Administering Meds Flashcards
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
B. Ascertain that the needle is not in a blood vessel
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
the pt’s age and body size
the pt’s physical condition
the muscular build and skin texture of the pt
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
scar tissue
moles, birthmarks, warts, tumors, lumps, bones
A subcutaneous injection is given at an angle of A. 60 B. 50 C. 45 D. 30
C. 45
An intramuscular injection is given at a A. 45 angle B. 90 angle C. 60 angle D. 50 angle
B. 90 angle
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
B. the inner forearm and the middle of the back
The \_\_\_\_ may be used for giving (adult) deep IM injections A. ventrogluteal site B. dorsogluteal site C. deltoid muscle D. vastus lateralis
C. deltoid muscle
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
brachial and auxiliary nerves
The \_\_\_\_\_ is the preferred site for IM injections in infantas and children A. ventrogluteal B. deltoid muscle C. dorsogluteal D. Vastus lateralis
Vastus lateralis
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
use a site rotation system
be sure you have the correct insulin for administration
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
not massage the injection site
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
evaluating each pt as an individual
correctly preparing parental equipment and supplies for use
selecting the correct site for the intended injection
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
smoothly withdraw the needle
properly discard the used unit
prepare another injection for administration
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
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
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
thoroughly wash the site where the stick occurred
cleanse the skin with an antiseptic
report and document the incident and obtain medical attention
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
the epidermal layer of the skin
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
prevent tissue damage
prevent accumulation of the unabsorbed medication
prevent tissue hypertrophy
A correctly administered ID injection will produce a A. wen B. wheal C. wheel D. all of these
Wheal
Examples of drugs that are administered subcutaneously are A. antibiotics B. insulin C. certain vitamins D. both b & c
Insulin
To feel
Palpate
To pull or draw tight a surface such as the skin
Taut
A blood tumor
Hematoma
To remove by suction
Aspirate
A slight elevation of the skin that can be produced as a result of an ID injection
Wheal
A feeling of trust and understanding established between the pt and those providing health care
Rapport
The component parts of a syringe consist of A. a barrel B. a plunger C. the flange and the tip D. All of these
All of these
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
point, bevel, lumen, shaft, hub and hilt
Syringes are named according to A. manufacturing choice B. inventor’s name C. their sizes and usages D. none of these
their sizes and usages
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
the indiscernible of the barrel,plunger and tip
A 3 mL hypodermic syringe is calibrated in A. 0.2 mL B. 0.5 mL C. 0.1 mL D. 0.3 mL
0.1 mL
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
Tuberculin
Insulin syringed are calibrated in A. cubic centimeters B. millimeters C. units D. minims
Units
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
amount and viscosity
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
2 mL
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
consider the age and size of the pt
select a needle with sufficient length to reach muscle tissue
The \_\_\_ of a needle is determined by the diameter of its lumen A. shaft B. hub C. units D. minims
Units
\_\_\_\_ 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
parenteral
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
Barrel
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
0.2
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
0.01
The \_\_\_\_ is the sharpened end of the needle A. bevel B. lumen C. hub D. point
Point
The point at which the shaft of the needle attaches to the hub is called the A. flange B. hilt C. shaft D. lumen
Hilt
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
SC injection
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
ID injection
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 rigid, puncture proof container
sharps container
Acquired immunodeficiency syndrome
AIDS
Under or below the skin
Hypodermic
State of being free from living microorganisms
Sterile
Small, sterile, prefilled glass container that hold a hypodermic solution
Ampule
Sterile, prefilled or plastic vessel or bottle used to sore medication as liquid, powders, tablets or capsules
Vial
7 rights of drug administration
Right pt Right drug Right dose Right route of administration Right time Right technique Right documentation
Bevel
Angled tip of a needle
Gauage
Diameter or lumen size of a needle
The larger the gauge number
The smiler the diameter of the needle
Smallest gauged are ID injections
27-28
Gauges for SC injections
25-26
Gauges for IM injections
20-23
Length of needle depends on 2 factors
Area of body for injection
Depth of administration (SC vs IM)
Length of needle in inches vary from
3/8 inches- 4 inches
ID needle length
3/8; bevel only part of needle injected
SC needle length
1/2-5/8 inche
IM needle length
1-3 inches; length depends on the muscle being used and pt size
Parts of syringe
Barrel
Calibrated scale
Plunger
Tip
3 cc syringe
Calibrated with cc and minims
Tuberculin syringe
Holds 1 mL
Insulin syringe
Calibrated in units, 50U or 100U
Anaphylactic signs and symptoms
Hypotension resulting from systemic vasodilation
Urticaria
Dyspnea caused by bronchoconstriction
Vomiting and diarrhea
Parenteral routes of administration
Intradermal (ID)
Subcutaneous (SC)
Intramuscular (IM)
Important steps while withdrawing medication from vial
- 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
For ampules,
You do not need to inject air into it
For insulin and heparin injections
Do not massage after injection
