68W LIMITED PRIMARY CARE

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68W LIMITED PRIMARY CARE

QUESTIONS AND ANSWER S

Question 1: Access to patient's medical information may

be given too...

• the patient
• patient care personnel
• medical researcher
• medical educators

CORRECT ANSWER : the patient, patient care

personnel, medical researcher, medical educators

Question 2: Administering an Intradermal Injection

• Identify the patient and ask if they have any allergies or

if there is possibility that they may be pregnant

• verify appropriate needle, syringe, and medication
• select and expose injection site
• clean the injection site with an alcohol prep pad. Start at

the injection site with a spiral motion, clean outward 3 inches

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• pull skin below the injection site downward and hold

slightly taut with index finger of non-dominant hand

• position the syringe with the bevel up at 15-20 degree

angle to the skin surface

• insert the needle just until the bevel disappears under the

skin surface

• do not aspirate. With non-dominant hand, push the

plunger slowly forward until all medication has been injected and a "wheal" appears at the site. The appearance of a wheal indicates the medication has entered the area between the intradermal tissues

• if the wheal does not appear, withdraw the needle

completely, dispose it, and try again If there is a known allergy, do not administer the medication. If there is a chance the female patient may be pregnant, contact your supervisor and administer only with written authorization What are the steps for administering an intradermal injection?

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CORRECT ANSWER: Identify the patient and ask if

they have any allergies or if there is possibility that they may be pregnant; verify appropriate needle, syringe, and medication; select and expose injection site; clean the injection site with an alcohol prep pad, starting at the injection site with a spiral motion, clean outward 3 inches; pull skin below the injection site downward and hold slightly taut with index finger of non-dominant hand; position the syringe with the bevel up at 15-20 degree angle to the skin surface; insert the needle just until the bevel disappears under the skin surface; do not aspirate, with non-dominant hand, push the plunger slowly forward until all medication has been injected and a "wheal" appears at the site; if the wheal does not appear, withdraw the needle completely, dispose it, and try again.

Question 3: Administering an intramuscular injection

• select and expose injection site
• clean the injection site with an alcohol prep pad
• form a fold of skin at the injection site by gently

pinching the skin

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• hold syringe in the dominant hand between the thumb

and index finger and position the needle bevel up at a 90 degree angle to the skin surface

• plunge the needle firmly and quickly into the muscle
• release hold on the skin with the non-dominant hand
• aspirate by pulling back slightly on the plunger of the

syringe

• inject the medication using a slow and continuous

movement

- DO NOT RECAP THE NEEDLE

• monitor the patient for at least 20 minutes for adverse

reactions What are the steps for administering an intramuscular injection?

CORRECT ANSWER: select and expose injection site;

clean the injection site with an alcohol prep pad; form a fold of skin at the injection site by gently pinching the skin; hold syringe in the dominant hand between the thumb and index finger and position the needle bevel up at a 90 degree angle to the skin surface; plunge the needle