Author Question: The nurse is preparing several medications that are administered parenterally. The patient receiving ... (Read 123 times)

mp14 · **on:** Jul 24, 2018

The nurse is preparing several medications that are administered parenterally. The patient receiving which medication will have an intradermal injection?

a. Opioid
b. Medication for allergy testing
c. Low-molecular-weight heparin
d. Glargine insulin

Question 2

A patient has orders for 10 units of glargine (Lantus) insulin and 5 units of regular insulin to be given at the same time. Which action by the nurse is appropriate?

a. Injecting 10 units of air into the glargine insulin vial first and not withdrawing the medication
b. Injecting 5 units of air into the regular insulin vial first and then 10 units of air into the glargine insulin vial
c. Giving two separate injections using different needles and syringes
d. Withdrawing 5 units of regular insulin first and then calculating the total dose of regular and glargine insulin combined

juliaf · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

B
The nurse typically gives intradermal injections for skin testing, for example, in tuberculin screening and allergy tests. Opioid pain medications, low-molecular-weight heparin, and insulin are administered subcutaneously, not intradermally.

Answer to Question 2

C
If long-acting insulin glargine (Lantus) is ordered, it should not be mixed with other insulin preparations, so two separate injections are prepared. Air is injected into one vial, and this is followed by withdrawal of the medication. It doesn't matter which one is drawn up first because they are in separate syringes.