Which action by the nurse is accurate when withdrawing medication ...

[panfilo]

Which action by the nurse is accurate when withdrawing medication into a syringe from a vial?
 
  a. Inject an amount of air equal to the medication into the vial.
  b. Break the thin neck of the vial container.
  c. Remove the rubber stopper on the top of the vial.
  d. Discard the initial 0.5 mL of medication to ensure sterility.

Question 2

Which needle will the nurse use to administer an intramuscular (IM) immunization on an 18-month-old child?
 
  a. 18-gauge, 1 inch needle
  b. 20-gauge, inch needle
  c. 27-gauge, 1 inch needle
  d. 25-gauge, inch needle

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Answer to Question 1

ANS: A
An equal amount of air is first injected into the vial to help displace the needed medication upon withdrawal. Vials are not meant to be broken at the neck. Removal of the rubber stopper on a vial is unsafe and not recommended. Medication should not be discarded because it is sterile as long as the vial is airtight and has not been contaminated.

Answer to Question 2

ANS: C
The most appropriate needle gauge for pediatric IM injections is a 25- or 27-gauge, 1 inch needle. An 18-gauge, 1 inch needle is too short and too large in diameter for pediatric injections. A 20-gauge, inch needle is too short and too large in diameter for pediatric injections. A 25-gauge, inch needle is too short for pediatric IM injections.

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