Hesi Parenteral Medication Final Quiz

Explanation

A Never force needles into the sharps disposal
Forcing a needle into a sharps container increases the risk of a puncture injury because the needle can catch on the container opening or protrude through accumulated sharps. The nurse places the needle into the container carefully and immediately after use. The nurse also ensures the sharps container is positioned close to the point of use and is not overfilled, because overfilled containers increase the chance of accidental contact with exposed sharps.

C Use clearly marked sharps disposal containers
Clearly marked sharps containers reduce needlestick injuries by ensuring staff can instantly identify the correct disposal location without hesitation. The nurse uses containers that are puncture-resistant, leak-resistant on the sides and bottom, and designed to be closed securely. Clear labeling and proper placement help prevent improper disposal in regular trash or linen, which protects staff, clients, and environmental services personnel from accidental exposure.

D Use needleless devices whenever possible
Needleless devices reduce needlestick injuries by eliminating the needle from certain procedures, such as IV access systems, medication administration ports, and blood sampling systems designed without needles. The nurse selects needleless technology whenever it is available and appropriate, because reducing the number of times a needle is handled directly lowers the overall risk of accidental puncture. This strategy also supports consistent safety practices across the healthcare setting.

Explanation

The outside of the syringe barrel is considered non-sterile and can be safely handled without contaminating the syringe. The tip of the syringe, the plunger shaft, and the needle are sterile parts that must remain uncontaminated to maintain aseptic technique. Touching only the outside of the barrel ensures medication sterility and prevents the introduction of microorganisms during medication preparation and administration.

Explanation

D Check the client's allergies.
Verifying allergies is a critical safety step before administering any medication. Failure to assess for allergies can result in serious adverse reactions, including anaphylaxis. The nurse must confirm allergies through the medical record and by directly asking the client to ensure safe medication administration.

F For administration, pinch the client's skin and administer at a 90-degree angle.
Intramuscular injections are administered at a 90-degree angle to ensure the medication reaches the muscle tissue. Pinching the skin may be appropriate depending on the client’s body composition and injection site to avoid injecting into subcutaneous tissue and ensure proper absorption.

H Wear clean gloves when administering the medication.
Wearing clean gloves protects both the nurse and the client by reducing the transmission of microorganisms. Gloves are part of standard precautions and help maintain aseptic technique during medication administration, especially when there is potential contact with blood or body fluids.

I Check the client's name band and ask the client to tell you his or her name.
Using two identifiers is a core patient safety principle. Verifying the client’s identity by checking the name band and asking the client to state their name helps prevent medication errors and ensures the correct client receives the correct medication.

Explanation

The medication insert specifically states that the required diluent is 0.9% sodium chloride (NaCl). This corresponds to normal saline, which is commonly used for reconstituting many injectable medications, including ampicillin. Using the manufacturer-recommended diluent ensures proper medication concentration, stability, and safe administration. Using an incorrect diluent could alter the drug’s effectiveness or increase the risk of adverse reactions.

Explanation

A tuberculin test is administered intradermally, and correct technique is confirmed by the formation of a small, raised wheal or bleb at the injection site. Injecting slowly allows the solution to remain within the dermal layer rather than entering subcutaneous tissue. The presence of a bleb indicates correct needle placement and proper administration, which is essential for accurate test interpretation.

Explanation

Explanation

The ventrogluteal site is identified by placing the palm of the hand over the greater trochanter, with the index finger pointing toward the anterior superior iliac spine and the middle finger extending along the iliac crest. This method accurately locates the ventrogluteal muscle, which is free of major blood vessels and nerves. Using these landmarks ensures safe needle placement and reduces the risk of injury during intramuscular injection.

Explanation

The intradermal route is used for small-volume injections, such as allergy testing and tuberculosis screening. The maximum volume that can be safely administered intradermally is 0.1 mL. This small amount allows the medication to remain within the dermal layer of the skin, producing a localized response without excessive tissue distention or discomfort.

Explanation

Rotating insulin injection sites systematically helps prevent lipohypertrophy, tissue damage, and inconsistent insulin absorption. Using the same site repeatedly can lead to hardened or fatty tissue, which interferes with predictable insulin uptake and glycemic control. Systematic rotation within the same anatomical area promotes consistent absorption while protecting skin integrity and improving long-term effectiveness of insulin therapy.