Podcast
Questions and Answers
Which site is NOT preferred for intradermal administration?
Which site is NOT preferred for intradermal administration?
Which method is commonly used for allergy testing?
Which method is commonly used for allergy testing?
What is the primary layer used for subcutaneous medication administration?
What is the primary layer used for subcutaneous medication administration?
Which of the following drugs is commonly administered subcutaneously?
Which of the following drugs is commonly administered subcutaneously?
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Identify a suitable site for intramuscular administration in older adults.
Identify a suitable site for intramuscular administration in older adults.
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Which technique is NOT used for the intramuscular administration of medications?
Which technique is NOT used for the intramuscular administration of medications?
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What is a common site for subcutaneous injection?
What is a common site for subcutaneous injection?
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Which of the following is NOT an appropriate site for intradermal injection?
Which of the following is NOT an appropriate site for intradermal injection?
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What is the maximum volume of medication that can be administered into the deltoid muscle?
What is the maximum volume of medication that can be administered into the deltoid muscle?
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Which of the following muscles is commonly used for intramuscular injections in infants?
Which of the following muscles is commonly used for intramuscular injections in infants?
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Which of the following correctly describes a situation where the Z-track method should be used?
Which of the following correctly describes a situation where the Z-track method should be used?
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What is the typical gauge range for needles used in intramuscular injections?
What is the typical gauge range for needles used in intramuscular injections?
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What should NOT be included in documentation after medication administration?
What should NOT be included in documentation after medication administration?
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At what angle of entry does the nurse inject the drug after prepping the injection site?
At what angle of entry does the nurse inject the drug after prepping the injection site?
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Which of the following dosage amounts ordered for an adult patient should the nurse consider questioning?
Which of the following dosage amounts ordered for an adult patient should the nurse consider questioning?
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When selecting a needle gauge for an IM injection for an adult, which gauge range is most suitable?
When selecting a needle gauge for an IM injection for an adult, which gauge range is most suitable?
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Which injection site is contraindicated for children younger than 3 years due to underdeveloped muscle?
Which injection site is contraindicated for children younger than 3 years due to underdeveloped muscle?
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What is a critical factor to consider when administering IM injections?
What is a critical factor to consider when administering IM injections?
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Study Notes
Parenteral Administration: Intradermal, Subcutaneous, and Intramuscular
- Intradermal route: Preferred sites include upper chest, inner forearms, and back.
- Two methods used for allergy testing: intradermal injection and skin prick test (SPT).
- Subcutaneous route: Medication deposited in loose connective tissue. Common drugs include heparin, insulin, and enoxaparin. Common sites: upper arm, anterior thighs, and abdomen.
- Intramuscular route: Injection deep into muscle mass. Common sites: vastus lateralis, rectus femoris, ventrogluteal, dorsogluteal, and deltoid.
- Age and muscle mass are factors for IM injections.
- Volume of medication: for adults 0.5 to 2 mL, pediatric patients 1 mL or less.
- Needle length for adults: 1 to 1 ½ inches. Gauge: 20-22
- Important sites for IM administration in infants: Vastus lateralis. In adults: Gluteal area, deltoid, vastus lateralis.
- Deltoid muscle: Maximum volume 1 mL; landmarks: acromion process and axilla.
- Z-track method: Suitable for irritating or staining medications.
- Documentation: Record date, time, drug name, dosage, site, route and patient's response to drug therapy. Regular patient assessments to note therapeutic effectiveness. Document and report adverse drug effects. Validated patient education.
- Audience Response Question 1: Intradermal.
- Audience Response Question 2: 45 degrees for thin individuals.
- Audience Response Question 3: 5 mL IM - nurse should question.
- Audience Response Question 4: 20 to 22 gauge.
- Audience Response Question 5: Rectus femoris in children under 3.
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Description
Test your knowledge on parenteral administration techniques, including intradermal, subcutaneous, and intramuscular routes. This quiz covers preferred sites, methods, common drugs, and important considerations for each injection type. Perfect for nursing students and medical professionals.
