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Clayton and Willihnganz 17 e Exam
Questions And Answers
What are the 4 parenteral routes? - correct answer ✅IM, IV, SC, and ID Factors involved in parenteral routes - correct answer ✅1.) QUICKER onset of drug action, but SHORTER duration 2.) SMALLER dosage because potency is not altered by stomach or liver 3.) Cost is usually higher than oral route What are the guidelines for nurses who are prepping and administering meds? - correct answer ✅1.) Basic knowledge of drugs ordered, prepped, and given 2.) Symptoms for which the medication is prescribed and baseline VS of pt. to determine reaction to med 3.) Nursing process to detect, prevent, or ameliorate adverse effects 4.) Use clinical judgement regarding drug orders, missed doses, modified drug orders, sub of generic med (Ther. equivalent), and changes in pt. condition in order to call physician
Clayton and Willihnganz 17 e Exam
Questions And Answers
Is a drug retrievable after injection? - correct answer ✅No, it is possible it was a PO, but not parenteral What technique is used for parenteral drug admn.? - correct answer ✅Aseptic How many needle stick occurences happen yearly? - correct answer ✅600,000-800, What are the nurses 3 primary safety concerns? - correct answer ✅pt. themselves other healthcare workers Syringes are made of either? - correct answer ✅Glass (rarely used) or plastic What are the parts of a syringe? - correct answer ✅Tip
Clayton and Willihnganz 17 e Exam
Questions And Answers
Long lines rep 0.1 mL intermediate lines rep 0.05 mL shortest lines rep 0.01 mL How are volumes in glass syringes read? plunger How are volumes in plastic syringes read? rubber flange - correct answer ✅pg 118 How are insulin syringes read? - correct answer ✅pg 117- What is the mL equivalent of U-100 syringe? - correct answer ✅1mL U-100 syringe has lines. What do the short and long ones usually rep? What about smaller doses of U-50, U-40, or even U- 30? - correct answer ✅short lines for U-100 - 2 units of insulin Longer lines- 10 units of insulin
Clayton and Willihnganz 17 e Exam
Questions And Answers
Short lines for smaller dose (U-50)- 1 unit of insulin Longer lines - 5 units of insulin What are the adv. of the prefilled cartridges and syringes? What are its disadv.? - correct answer ✅- Time saving in lack of prepping meds
- Diminished chance of med contamination Dis advs include:
- Additional expense
- Limit on vol. if another med needs to be mixed Prefilled cartridge units are marked under which name? - correct answer ✅- The brand name Carpuject What is printed on the cartridge? - correct answer ✅The cartridge that amounts to one standard dose includes printed information of the drug name, concentration, and volume
Clayton and Willihnganz 17 e Exam
Questions And Answers
Epipen - correct answer ✅-Prefilled syringe that is disposable and includes one dose of epinephrine for use of an emergency of an allergic reaction -Administered IM usually in thigh -Available for both adults n peds -Important to monitor expiration date What should be done after Epi-Pen has been administered? - correct answer ✅Pt. should go to the ER since additional treatment may be needed what is auvi-Q? - correct answer ✅A product of injectable Epinephrine What are the parts of a needle? - correct answer ✅- Hub -Shaft -beveled tip (longer the bevel, easier penetration )
Clayton and Willihnganz 17 e Exam
Questions And Answers
What is the needle gauge? - correct answer ✅- The diameter of the hole through the needle
- The larger the guage number, the smaller the hole -Gauge number is marked on needle's hub What factors determine syringe size? - correct answer ✅- Volume of medication to be given
- Degree of accuracy needed for measurement of dose
- Type of medication to be given What factors determine needle selection? - correct answer ✅- Correct gauge for viscosity of solution
- Correct needle length for delivery of medication to correct site (i.e. IM) What is the max volume of an IM injection for sm. children and older infants at one site? - correct answer ✅1 mL
Clayton and Willihnganz 17 e Exam
Questions And Answers
23 G -
correct answer ✅1-1.5 inches 25 G - correct answer ✅5/8 inches 26 G - correct answer ✅1/2- 3/8 inches 28 G - correct answer ✅1/2- 3/8 inches What should always be verified and inspected when prepping and giving parenteral meds? - correct answer ✅Sterility off syringe and needle such as searching for holes, signs of moisture penetration, and expiration date
Clayton and Willihnganz 17 e Exam
Questions And Answers
What should you do if contamination of a needle and syringe package is suspected? - correct answer ✅- Return to pharmacist for replacement CDC reports that how many needle stick injuries could've been prevented? - correct answer ✅62-88 percent U.S. Congress Needlestick Safety and Prevention Act in 2000 required OSHA to: - correct answer ✅- Monitor and report needlestick injuries more clearly
- needleless system use for percantaneous use What is the advantage of using blunt access devices such as the filter needle or spike? - correct answer ✅-Draws up larger volumes from container quicker
- Reduces frequency of needle injuries
Clayton and Willihnganz 17 e Exam
Questions And Answers
What does the Sharps Disposal by Mail System include? - correct answer ✅-Sharps container
- Outer Shipping box
- prepaid postage label (Used to mail object to appropriate disposal center) What can a pt. do if they are uncertain about safe procedures of disposal of used syringes/ - correct answer ✅Call local sanitation or department Ampules - correct answer ✅-glass containers that usually have one dose of med
- May be scored or ringed to show where to be broken pg. 124 Vials - correct answer ✅- Glass or plastic containers with one or more dose
- Mouth usually covered with rubber diaphragm (Where needle goes into) to ensure sterility
Clayton and Willihnganz 17 e Exam
Questions And Answers
- Medication can be in solution or reconstituted form (to be mixed) pg. 125 Mix-o-vials - correct answer ✅- Glass chamber with 2 compartments: Lower chamber with solute (drug) and upper chamber with solvent (sterile diluent)
- B/w two areas is a rubber stopper than can be pushed down by pressure of top rubber diaphragm into, bring solute into the solvent -Usually one dose form pg 125 Things to remember about procedure protocol of parenteral technique - correct answer ✅- Always use pt. rights
- Check drug dose form ordered against source availability
- Check compatibility charts or contact pharmacist before mixing two meds
- Check med calc. when in doubt, ask a qualified nurse ( Most hospital policies require fractional doses to meds such as insulin or haperin to be checked by 2 qualified personnel before administration)
Clayton and Willihnganz 17 e Exam
Questions And Answers
3.) Insert needle into diaphragm of vial and inject air 4.) Withdraw measured dilute 5.) recheck the type and volume of diluent to be injected against type and amount required 6.) Tap vial with powder and wipe diaphragm with alcohol wipe 7.) Inject diluent into powder then remove (Do not push it upside int the air, leave on table) 8.) Mix thoroughly to ensure powder is dissolved before withdrawing dose 9.) Label constituent 10.) change needle to correct sterile needle How to label a reconstituted medication - correct answer ✅1.) Date and time of reconstitution 2.) Volume and type of diluent added 3.) Name of reconstituted drug and concentration 4.) expiration date and time 5.) Name of person who reconstituted
Clayton and Willihnganz 17 e Exam
Questions And Answers
Removing volume of liquid from a vial - correct answer ✅1.) calc. vol. of medication required for prescribed dose 2.) clean ribber diaphragm with alc. wipe 3.) fill syringe with air equal to medication prescribed 4.) insert needle and push air, retract desired vol. of med. 5.) recheck drug order 6.) change needle to accurate sterile needle Administering mix-o-vial - correct answer ✅Check drug order 1.) tap container in hand to break up caked powder 2.) remove plastic lid protector 3.) push on diaphragm on top to dislodge divider between two chambers 4.) Mix thoroughly 5.) Cleanse rubber diaphragm and remove drug in the same way that liquid is removed from a vial
Clayton and Willihnganz 17 e Exam
Questions And Answers
When mixing rapid/short acting insulin with intermediate/long lasting insulin, which should go into the syringe first? - correct answer ✅The fast acting one
