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Pharmacology > Administering Meds > Flashcards

Administering Meds Flashcards

1
Q

When administrating a subcutaneous and/or an intramuscular injection, you would gently pull back on the plunger to
A. Reduce discomfort to the pt
B. Ascertain that the needle is not in the blood vessel
C. Make sure that you are in the right side
D. Make sure that you have the right medication

A

B. Ascertain that the needle is not in a blood vessel

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2
Q

Before administering any medication, you are to carefully assess your pt’s conditions. This assessment should include
A. the pt’s age and body size
B. the pt’s physical condition
C. the muscular build and skin texture of the pt
D. all of these

A

the pt’s age and body size
the pt’s physical condition
the muscular build and skin texture of the pt

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3
Q

Body areas to avoid when choosing the site for an injection are
A. healthy muscle tissue
B. scar tissue
C. moles, birthmarks, warts, tumors, lumps, bones
D. both b & c

A

scar tissue

moles, birthmarks, warts, tumors, lumps, bones

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4
Q 
A subcutaneous injection is given at an angle of 
A.	60
B.	50	
C. 45
D.	30
A

C. 45

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5
Q 
An intramuscular injection is given at a
A.	45 angle
B.	90 angle
C.	60 angle
D.	50 angle
A

B. 90 angle

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6
Q

The body areas used for an intradermal injection are
A. The deltoid muscle and/or gluteal muscle
B. the inner forearm and the middle of the back
C. the outer forearm and the middle of the back
D. the thigh and/or the middle of the back

A

B. the inner forearm and the middle of the back

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7
Q 
The \_\_\_\_ may be used for giving (adult) deep IM injections
A.	ventrogluteal site
B.	dorsogluteal site
C.	deltoid muscle
D.	vastus lateralis
A

C. deltoid muscle

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8
Q 
When administering an injection into the deltoid muscle, caution must be taken to avoid the 
A.	sciatic nerve
B.	brachial and auxiliary nerves
C.	acromion and numerous 
D.	both b & c
A

brachial and auxiliary nerves

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9
Q 
The \_\_\_\_\_ is the preferred site for IM injections in infantas and children
A.	ventrogluteal
B.	deltoid muscle 
C.	dorsogluteal
D. Vastus lateralis
A

Vastus lateralis

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10
Q

The following special considerations should be followed when preparing and administrating insulin
A. shake the bottle to mix evenly
B. use a site rotation system
C. be sure you have the correct insulin for administration
D. both b&c

A

use a site rotation system

be sure you have the correct insulin for administration

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11
Q 
When administrating insulin, you should
A.	not massage the injection site
B.	use any subcutaneous area for injection
C.	not rotate the site for injection	
D.	use a 30 angle
A

not massage the injection site

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12
Q

Regardless of the type of injection, there are basic guidelines that one must follow to safeguard the pt. These guidelines include
A. evaluating each pt as an individual
B. correctly preparing parental equipment and supplies for use
C. selecting the correct site for the intended injection
D. all of these

A

evaluating each pt as an individual
correctly preparing parental equipment and supplies for use
selecting the correct site for the intended injection

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13
Q

What steps should be taken if blood appears in the syringe upon aspiration? A. smoothly withdraw the needle
B. properly discard the used unit
C. prepare another injection for administration
D. All of these

A

smoothly withdraw the needle
properly discard the used unit
prepare another injection for administration

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14
Q

When cleaning the injection site with a sterile antiseptic swab, you would
A. use a circular motion
B. work from the center out to about 2 inches beyond the planned injection site
C. work from the outer edges of the injection site to the center
D. both a &b

A

use a circular motion
work from the center out to about 2 inches beyond the planned injection site
work from the outer edges of the injection site to the center

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15
Q

Should an accidental stick occur after an injection, you would
A. thoroughly wash the site where the stick occurred
B. cleanse the skin with an antiseptic
C. report and document the incident and obtain medical attention
D. all of these

A

thoroughly wash the site where the stick occurred
cleanse the skin with an antiseptic
report and document the incident and obtain medical attention

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16
Q 
When administrating an intradermal injection, the lumen of the needle should be in 
A.	subcutaneous tissue
B.	muscle tissue
C.	the epidermal layer of the skin
D.	none of these
A

the epidermal layer of the skin

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17
Q

Insulin injection site must be rotated to
A. prevent tissue damage
B. prevent accumulation of the unabsorbed medication
C. prevent tissue hypertrophy
D. all of these

A

prevent tissue damage
prevent accumulation of the unabsorbed medication
prevent tissue hypertrophy

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18
Q 
A correctly administered ID injection will produce a
A.	wen
B.	wheal
C.	wheel
D.	all of these
A

Wheal

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19
Q 
Examples of drugs that are administered subcutaneously are
A.	antibiotics
B.	insulin
C.	certain vitamins
D.	both b & c
A

Insulin

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20
Q

To feel

A

Palpate

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21
Q

To pull or draw tight a surface such as the skin

A

Taut

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22
Q

A blood tumor

A

Hematoma

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23
Q

To remove by suction

A

Aspirate

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24
Q

A slight elevation of the skin that can be produced as a result of an ID injection

A

Wheal

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25
Q

A feeling of trust and understanding established between the pt and those providing health care

A

Rapport

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26
Q 
The component parts of a syringe consist of 
A.	a barrel
B.	a plunger
C.	the flange and the tip
D. 	All of these
A

All of these

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27
Q 
The parts of a typical needle are
A.	the point,  lumen and shaft
B.	the point, shaft and hub
C.	point, bevel, lumen, shaft, hub and hilt
D.	point, hilt, bevel, hub
A

point, bevel, lumen, shaft, hub and hilt

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28
Q 
Syringes are named according to
A.	manufacturing choice
B.	inventor’s name 
C.	their sizes and usages
D.	none of these
A

their sizes and usages

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29
Q

The parts of the syringe that must remain sterile during the preparation and administration of a parenteral medication are
A. the outside if the barrel, the tip and plunger’
B. the plunger and the tip
C. the indiscernible of the barrel,plunger and tip
D. the flange, barrel, and tip

A

the indiscernible of the barrel,plunger and tip

30
Q 
A 3 mL hypodermic syringe is calibrated in 
A. 0.2 mL
B.	0.5 mL
C.	0.1 mL
D.	0.3 mL
A

0.1 mL

31
Q 
A \_\_\_\_ syringe is used to inject min amounts of medications, for ID injections, allergy testing and other allergy injections
A.	insulin
B.	tuberculin
C.	3 mL hypodermic
D.	5 mL hypodermic
A

Tuberculin

32
Q 
Insulin syringed are calibrated in
A.	cubic centimeters
B.	millimeters
C.	units
D.	minims
A

Units

33
Q 
The \_\_\_\_ of medication ordered determines the size of the syringe-needle unit to be selected
A.	color and odor
B.	amount and viscosity 
C.	color and amount 
D.	viscosity and odor
A

amount and viscosity

34
Q 
When the giving a SC injection, you should not inject more than \_\_\_ into SC tissue
A.	0.5 mL
B.	1 mL
C.	2 mL
D.	3 mL
A

2 mL

35
Q

When selecting a syringe needle unit for an IM injection, you will
A. consider the age and size of the pt
B. select a needle with sufficient length to reach muscle tissue
C. use the same size syringe needle unit for all pts
D. both a & b

A

consider the age and size of the pt

select a needle with sufficient length to reach muscle tissue

36
Q 
The \_\_\_ of a needle is determined by the diameter of its lumen 
A.	shaft
B.	hub
C.	units
D.	minims
A

Units

37
Q 
\_\_\_\_ is the injection of a liquid substance into the body via a route other than the alimentary canal
A.	hypodermic 
B.	parenteral
C.	parental
D.	none of these
A

parenteral

38
Q 
The \_\_\_\_ of a syringe is the part that hold the medication, and has a graduated markings on its surface
A.	barrel
B.	plunger
C.	flange 
D.	tip
A

Barrel

39
Q 
The 5 mL syringe is calibrated with a single metrical scale. Each small line of this scale represents \_\_\_ of a millimeter
A.	0.2
B.	0.3
C.	0.1
D.	0.5
A

0.2

40
Q 
Each small line of the metric scale on a tuberculin syringe represents \_\_\_ of a millimeter
A.	0.2
B.	0.1
C.	0.01
D.	0.5
A

0.01

41
Q 
The \_\_\_\_ is the sharpened end of the needle
A.	bevel
B.	lumen
C.	hub
D.	point
A

Point

42
Q 
The point at which the shaft of the needle attaches to the hub is called the 
A.	flange
B.	hilt
C.	shaft 
D.	lumen
A

Hilt

43
Q 
A 3 mL syringe 25 G, 5/8 inch needle unit may be used for a
A.	IV injection 
B.	IM injection
C.	SC injection 
D.	ID injection
A

SC injection

44
Q 
A 1 mL syringe 26 G, 3/8 needle unit may be used for a 
A.	IV injection
B.	IM injection
C.	SC injection
D.	ID injection
A

ID injection

45
Q 
Used needles and syringes should be discarded in 
A.	a rigid, puncture proof container 
B.	sharps container 
C.	a plastic container 
D.	both a & b
A

a rigid, puncture proof container

sharps container

46
Q

Acquired immunodeficiency syndrome

A

AIDS

47
Q

Under or below the skin

A

Hypodermic

48
Q

State of being free from living microorganisms

A

Sterile

49
Q

Small, sterile, prefilled glass container that hold a hypodermic solution

A

Ampule

50
Q

Sterile, prefilled or plastic vessel or bottle used to sore medication as liquid, powders, tablets or capsules

A

Vial

51
Q

7 rights of drug administration

A 
Right pt
Right drug
Right dose
Right route of administration
Right time
Right technique 
Right documentation
52
Q

Bevel

A

Angled tip of a needle

53
Q

Gauage

A

Diameter or lumen size of a needle

54
Q

The larger the gauge number

A

The smiler the diameter of the needle

55
Q

Smallest gauged are ID injections

A

27-28

56
Q

Gauges for SC injections

A

25-26

57
Q

Gauges for IM injections

A

20-23

58
Q

Length of needle depends on 2 factors

A

Area of body for injection

Depth of administration (SC vs IM)

59
Q

Length of needle in inches vary from

A

3/8 inches- 4 inches

60
Q

ID needle length

A

3/8; bevel only part of needle injected

61
Q

SC needle length

A

1/2-5/8 inche

62
Q

IM needle length

A

1-3 inches; length depends on the muscle being used and pt size

63
Q

Parts of syringe

A

Barrel
Calibrated scale
Plunger
Tip

64
Q

3 cc syringe

A

Calibrated with cc and minims

65
Q

Tuberculin syringe

A

Holds 1 mL

66
Q

Insulin syringe

A

Calibrated in units, 50U or 100U

67
Q

Anaphylactic signs and symptoms

A

Hypotension resulting from systemic vasodilation
Urticaria
Dyspnea caused by bronchoconstriction
Vomiting and diarrhea

68
Q

Parenteral routes of administration

A

Intradermal (ID)
Subcutaneous (SC)
Intramuscular (IM)

69
Q

Important steps while withdrawing medication from vial

A
  • disinfect the rubber stopper of the vial with an alcohol wipe
  • keep bevel of the needle above the fluid level and inject an equal amount of air
  • while on eye level, pull plunger to fill syringe
  • tap syringe while holding it to eliminate air bubbles
70
Q

For ampules,

A

You do not need to inject air into it

71
Q

For insulin and heparin injections

A

Do not massage after injection

Pharmacology (2 decks)

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