A nurse is preparing to administer a medication from a vial. In which order will the nurse perform the steps, starting with the first step?
1. Invert the vial.
2. Fill the syringe with medication.
3. Inject air into the airspace of the vial.
4. Clean with alcohol swab and allow to dry.
5. Pull back on the plunger the amount to be drawn up.
6. Tap the side of the syringe barrel to remove air bubbles.
a. 4, 1, 5, 3, 6, 2
b. 1, 4, 5, 3, 2, 6
c. 4, 5, 3, 1, 2, 6
d. 1, 4, 5, 3, 6, 2
ANS: C
When preparing medication from a vial, the steps are as follows: Firmly and briskly wipe the surface of the rubber seal with an alcohol swab and allow to dry; pull back on the plunger to draw an amount of air into the syringe equal to the volume of medication to be aspirated from the vial; inject air into the airspace of the vial; invert the vial while keeping firm hold on the syringe and plunger; fill the syringe with medication; and tap the side of the syringe barrel carefully to dislodge any air bubbles.
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