34 & 35 Administrating medication Flashcards
The most serious adverse reaction to penicillin is?
anaphylaxis.
A total of 180 mg of a medication is to be taken each day, and the medication is ordered tid. What would be the individual dose?
60 mg
Which of the following drugs is classified as an antihypertensive?
Dyazide
The physician prescribes 0.5 g of ampicillin. The label states, “Ampicillin 500 mg/5 mL.” How many milliliters should be administered?
5 mL
The physician orders 7.5 mL of Cipro for a pediatric patient. How many teaspoons should the parent administer?
1.5 tsp
The physician prescribes 0.125 mg of Synthroid. You have 0.25-mg tablets on hand. What should you administer?
0.125 mg is half of 0.25 mg.
In the formula (D/H) ´ Q, the H stands for the:
dosage strength identified on the label.
Convert 524 mg to grams.
0.524 g
How many liters equal 1,500 cc?
1.5 L
The prefix “milli” in the metric system means:
Milli- is a prefix that indicates 1/1,000, or 0.001.
How many milligrams equal 0.75 g?
0.75 g = 750 mg (to convert a larger unit to a smaller one, move the decimal point three places to the right).
The physician orders 75 mg of Demerol IM. The drug label states, “Demerol 50 mg/mL.” How many milliliters should be administered?
75 ÷ 50 = 1.5 mL.
A subcutaneous injection is given into what type of tissue?
Fat
Which of the following guidelines should be followed when administering a medication?
Check that you have the correct medication
Check the expiration date of the medication
Check that the patient is not allergic to the medication
Check that the drug has not changed color
When administering an IM injection, the skin over the injection site must be held taut to:
Permit easier insertion of the needle
The vastus lateralis site is used most often to administer medication to:
Infants and young children
What is the maximal amount of medication that can be administered through the subcutaneous route?
1 cc
What is the abbreviation for at bedtime?
hs
Why is the dorsogluteal site considered a good location to administer an intramuscular injection of an adult?
It can accommodate a large amount of medication
The Mantoux tuberculin test is performed using:
Intradermal administration
Which of the following represents an equivalent value for a cubic centimeter?
1 cc = 1 ml
A patient with a latent tuberculosis infection:
Cannot spread TB to others
Hypodermic syringes are calibrated in:
Cubic centimeters
Induration measuring 3 mm resulting from a Mantoux test indicates:
A negative reaction
Why should pressure NOT be applied to the injection site after administering an intradermal injection?
The medication is not intended to be absorbed into the tissues
What is the term for the slanted edge at the top of a needle?
Bevel
The Z-track method is used to administer medications that:
Stain the skin
What is the abbreviation for one half?
ss
Which of the following needles has the largest lumen?
18 G
What is another name for continuous IV administration?
IV drip
Which of the following blood vessels is used most often for administering IV therapy?
Peripheral veins of the arm and hand
Which of the following techniques should NOT be performed when an ampule is used to administer medication?
Inject air into the ampule before removing the medication
Intradermal injections are used to administer:
Skin tests
The maximal reaction to a skin-prick test occurs between:
15 and 20 minutes
Which of the following is used to administer an intradermal injection?
Tuberculin syringe
What is the abbreviation for immediately?
stat
What is the usual treatment for an anaphylactic reaction?
Epinephrine injection
Chemotherapy may be administered in:
An oncology medical office
The purpose of aspirating when administering an injection is to:
Ensure that the needle is not in a blood vessel
Which of the following parts of a prescription indicates the information that is included on the label?
Signatura
All of the following are examples of schedule II drugs EXCEPT:
Valium
The purpose of applying pressure to the injection site after administering an intramuscular injection is to:
Facilitate absorption of the medication
Which of the following is a function of the flange of a syringe?
Helps in injecting the medication
Which of the following categories includes drugs that have a high potential for abuse and accepted medical use?
Schedule II
The parenteral route of administering medications is used:
To obtain a more rapid action
If a vial requires mixing before the medication is administered, the medical assistant should:
Roll the vial between the hands
The early symptoms of an anaphylactic reaction include:
Dyspnea, decreased blood pressure, thready pulse
Which of the following must be included on a prescription for a controlled drug?
Physician’s DEA number
Which of the following is an example of a medical office emergency situation in which intravenous access may be established?
Myocardial infarction
Anaphylactic reaction
Diabetic emergency
Heatstroke
Immune globulin consists of pooled human plasma that contains:
Antibodies
The inscription of a prescription consists of:
The name of the drug and the dosage
Which of the following methods of examination must be used when reading a tuberculin skin test?
Inspection and palpation
When withdrawing medication from a vial, an equal amount of air should be injected into the vial to prevent:
A vacuum from forming in the vial
Which of the following is a unit of volume?
Minim
The term parenteral refers to:
Sites located outside the gastrointestinal tract
What is the term for an abnormal reaction to a substance that is normally harmless?
Allergy
An intradermal allergy skin test that measures 4 mm in diameter is charted as:
1
What is chemotherapy?
The use of chemicals to treat disease
What is the purpose of a safety-engineered syringe?
To reduce the risk of a needlestick injury
Which of the following needle lengths is used to administer a subcutaneous injection?
5/8 inch
All of the following are autoimmune diseases EXCEPT:
Septicemia
What angle of needle insertion should be used to administer an IM injection?
90 degrees
Which of the following is used to administer an intradermal injection?
26 G, 3/8 inch
What is the abbreviation for three times a day?
tid
What is the abbreviation for every day?
qd
Which of the following needle lengths is used to administer an intramuscular injection to an average-size adult?
11/2 inches
Which of the following medications is administered through the subcutaneous route?
Insulin
What is the name of a drug preparation that is applied externally to produce a feeling of heat or warmth?
Liniment
Patient preparation for allergy skin testing includes:
Discontinuing antihistamines for 3 days before the test
After administering a tuberculin skin test, it should be read within:
48 to 72 hours
What is the abbreviation for before meals?
ac
What is the name given to a closed glass container with a rubber stopper that contains more than one dose of medication?
Multiple-dose vial
Symptoms of active tuberculosis include all of the following EXCEPT:
Abdominal pain
All of the following are reasons for charting the location of the injection EXCEPT:
To avoid injecting the medication into a major nerve or blood vessel
A prescription for a schedule III drug expires:
6 months from the date of issue
Which of the following helps to reduce the pain of an IM injection?
Telling the patient to breathe deeply
Inserting the needle quickly into the patient’s skin
Holding the needle steady after inserting it
Withdrawing the needle at the same angle as that used for insertion
Which of the following is assigned by the pharmaceutical company that first develops a drug?
Generic name
The physician prescribes 500 mg of Keflex. The available dose is 1 g/tab. How many tablets should the patient receive.
- Convert the physician’s order to match the unit of measurement on the label: 500 mg = 0.5 g (to convert smaller to larger units, move the decimal point three places to the left).
- The label identifies that each tablet = 1 g; 500 mg = mc040-1.jpg tablet.
To convert liters to milliliters:
multiply by 1,000.
The reason for enterically coating a tablet is to:
Prevent the medication from irritating the stomach lining
When administering an intradermal injection, the needle must be inserted with the bevel facing upward to:
Allow for proper wheal formation
An allergy skin test that is positive results in:
Localized itching, erythema, induration
Which of the following sites is commonly used to administer a subcutaneous injection?
Upper lateral arm
Federal law requires that all controlled substances be:
Controlled substances must be locked in a special drug box that is kept separate from other stored medications.
Substances that prevent or inhibit the growth of microorganisms are known as:
antibiotics. Antibiotics kill or inhibit the growth of microorganisms.
You need to give Lanoxin, 0.125 mg. All you have is 0.250-mg tablets. How much do you give?
0.250 ÷ 0.125 = mc011-1.jpg tablet. The tablet must be scored to administer an accurate dose.
Which of the following is NOT a reason for administering medication intravenously?
The patient is allergic to the oral form of the medication
Which of the following situations causes a drug to be absorbed at a slower rate?
Taking the medication pc
When the same dose of a drug no longer produces the desired effect, it is said that the patient has developed:
Drug tolerance
5.7 mg equals how many mcg?
To convert from a larger unit to a smaller one, move the decimal point three places to the right: 5.7 mg = 5,700 mcg.
Which of the following is an example of an allergen?
Peanuts
House dust
Insect stings
Ragwee
The patient’s forearm should be held taut while administering the Mantoux test to:
Permit easier insertion of the needle
The study of drugs is known as
Pharmacology
When withdrawing medication from a vial, the needle must be inserted below the fluid level to:
Prevent the entrance of air bubbles into the syringe
Vesiculation occurring from a Mantoux test indicates:
A positive reaction
Which of the following is an example of administering medication?
A medical assistant gives an IM injection to a patient
What is done if a patient has a positive reaction to a Mantoux test?
Further diagnostic tests are performed
Which of the following tests is used to identify allergens causing contact dermatitis?
Patch test
Which of the following references could you use to look up the adverse reactions of Zithromax?
Physician’s Desk Reference
