaluate the site.”

Answer 23

c

Question 24

Which finding tells the nurse that a patient may have had a positive reaction to a tuberculin test?
A. A raised wheal the size of a mosquito bite
B. A bruised area 10 mm or greater in diameter
C. A hard, raised area 15 mm or greater in diameter
D. A flat, reddened area 5 mm or greater in diameter

Answer 24

c

Question 25

In which site would it be inappropriate to administer an intradermal injection? A. Lower abdomen of an obese patient B. Upper back of a patient who is on bed rest C. Right deltoid of a high school softball pitcher D. Left forearm of a patient with right-sided weakness

Answer 25

c

Question 26

How can the nurse determine that the needle tip for an intradermal injection is in the dermis? A. A bleb the size of a mosquito bite will appear. B. The needle will enter at a 5- to 15-degree angle. C. The bulge of the needle tip will be visible through the skin. D. The needle will penetrate through the epidermis to a depth of about ⅛ inch.

Answer 26

c

Question 27

Where are SC injection deposited into?

Answer 27

medication into the loose connective tissue underlying the dermis

Question 28

t/f medication is absorbed faster in SC injection than IM injections

Answer 28

false; subcutaneous tissue does not contain as many blood vessels as muscles, medications are absorbed more slowly than with intramuscular (IM) injections

Question 29

t/f medication is absorbs faster in SC injection than IM injections

Answer 29

false; subcutaneous tissue does not contain as many blood vessels as muscles, medications are absorbed more slowly than with intramuscular (IM) injections

Question 30

How are SC medications given in mL?

Answer 30

small doses of less than 2 mL

Question 31

What are the best injection sites for SC?

Answer 31

outer aspect of the upper arms, the abdomen from below the costal margins to the iliac crests, the anterior aspects of the thighs, and the buttocks

Question 32

What needle size is typically used for a SC injection?

Answer 32

Typically, a 22- to 25-G needle

Question 33

What should you always note when giving injections?

Answer 33

note is the patient has allergies

Question 34

Which action would the nurse take to diminish tissue irritation when administering a subcutaneous injection to a patient of average size? A. Massage the site after administration. B. Make sure the volume of the medication is less than 2 mL. C. Administer the injection at a 45- to 90-degree angle. D. Wear clean gloves while administering the injection.

Answer 34

b

Question 35

Which needle would be most appropriate for the nurse to use when giving a subcutaneous injection to a patient of average height and weight? A. 20-gauge, ½-inch B. 22-gauge, 1-inch C. 25-gauge, ⅜-inch D. 27-gauge, 1-inch

Answer 35

c

Question 36

What can the nurse do to minimize the discomfort of a subcutaneous injection? A. Inject the medication rapidly. B. Massage the injection site. C. Cover the injection site with gauze pad after withdrawing the needle. D. Inject the medication without pinching the skin.

Answer 36

c

Question 37

When preparing to administer heparin or insulin subcutaneously, which site is preferred? A. Abdomen B. Scapula C. Deltoid muscle D. Back of the upper arm

Answer 37

a

Question 38

What can the nurse do to ensure proper site selection for subcutaneous insulin injection? A. Insert the needle at a 30-degree angle. B. Select a different anatomical region for each injection. C. Ask the patient to relax before inserting the needle. D. Systematically rotate sites within the same anatomical location or area.

Answer 38

d