Author Question: The nurse is preparing to administer an intramuscular medication. In determining which size needle ... (Read 178 times)

Kikoku · **on:** Jul 23, 2018

The nurse is preparing to administer an intramuscular medication. In determining which size needle and syringe to use to administer the medication, the nurse must consider which of the following? (Select all that apply.)

a. The volume of medication
b. The viscosity of the medication
c. The size and weight of the patient
d. Whether or not the syringe has a safety needle

Question 2

The appropriate procedure for percussion, vibration, and rib shaking is for the nurse to:

A. Perform percussion for 3 to 5 minutes for each position
B. Use the back and shoulders to create the pressure for the cupping
C. Perform vibration and shaking between cascade coughs
D. Hold the hand loosely over the chest wall, with the fingers and thumb apart

kmb352 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

A, B, C
The nurse needs to determine the appropriate size of syringe and needle to be used. The smallest syringe possible for the volume of medication should be used to improve the accuracy of medication preparation. The needle length is chosen by the patient's size and weight, the type of tissue to be injected, and the route of administration. The needle gauge is determined by the viscosity of the medication.

Answer to Question 2

A
A. Perform percussion for 3 to 5 minutes in each posture as tolerated.
B. Use good body mechanics when clapping: elevate bed to comfortable working height, and stand close to bed with arms directly in front and knees slightly bent. Avoid bending over.
C. Instruct client to relax by using one of these techniques: take slow, deep breaths, and exhale; use abdominal, diaphragmatic, or pursed-lip breathing.
D. Place hands side by side on chest wall over area to be drained. Hands should be cupped with fingers and thumbs held tightly together. Make sure that entire outer portion of hand makes contact with chest wall to avoid air leaks.