34 & 35 Administrating medication Flashcards

1
Q

The most serious adverse reaction to penicillin is?

A

anaphylaxis.

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2
Q

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?

A

60 mg

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3
Q

Which of the following drugs is classified as an antihypertensive?

A

Dyazide

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4
Q

The physician prescribes 0.5 g of ampicillin. The label states, “Ampicillin 500 mg/5 mL.” How many milliliters should be administered?

A

5 mL

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5
Q

The physician orders 7.5 mL of Cipro for a pediatric patient. How many teaspoons should the parent administer?

A

1.5 tsp

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6
Q

The physician prescribes 0.125 mg of Synthroid. You have 0.25-mg tablets on hand. What should you administer?

A

0.125 mg is half of 0.25 mg.

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7
Q

In the formula (D/H) ´ Q, the H stands for the:

A

dosage strength identified on the label.

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8
Q

Convert 524 mg to grams.

A

0.524 g

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9
Q

How many liters equal 1,500 cc?

A

1.5 L

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10
Q

The prefix “milli” in the metric system means:

A

Milli- is a prefix that indicates 1/1,000, or 0.001.

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11
Q

How many milligrams equal 0.75 g?

A

0.75 g = 750 mg (to convert a larger unit to a smaller one, move the decimal point three places to the right).

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12
Q

The physician orders 75 mg of Demerol IM. The drug label states, “Demerol 50 mg/mL.” How many milliliters should be administered?

A

75 ÷ 50 = 1.5 mL.

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13
Q

A subcutaneous injection is given into what type of tissue?

A

Fat

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14
Q

Which of the following guidelines should be followed when administering a medication?

A

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

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15
Q

When administering an IM injection, the skin over the injection site must be held taut to:

A

Permit easier insertion of the needle

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16
Q

The vastus lateralis site is used most often to administer medication to:

A

Infants and young children

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17
Q

What is the maximal amount of medication that can be administered through the subcutaneous route?

A

1 cc

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18
Q

What is the abbreviation for at bedtime?

A

hs

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19
Q

Why is the dorsogluteal site considered a good location to administer an intramuscular injection of an adult?

A

It can accommodate a large amount of medication

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20
Q

The Mantoux tuberculin test is performed using:

A

Intradermal administration

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21
Q

Which of the following represents an equivalent value for a cubic centimeter?

A

1 cc = 1 ml

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22
Q

A patient with a latent tuberculosis infection:

A

Cannot spread TB to others

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23
Q

Hypodermic syringes are calibrated in:

A

Cubic centimeters

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24
Q

Induration measuring 3 mm resulting from a Mantoux test indicates:

A

A negative reaction

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25
Q

Why should pressure NOT be applied to the injection site after administering an intradermal injection?

A

The medication is not intended to be absorbed into the tissues

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26
Q

What is the term for the slanted edge at the top of a needle?

A

Bevel

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27
Q

The Z-track method is used to administer medications that:

A

Stain the skin

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28
Q

What is the abbreviation for one half?

A

ss

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29
Q

Which of the following needles has the largest lumen?

A

18 G

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30
Q

What is another name for continuous IV administration?

A

IV drip

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31
Q

Which of the following blood vessels is used most often for administering IV therapy?

A

Peripheral veins of the arm and hand

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32
Q

Which of the following techniques should NOT be performed when an ampule is used to administer medication?

A

Inject air into the ampule before removing the medication

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33
Q

Intradermal injections are used to administer:

A

Skin tests

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34
Q

The maximal reaction to a skin-prick test occurs between:

A

15 and 20 minutes

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35
Q

Which of the following is used to administer an intradermal injection?

A

Tuberculin syringe

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36
Q

What is the abbreviation for immediately?

A

stat

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37
Q

What is the usual treatment for an anaphylactic reaction?

A

Epinephrine injection

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38
Q

Chemotherapy may be administered in:

A

An oncology medical office

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39
Q

The purpose of aspirating when administering an injection is to:

A

Ensure that the needle is not in a blood vessel

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40
Q

Which of the following parts of a prescription indicates the information that is included on the label?

A

Signatura

41
Q

All of the following are examples of schedule II drugs EXCEPT:

A

Valium

42
Q

The purpose of applying pressure to the injection site after administering an intramuscular injection is to:

A

Facilitate absorption of the medication

43
Q

Which of the following is a function of the flange of a syringe?

A

Helps in injecting the medication

44
Q

Which of the following categories includes drugs that have a high potential for abuse and accepted medical use?

A

Schedule II

45
Q

The parenteral route of administering medications is used:

A

To obtain a more rapid action

46
Q

If a vial requires mixing before the medication is administered, the medical assistant should:

A

Roll the vial between the hands

47
Q

The early symptoms of an anaphylactic reaction include:

A

Dyspnea, decreased blood pressure, thready pulse

48
Q

Which of the following must be included on a prescription for a controlled drug?

A

Physician’s DEA number

49
Q

Which of the following is an example of a medical office emergency situation in which intravenous access may be established?

A

Myocardial infarction
Anaphylactic reaction
Diabetic emergency
Heatstroke

50
Q

Immune globulin consists of pooled human plasma that contains:

A

Antibodies

51
Q

The inscription of a prescription consists of:

A

The name of the drug and the dosage

52
Q

Which of the following methods of examination must be used when reading a tuberculin skin test?

A

Inspection and palpation

53
Q

When withdrawing medication from a vial, an equal amount of air should be injected into the vial to prevent:

A

A vacuum from forming in the vial

54
Q

Which of the following is a unit of volume?

A

Minim

55
Q

The term parenteral refers to:

A

Sites located outside the gastrointestinal tract

56
Q

What is the term for an abnormal reaction to a substance that is normally harmless?

A

Allergy

57
Q

An intradermal allergy skin test that measures 4 mm in diameter is charted as:

A

1

58
Q

What is chemotherapy?

A

The use of chemicals to treat disease

59
Q

What is the purpose of a safety-engineered syringe?

A

To reduce the risk of a needlestick injury

60
Q

Which of the following needle lengths is used to administer a subcutaneous injection?

A

5/8 inch

61
Q

All of the following are autoimmune diseases EXCEPT:

A

Septicemia

62
Q

What angle of needle insertion should be used to administer an IM injection?

A

90 degrees

63
Q

Which of the following is used to administer an intradermal injection?

A

26 G, 3/8 inch

64
Q

What is the abbreviation for three times a day?

A

tid

65
Q

What is the abbreviation for every day?

A

qd

66
Q

Which of the following needle lengths is used to administer an intramuscular injection to an average-size adult?

A

11/2 inches

67
Q

Which of the following medications is administered through the subcutaneous route?

A

Insulin

68
Q

What is the name of a drug preparation that is applied externally to produce a feeling of heat or warmth?

A

Liniment

69
Q

Patient preparation for allergy skin testing includes:

A

Discontinuing antihistamines for 3 days before the test

70
Q

After administering a tuberculin skin test, it should be read within:

A

48 to 72 hours

71
Q

What is the abbreviation for before meals?

A

ac

72
Q

What is the name given to a closed glass container with a rubber stopper that contains more than one dose of medication?

A

Multiple-dose vial

73
Q

Symptoms of active tuberculosis include all of the following EXCEPT:

A

Abdominal pain

74
Q

All of the following are reasons for charting the location of the injection EXCEPT:

A

To avoid injecting the medication into a major nerve or blood vessel

75
Q

A prescription for a schedule III drug expires:

A

6 months from the date of issue

76
Q

Which of the following helps to reduce the pain of an IM injection?

A

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

77
Q

Which of the following is assigned by the pharmaceutical company that first develops a drug?

A

Generic name

78
Q

The physician prescribes 500 mg of Keflex. The available dose is 1 g/tab. How many tablets should the patient receive.

A
  1. 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).
  2. The label identifies that each tablet = 1 g; 500 mg = mc040-1.jpg tablet.
79
Q

To convert liters to milliliters:

A

multiply by 1,000.

80
Q

The reason for enterically coating a tablet is to:

A

Prevent the medication from irritating the stomach lining

81
Q

When administering an intradermal injection, the needle must be inserted with the bevel facing upward to:

A

Allow for proper wheal formation

82
Q

An allergy skin test that is positive results in:

A

Localized itching, erythema, induration

83
Q

Which of the following sites is commonly used to administer a subcutaneous injection?

A

Upper lateral arm

84
Q

Federal law requires that all controlled substances be:

A

Controlled substances must be locked in a special drug box that is kept separate from other stored medications.

85
Q

Substances that prevent or inhibit the growth of microorganisms are known as:

A

antibiotics. Antibiotics kill or inhibit the growth of microorganisms.

86
Q

You need to give Lanoxin, 0.125 mg. All you have is 0.250-mg tablets. How much do you give?

A

0.250 ÷ 0.125 = mc011-1.jpg tablet. The tablet must be scored to administer an accurate dose.

87
Q

Which of the following is NOT a reason for administering medication intravenously?

A

The patient is allergic to the oral form of the medication

88
Q

Which of the following situations causes a drug to be absorbed at a slower rate?

A

Taking the medication pc

89
Q

When the same dose of a drug no longer produces the desired effect, it is said that the patient has developed:

A

Drug tolerance

90
Q

5.7 mg equals how many mcg?

A

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.

91
Q

Which of the following is an example of an allergen?

A

Peanuts
House dust
Insect stings
Ragwee

92
Q

The patient’s forearm should be held taut while administering the Mantoux test to:

A

Permit easier insertion of the needle

93
Q

The study of drugs is known as

A

Pharmacology

94
Q

When withdrawing medication from a vial, the needle must be inserted below the fluid level to:

A

Prevent the entrance of air bubbles into the syringe

95
Q

Vesiculation occurring from a Mantoux test indicates:

A

A positive reaction

96
Q

Which of the following is an example of administering medication?

A

A medical assistant gives an IM injection to a patient

97
Q

What is done if a patient has a positive reaction to a Mantoux test?

A

Further diagnostic tests are performed

98
Q

Which of the following tests is used to identify allergens causing contact dermatitis?

A

Patch test

99
Q

Which of the following references could you use to look up the adverse reactions of Zithromax?

A

Physician’s Desk Reference