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IM 2 > Parenteral medication Administration - exam 2 > Flashcards

Parenteral medication Administration - exam 2 Flashcards

1
Q

when it comes to medication vials what is most important?

A
  • check expiration
  • always date and initial multi dose vials
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2
Q

the smaller the number the larger the

A

needle

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3
Q

when choosing parenteral needles we want the needle to be what?

A

long enough to reach the targeted tissue

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4
Q

smaller gauge needles are used for

A

thinner solutions

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5
Q

larger gauge needles are used for

A

thicker solution

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6
Q

non-parenteral needles are used for

A

withdrawing meds

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7
Q

filter needle

A

small filter in hub catches debris

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8
Q

what kind of needle do we use when using ampules?

A

filter needle

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9
Q

blunt filled needle

A

primarily used for withdrawing medications

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10
Q

what must we never do with a blunt fillled needle?

A

never use on a patient

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11
Q

what needle will cause tissue damage if used?

A

blunt filled needle

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12
Q

allowed only when used for blood withdrawal

A

blunt filled needle

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13
Q

1st calibrated line near hub is

A

zero

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14
Q

with a single dose medication we inject – equal to amount of medication to be withdrawn

A

air

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15
Q

when giving two different medications to a patient the two meds must be

A

compatible

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16
Q

Single dose: we withdrawal entire - from vial

A

volume

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17
Q

multi dose vial: withdraw more - than you need

A

med

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18
Q

why do we need a filter needle when withdrawing from an ampule?

A

filter out anything that does not need to go into the vein

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19
Q

when opening an ampule which direction do you open it?

A

away from you

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20
Q

reconstitution

A

process of adding a liquid diluent to a dry or liquid concentration ingredient solute to make a specific concentration of liquid

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21
Q

drugs in power from retain potency only for a short period of time once reconstituted

A

short shelf life

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22
Q

reconstituted volumes - - always equal the amount of diluent because the medication itself has volume

A

do not

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23
Q

prior to administration what should the nurse decide?

A

selecting appropriate site for medication

24
Q

after scanning the medication barcode what should you do?

A

always look at the screen to acknowledge and address all pop-ups

25
Q

what are two things that must be done before administering a med

A

verify integrity of needle and volume

26
Q

what must you do immediately after injection?

A

discharge safety mechanism

27
Q

never recap

A

used needles

28
Q

what do you never leave at the bedside?

A

medications

29
Q

three locations where we mainly give shots?

A
  • deltoid
  • ventrogluteal
  • vastus lateralis
30
Q

we want the muscle to be what when giving a med

A

relaxed

31
Q

location for smaller volumes, less irritating medications - vaccines, B-12

A

deltoid

32
Q

max volume recommended- 1ml

A

deltoid

33
Q

recommended needle length

A

1 inch

34
Q

3 mL syringe gives more

A

control

35
Q

what angle do we insert the needle at the deltoid location?

A

90 degrees

36
Q

location for thicker, painful, or irritating meds

A

ventrogluteal or vastus lateralis

37
Q

maximum volume recommended for ventrogluteal

A

3 mL

38
Q

recommended needle length for ventrogluteal

A

1 inch to 1 1/2 inch

39
Q

recommended syringe for ventrogluteal

A

3 ml

40
Q

what is the purpose of the ztrack method?

A

locks medication in place

41
Q

what do we do first after inserting the needle for a VG/VL site?

A

aspirate

42
Q

if blood returns with aspiration what do we not do?

A

inject the medication, you must start over

43
Q

during the deep IM technique what rate do we push?

A

1 mL 10 seconds

44
Q

during deep Im how long do we wait until we release the z track

A

3-5 seconds

45
Q

needles are very fragile and permanently attached to syringe

A

insulin

46
Q

at what angle do we inject insulin?

A

90 degree angle with bunching of the skin

47
Q

what do we check before giving insulin?

A

blood sugar

48
Q

where do we always administer enoxaparin ?

A

abdominal

49
Q

what position is best for a pt when administering enoxaparin

A

reclining/supine

50
Q

enoxaparin needs to be given deep

A

subq

51
Q

true or false
we need a longer length needle when administering enoxaparin

A

true; best absorption

52
Q

what do we never do with SQ enoxaprin injections?

A
  • aspirate
  • massage
  • rub or massage
53
Q

which injection do we bunch the entire time?

A

SQ enoxaparin injections

54
Q

never expel what from the enoxaparin needle?

A

nitrogen bubble

55
Q

what is a must when giving a TB injection?

A

a bleb or wheal

IM 2 (17 decks)

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