Chapter 37: Administering Intradermal, Subcutaneous, and Intramuscular Injections - Nurselytic

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Fundamentals of Nursing Care: Concepts, Connections & Skills

Chapter 37 : Administering Intradermal, Subcutaneous, and Intramuscular Injections Questions

Question 1 of 5

What gauge and length of needle would you select to administer an IM injection of a nonviscous medication in the ventrogluteal site of a 40-year-old male construction worker who is in good health and weighs 185 pounds?

Correct Answer: C

Rationale: For a healthy adult male, a 22-gauge, 1½-inch needle is appropriate for an IM injection in the ventrogluteal site to ensure adequate muscle penetration for a nonviscous medication.

Question 2 of 5

You are about to administer a standard P.P.D. to a 31-year-old male. Which of the following needles and syringes would be appropriate to use?

Correct Answer: A

Rationale: A tuberculin syringe with a 27-gauge, ??-inch needle is appropriate for a PPD test, which is an intradermal injection requiring a small volume and fine needle.

Question 3 of 5

In which of the following injections should you avoid aspirating before injecting the medication?

Correct Answer: B,C,E

Rationale: Aspiration is not required for intradermal (e.g., TB test) or subcutaneous injections (e.g., insulin, anticoagulants) as these routes are not typically associated with blood vessels.

Question 4 of 5

Select the correct anatomical landmarks for the ventrogluteal site.

Correct Answer: A,B,E

Rationale: The ventrogluteal site is located using the iliac crest, greater trochanter, and anterior superior iliac spine as landmarks.

Question 5 of 5

A nurse is caring for a 65-year-old female with type I diabetes. The patient is receiving an insulin bolus for a glucose reading of 310 mg/dL. How will the nurse give the insulin bolus?

Correct Answer: A

Rationale: An insulin bolus for a high glucose reading (310 mg/dL) is given all at once to rapidly correct the hyperglycemia.

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