NUR 330 Skills Injections Review Questions and Correct Answers
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Course
NUR 330
Institution
NUR 330
Ventrogluteal Deep and situated away from major nerves and blood vessels
Easily identified by prominent bony landmarks
Preferred site for medications that are larger in volume, more viscous, and irritating
Less painful than vastus lateralis
Recommended as pediatric IM injection site for childre...
NUR 330 Skills Injections Review
Questions and Correct Answers
Ventrogluteal ✅Deep and situated away from major nerves and blood vessels
Easily identified by prominent bony landmarks
Preferred site for medications that are larger in volume, more viscous, and irritating
Less painful than vastus lateralis
Recommended as pediatric IM injection site for children of all ages
Vastus Lateralis ✅Absence of major nerves and blood vessels
Drug absorption rapid
Site used for immunizations in children
Recommended as pediatric IM injection site for infants up to 12 months of age
Deltoid ✅Easily accessible but not well developed in most patients
Used for small volumes of medication
Faster absorption rate
May be used as a vaccination site for adults, based on development of muscle
Recommended as pediatric IM injection site for children 18 months and older
Minimize Discomfort During Injection ✅Use sharp, beveled needles in the shortest
length and smallest gauge possible.
Change the needle if liquid medication coats its shaft.
Position and flex a patient's limbs to reduce muscular tension.
Divert a patient's attention away from the injection procedure.
Apply a vapocoolant spray (e.g., Flouri-Methane spray or ethyl chloride) or topical
anesthetic (e.g., EMLA cream) to an injection site before giving a medication when
possible or place wrapped ice on the site for a minute before injection.
, Insert the needle at the proper angle, smoothly, and quickly. Do not hesitate and slowly
push the needle into tissue.
Inject the medication slowly but smoothly.
Hold the syringe steady once the needle is in the tissue to prevent tissue damage.
Withdraw the needle smoothly at the same angle used for insertion.
Gently apply an antiseptic pad (e.g., alcohol) or dry, sterile gauze pad to the site.
Apply gentle pressure at the injection site.
Rotate injection sites to prevent the formation of indurations and abscesses
Recommendations for the Prevention of Needlestick Injuries ✅1 Avoid using needles
when effective needleless systems or SESIP safety devices are available.
2 Do not recap needles after medication administration.
3 Plan safe handling and disposal of needles before beginning a procedure that
requires the use of a needle.
4 Immediately dispose of used needles, needleless systems, and SESIP into puncture-
and leak-proof sharps disposal containers.
5 Maintain a sharps injury log (see agency policy).
6 Attend educational offerings regarding bloodborne pathogens and follow
recommendations for infection prevention, including receiving the hepatitis B vaccine.
7 Report all needlestick and sharps-related injuries immediately according to agency
policies.
8 Participate in the selection and evaluation of needleless systems of SESIP devices
with safety features within your place of employment whenever possible.
Needle Selection ✅Most needles vary in length from 3/8 to 3 inches Use longer
needles (1 inch to 1/2 inches) for IM injections and shorter needles ( ⅜ to 5/8 inch) for
subcutaneous injections.
The selection of a gauge depends on the viscosity of fluid to be injected. For example,
use a larger 22-gauge 1.5in needle for IM injections. Use a smaller 25-gauge 5/8in
needle for a subcutaneous injection.
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