NCLEX-RN: Pharmacological & Parenteral Therapies (1B)
The purpose of holding a sterile gauze pad on the site of an IM injection while removing the needle is to?
, The purpose of holding a sterile gauze pad on the site of an IM injection while
removing the needle is to?
Prevent pathogens from entering through the puncture.
Increase the absorption of the medication.
Decrease the discomfort of the needle pulling on the skin.
Seal off the track left by the needle.
Hint: Avoid any unnecessary pain for the patient.
decrease the discomfort of the needle pulling on the skin.
Pressing the gauze pad against the skin while removing the needle reduces
discomfort of the pulling sensation. Once medication is completely injected,
remove the needle using a smooth, steady motion. Remove the needle at the
same angle at which it was inserted.
Which of the following drugs should not be refrigerated?
Epoetin alfa IV (Epogen).
Nadolol (Corgard).
Ampicillin Oral Suspension.
Opened (in-use) Humulin N injection.
Hint: The cardiac drug is not refrigerated.
nadolol (Corgard).
Nadolol (Corgard) is a beta blocker used to treat hypertension and chest pain.
It is stored tightly closed at room temperature from 59 °F to 86 °F (15 °C to
30 °C), away from heat, moisture, and light. Humulin N is a form of insulin.
After it has been opened, it is stored in the refrigerator or at room temperature
below 86 °F. Humulin N must be discarded within 31 days after opening.
Ampicillin is a penicillin antibiotic. The liquid suspension form should be stored
in the refrigerator for up to 7 days. Epoetin alfa IV is used with patients
undergoing chemotherapy or suffering from anemia from serious chronic
diseases. It is stored in the refrigerator and should be protected from light.
A provider has prescribed isotretinoin (Accutane) for a 22-year-old female with
a diagnosis of severe cystic acne. Before providing instructions for taking the
medication, which is the MOST important question that the nurse should ask
the client?
"What date was your last menstrual period?"
"Can you tolerate some slight weight gain?"
"Are you able to easily swallow capsules?
"Does your insurance cover prescriptions?"
Hint: Isotretinoin is a teratogen.
"what date was your last menstrual period?"
A teratogen is an agent that can disturb the development of the embryo or
fetus. Isotretinoin (Accutane) is known to cause birth defects of the brain and
heart, as well as facial deformities if taken during pregnancy. The nurse
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