أسئلة تمريض عملي - الاختبار الخامس - إعداد : أسرة التمريض

The correct answer is "ampicillin 250mg IM q12hrs x 10 days" because it includes the specific medication (ampicillin), the route of administration (IM or intramuscular), the dosage (250mg), the frequency (q12hrs or every 12 hours), and the duration (x 10 days). This order provides all the necessary information for the healthcare provider to administer the medication correctly. The other options do not include all the necessary details or are unrelated to medication administration.

In the nursing process, the assessment phase involves gathering information about the patient's health status, including any allergies they may have. This is important because knowing about medication allergies can help prevent adverse reactions and ensure safe and effective treatment. Therefore, asking the patient if they are allergic to any medication is a crucial part of the assessment phase.

The correct answer is "a 25 gauge needle is a small needle, but it can cause some discomfort. Let me see your arm." This response acknowledges the patient's concern about the size of the needle and validates her experience of discomfort. It also offers to examine her arm to assess the injection site and provide appropriate care or reassurance.

The correct answer is "drug absorption is slower than with the IM route." This is because subcutaneous (SC) injections involve injecting medication into the layer of tissue just below the skin, which has a lower blood supply compared to the muscles where intramuscular (IM) injections are administered. As a result, the medication is absorbed more slowly into the bloodstream with SC injections, leading to a slower onset of action compared to IM injections.

Adequate blood supply is essential for adequate drug absorption because it ensures that the drug reaches the target tissues and organs in the body. Blood carries the drug to the site of action, allowing it to be absorbed and distributed effectively. Without sufficient blood supply, the drug may not be able to reach its intended target, leading to reduced effectiveness or even failure of the drug therapy. Therefore, adequate blood supply plays a crucial role in ensuring proper drug absorption.

The Z tract technique is used for injections of medication that is highly irritating to subcutaneous tissue. This technique involves pulling the skin to one side before inserting the needle and then releasing it after the injection. This creates a zigzag path for the medication, minimizing the chances of the medication leaking back into the subcutaneous tissue and causing irritation. By using the Z tract technique, the medication can be administered safely and effectively without causing unnecessary discomfort or damage to the surrounding tissue.

After withdrawing the needle from the tissue when administering an ID injection, you do not rewipe the site. This is because wiping the site again can introduce additional contaminants and increase the risk of infection. It is important to maintain a clean and sterile environment during injections to minimize the chances of complications.

The nurse correctly administers an IM injection at a 45-degree angle. This angle is appropriate for an intramuscular injection because it allows for the medication to be delivered into the muscle layer, ensuring proper absorption and effectiveness. Injecting at a 45-degree angle helps to avoid injecting into subcutaneous tissue or hitting bone, which could lead to improper medication absorption or injury.

When giving medication, the label should be checked three times to ensure accuracy and patient safety. The first time is when the nurse reaches for the container, the second time is immediately prior to pouring the medication, and the third time is when replacing the container to the drawer or shelf. Checking the label when the nurse located the drug on the shelf is not one of these times, as it does not directly involve handling the medication or verifying its accuracy.

The correct name of the site for the injection is the ventrogluteal site. This is determined by locating the posterior superior iliac spine and the greater trochanter and drawing an imaginary line between them. The injection site is then identified as lateral and slightly superior to the midpoint of this line. The ventrogluteal site is a common and safe location for intramuscular injections, as it has a thick muscle mass and is located away from major nerves and blood vessels.