This is a required assignment that must be turned into your clinical
instructor.
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1. Complete the following table for subcutaneous
injections:
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2. When would you aspirate for a subcutaneous injection?
3. What can be done to decrease the likelihood of
ecchymosis from a subcutaneous heparin injection?
4. Where should heparin subcutaneous injections
be administered?
5. You are about to administer heparin sc when he
patient says he already got his shot today. What is the most appropriate
action?
6. Complete the following table for intramuscular injections:
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| Anatomical Landmarks | ||||
| Needle Size | ||||
| Maximum Fluid Volume | ||||
| Angle | ||||
| Skin Manipulation |
7. What are measures that can be used to minimize
pain from an injection?
8. Describe the technique used in a Z-track
injection.
9. The calibration of tuberculin syringes is in __________ths.
10. How would you measure 0.75 cc on a 3 cc syringe?
(Go to the lab and ask to see a syringe)
11. Upon withdrawing the insulin syringe from a vial,
the needle gets bent. What is the most appropriate action?
12. In preparing a medication, the needle touched
the outside of the needle cap. What is the most appropriate action?
13. A patient is in traction and cannot turn to the
side. What are two other options for site selection besides the dorsogluteal
site?
14. What are potential nursing diagnoses for a patient
receiving intramuscular injections?
15. What does the research literature state about
administering intramuscular injections via the Z-track method?
16. Why is the short-acting insulin withdrawn
before long-acting insulin when mixing the two types of insulin?
17. Should the long-acting insulin be shaken
before withdrawal from the vial?
18. What method should be used for the
rotation of insulin injections?
19. Why is the side of the finger used
for a puncture site for blood glucose monitoring.
20. When and why is urine measured for ketones?
21. You have an order for meperidine 50 mg. and hydroxyzine
25 mg. IM q4h PRN. Can these two medications be mixed or must they
be given in two separate syringes? How do you find this information?
22. When aspirating for an intramuscular injection,
blood is drawn into the syringe. How should this be handled and what
should the patient be told?
23. After administering an intramuscular injection
in the dorsogluteal site, the patient complains of pain down the leg. What
should be done and what should the patient be told?
24. A nurse is working a facility that does not have
a sharps disposal container in each patient room What should be done
to dispose of a syringe and needle in a safe manner?
See Craven & Hirnle and the following articles to answer your
questions for this laboratory.
Beyea, S. & Nicoll, L.H., (1996). Back to basics: Administering
IM injections the right way. American Journal of Nursing, 96(1).
34-35.
Beyea, S. & Nicoll, L.H., (1995). Administration of medications via the intramuscular route and integrated review of the literature and research-based protocol for the procedure. Applied Nursing Research, 8(1). 23-33.
Nicoll, L.H. & Beyea, S.C. (1996). Subcutaneous administration of insulin in adults: An integrative review of the research. Online Journal of Knowledge Synthesis for Nursing, 11(3), 1-8.
Beyea, S. C. & Nicoll, L. H. (1996). Subcutaneous administration
of heparin: An integrative review of the research. Online Journal of
Knowledge Synthesis for Nursing, (Jan 22), 1-6.
Copyright © 2001 Margarete Lieb Zalon
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