Author Question: An adult patient is to receive two medications IM. Which action by the nurse is most important in ... (Read 19 times)

sabina · **on:** Jul 24, 2018

An adult patient is to receive two medications IM. Which action by the nurse is most important in order to mix the medications in one syringe?

a. Assess for the presence of adequate muscle mass.
b. Ensure that the combined medication amount is less than 2 mL.
c. Determine the compatibility of the medications.
d. Use a needle that is 25 gauge.

Question 2

After teaching a diabetic patient about proper disposal of used syringes and needles, which statement by the patient indicates a need for further teaching?

a. Even needles with sleeves should be disposed of appropriately.
b. It is unusual that anyone could get a needle injury or disease from used needles.
c. It is important for me to use the designated container to dispose of my syringes and needles.
d. I am going to purchase the Sharps by Mail Disposal System' once I am home.

vboyd24 · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

ANS: C
Compatibility is determined to prevent a reaction between the mixed medications. This is important once the medication will be administered, but first it needs to be determined that the medications can be mixed. IM injections in the adult can exceed 2 mL. A 25-gauge needle is not appropriate for an IM injection.

Answer to Question 2

ANS: B
The patient needs more education because injury from needlesticks and transfer of pathogens is a health concern. It is accurate that even needles with sleeves should be disposed of appropriately and that a designated container to dispose of syringes and needles should be used. The patient should be encouraged to purchase the Sharps by Mail Disposal System.