Chapter 35 Administering Intradermal, Subcutaneous, and Intramuscular Injections

Chapter 35  Administering Intradermal, Subcutaneous, and Intramuscular Injections

Complete Chapter Questions And Answers
 

Sample Questions

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:
a.
is the best way to give medicine.
b.
will hasten the action of the medication.
c.
will take less medicine to make him well.
d.
will be painless because the needles are so sharp.

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:
a.
use a 3 mL syringe.
b.
choose a 21 gauge, 1 inch needle.
c.
insert the needle at a 30-degree angle.
d.
inject slowly to form a bleb.

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:
a.
45 to 90 degrees.
b.
30 to 45 degrees.
c.
15 to 30 degrees.
d.
5 to 15 degrees.

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:
a.
give the 4 mL using a 5 mL syringe.
b.
inform the charge nurse that the dose is too large to be given IM.
c.
divide the dose into two 3 mL syringes and give as a divided dose.
d.
ask the primary care provider if another medication can be used.

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:
a.
needle.
b.
outside of the barrel.
c.
sides of the plunger.
d.
tip of the syringe.

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