The nurse is preparing to administer an intramuscular injection to a 14-month-old toddler. To help with site selection for this injection, what will the nurse ask the child's parent?

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Fundamentals of Nursing Medication Administration Practice Questions Questions

Question 1 of 5

The nurse is preparing to administer an intramuscular injection to a 14-month-old toddler. To help with site selection for this injection, what will the nurse ask the child's parent?

Correct Answer: A

Rationale: The ventrogluteal muscle is the preferred injection site for toddlers who have gluteal muscle development associated with firmly established walking. The muscle development, and not the child's weight, is more important. Asking if a patient is right- or left-handed is necessary if deltoid muscles are used.

Question 2 of 5

After administering an intradermal (ID) injection for a skin test, the nurse notices a small bleb at the injection site. The best action for the nurse to take at this time is to:

Correct Answer: C

Rationale: The formation of a small bleb is expected after an ID injection for skin testing. The other actions are not appropriate.

Question 3 of 5

When giving a buccal medication to a patient, which action by the nurse is appropriate?

Correct Answer: C

Rationale: Buccal medications are properly administered between the upper or lower molar teeth and the cheek. Caution the patient against swallowing, and do not administer with water. Medications given under the tongue are sublingually administered.

Question 4 of 5

A patient with asthma is to begin medication therapy using a metered-dose inhaler. What is an important reminder to include during teaching sessions with the patient?

Correct Answer: B

Rationale: Position the inhaler to an open mouth, with the inhaler 1 to 2 inches away from the mouth, or attach a spacer to the mouthpiece of the inhaler, or place the mouthpiece in the mouth. To administer, press down on the inhaler to release the medication while inhaling slowly. Wait 1 to 2 minutes between puffs if a second puff of the same medication has been ordered.

Question 5 of 5

A patient is to receive hydromorphone (Dilaudid) 1.5 mg IV push now. The medication comes in a prefilled syringe, 2 mg/mL. Identify how many milliliters will the nurse administer for this dose.

Correct Answer: B

Rationale: The calculation is as follows: 2 mg : 1 mL = 1.5 mg : x mL. Solving for x: (2 × x) = (1 × 1.5); 2x = 1.5; x = 0.75. Therefore, the nurse will administer 0.75 mL.

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