Fundamentals of Nursing
#1. The appropriate needle gauge for intradermal injection is:
Because an intradermal injection does not penetrate deeply into the skin, a small-bore 25G needle is recommended.
This type of injection is used primarily to administer antigens to evaluate reactions for allergy or sensitivity studies.
A 20G needle is usually used for I.M. injections of oil-based medications;
A 22G needle for I.M. injections;
A 25G needle, for I.M. injections;
A 25G needle, for subcutaneous insulin injections.
#2. Which of the following procedures always requires surgical asepsis?
- The urinary system is normally free of microorganisms except at the urinary meatus.
- Any procedure that involves entering this system must use surgically aseptic measures to maintain a bacteria-free state.
#3. The urinary system is normally free of microorganisms except at the urinary meatus. Any procedure that involves entering this system must use surgically aseptic measures to maintain a bacteria-free state.
- The back of the gown is considered clean, the front is contaminated.
- So, after removing gloves and washing hands, the nurse should untie the back of the gown; slowly move backward away from the gown, holding the inside of the gown and keeping the edges off the floor; turn and fold the gown inside out; discard it in a contaminated linen container; then wash her hands again.
#4. All of the following are common signs and symptoms of phlebitis except:
Phlebitis, the inflammation of a vein, can be caused by chemical irritants (I.V. solutions or medications), mechanical irritants (the needle or catheter used during venipuncture or cannulation), or a localized allergic reaction to the needle or catheter.
Signs and symptoms of phlebitis include pain or discomfort, edema and heat at the I.V. insertion site, and a red streak going up the arm or leg from the I.V. insertion site.
#5. In which step of the nursing process would the nurse ask a patient if the medication she administered relieved his pain?
In the evaluation step of the nursing process, the nurse must decide whether the patient has achieved the expected outcome that was identified in the planning phase.