Adminsitration

Question 1

buccal

Answer 1

mouth cavity between jaw and cheek

Question 2

inhalation

Answer 2

drug administration route in which the patient inhales the drug orally or nasally

Question 3

medication errors

Answer 3

any preventable event or activity that can cause inappropriate use or patient harm

Question 4

parenteral

Answer 4

administration of a medication through any route other than through the GI system

Question 5

standard precautions

Answer 5

wearing gloves and other protective gear when toughing bodily fluids, mucous membranes, or any broken skin area

Question 6

sublingual

Answer 6

in the mouth, under the tongue

Question 7

unit dose

Answer 7

system of drug delivery in which a drug order is filled and medication dispensed to fill each medication order for a 24 hour period and is dispensed in a package labeled with the drug name and dosage

Question 8

rights of drug administration

Answer 8

right patient, right drug, right dose, right route, right time, and right documentation

Question 9

standing order

Answer 9

pre-established and approved by other nurses in the absence of the primary healthcare provider, possibly post or pre sugical procedures

Question 10

single order

Answer 10

an order to administer the drug one time only

Question 11

PRN order

Answer 11

an order to administer the drug as needed

Question 12

STAT order

Answer 12

a one time order given as soon as possible

Question 13

oral administration nursing responsibilities

Answer 13

with neogastric feeding tube, give oral drugs through tubbe, but crush them first and put powder in water and then through tube

Question 14

parenteral administration nursing responsibilities cleansing skin

Answer 14

cleanse skin using a skin antiseptic in a circular motion, starting at an inner point and moving outwards

Question 15

parenteral administration nursing responsibilities IM

Answer 15

when administering IM, pull back the syringe barrel after inserting, if blood appears in syringe, remove the needle form skin (drug isn’t injected), if no blood appears in syringe inject the drug

Question 16

parenteral administration nursing reponsibilities after injecting

Answer 16

after removing needle, place pressure in the area

Question 17

needle insertion intradermal

Answer 17

26 gauge, 3/8 inch long needle inserted at a 10 degree angle

Question 18

needle insertion subcutaneous

Answer 18

25 gauge, 1/2 inch long, inserted at a 45 to 90 degree angle depending on size of patient

Question 19

needle insertion intramuscular

Answer 19

20 to 23 gauge, 1 to 3 inch long needle, inserted into relaxed muscle at a 90 degree angle in quick dart throwing motion

Question 20

needle insertion IV

Answer 20

18 to 26 gauge (size depends on type of substance and vein injected in), 30 degree angle

Question 21

intradermal nursing responsibilities

Answer 21

can insert in inner forearm or upper back, area must be hairless and areas near mole or scars should be avoided, don’t aspirate or massage area, injection should produce a small wheal (raised area) on the skin

Question 22

subcutaneous nursing responsibilities

Answer 22

inject in upper arms, upper abdomen or upper thighs, rotate injection sites, aspiration isn’t required, if blood appears in syringe, discard syringe and prepare a new injection

Question 23

IM nursing responsibilities

Answer 23

if drug volume is larger than 3 mL, divide and give in multiple injections, inject in deltoid, hip, or thigh, use thigh for infants and children, if injecting in hip or thigh place patient in a comfortable position, but for deltoid , a sitting or lying position can be used

Question 24

when to use z-track technique

Answer 24

a technique of IM injection for irritating drugs or those that can permanently stain skin

Question 25

z-track procedure

Answer 25

draw drug up into syringe, then discard needle and place a new needle on syringe (prevents any old solution in needle from contacting tissues), pull plunger down to pull approx .1 to .2 mL of air into syringe (preveting oozing), pull skin, subcut tissues and fat laterally, displacing tissue by 1 in, while holding tissues, insert needle at a 90 degree angle and inject, after injection wait 10 sec, and release tissues while withdrawing needle

Question 26

IV drugs can be given

Answer 26

slowly (over 1+ mins), rapidly, have drugs mixed with 50 to 100 mL of compatible IV fluid and administered during a period of 30 to 60 mins, into an existing IV line, into a heparin or saline lock(small IV catheter in vein), or being added to an IV solution and then being allowed to infuse in the vein over a longer period

Question 27

Topical administration nursing responsibilities

Answer 27

Follow special instructions by primary care provider and manufacturer

Question 28

Inhalation nursing responsibilities

Answer 28

Provide the patient with proper instructions for administering drug

Question 29

Transdermal nursing responsibilities

Answer 29

Wear gloves, remove all old patches (fold sticky sides together and discard in sharp container), choose a dry, hairless area of skin, rotate sites, common sites are chest, abdomen, buttocks and upper arm. Don’t shave area to apply patch