Chapter 10: Principles of Drug Administration Flashcards
Before administering any medication, which action by the nurse is most important?
a. Verifying orders with another nurse
b. Documenting the medications given
c. Counting medications in the medication cart drawers
d. Checking the patient’s identification and allergy bracelets
d. Checking the patient’s identification and allergy bracelets
What is the proper syringe size for an intradermal (ID) injection?
a. 3-mL syringe
b. 1-mL tuberculin
c. 2-mL tuberculin
d. 2-mL syringe
b. 1-mL tuberculin
A patient is to receive an intramuscular (IM) injection of penicillin in the ventrogluteal site.
What is the proper angle for needle insertion in an adult who is not emaciated?
a. 15 degrees
b. 45 degrees
c. 60 degrees
d. 90 degrees
d. 90 degrees
When the nurse is administering medication by intravenous (IV) bolus (push), which is the
correct procedure?
a. Occluding the IV line by folding the tubing just above the injection port
b. Clamping the tubing just above the insertion site
c. Pinching the tubing just above the injection port
d. Pinching the tubing at least 5 cm above the injection port
c. Pinching the tubing just above the injection port
The nurse is preparing to administer IM immunization to a 2-month-old infant. Which site is acceptable for this injection? a. Deltoid b. Dorsogluteal c. Ventrogluteal d. Vastus lateralis
d. Vastus lateralis
The nurse is administering insulin subcutaneously to a patient who is obese. Proper technique
for this injection requires the nurse to do which?
a. Use the Z-track method
b. Insert the needle at a 5- to 15-degree angle until resistance is felt
c. Pinch the skin at the injection site and inject the needle below the skin fold
d. Spread the skin tightly over the injection site, insert the needle, then release the
skin
c. Pinch the skin at the injection site and inject the needle below the skin fold
When should the nurse administer IM medication with the Z-track method?
a. When the medication is known to be irritating to tissues
b. When the patient is emaciated and has very little muscle mass
c. When the medication must be absorbed quickly into the tissues
d. When the patient is obese and has a deep fat layer below the muscle mass
a. When the medication is known to be irritating to tissues
After administering an ID injection for a skin test, the nurse notices a small bleb at the
injection site. What is the proper action for the nurse to take?
a. Apply heat
b. Massage the area
c. Report the bleb to the physician
d. Do nothing
d. Do nothing
What important action should the nurse take after administering an IV push medication
through an IV lock?
a. Flush the lock.
b. Regulate the IV flow.
c. Clamp the tubing for 10 minutes.
d. Hold the patient’s arm up to improve blood flow.
a. Flush the lock.
Which is the proper method of mixing IV solutions and medications?
a. Shaking the bag or bottle vigorously
b. Holding the bag or bottle and gently turning it end to end
c. Inverting the bag or bottle just once after injecting the medication
d. Allowing the IV solution to stand for 10 minutes to enhance even distribution of
medication
b. Holding the bag or bottle and gently turning it end to end
To measure 4 mL of a liquid cough elixir properly for a child, what should the nurse do?
a. Use a teaspoon to measure and administer the elixir.
b. Hold the medication cup at eye level and fill it to the desired level.
c. Withdraw the elixir from the container with a syringe with a needle attached.
d. Withdraw the elixir from the container with a syringe without a needle attached.
d. Withdraw the elixir from the container with a syringe without a needle attached.
The nurse is helping a patient to take his medications; however, the medication cup falls to the
floor, spilling the contents. The appropriate action for the nurse to take is to
a. discard the medications and repeat the preparation.
b. document the client’s refusal of the medications.
c. wait until the next dosage time, then give the medications.
d. retrieve the medications and administer them to avoid waste.
a. discard the medications and repeat the preparation.
The patient is to receive a buccal medication. Which action is appropriate for the nurse to
take?
a. Encourage the patient to swallow if necessary.
b. Administer water after the medication has been given.
c. Place the medication between the upper molar teeth and cheek.
d. Place the tablet under the client’s tongue, and allow the tablet to dissolve
completely.
c. Place the medication between the upper molar teeth and cheek.
How should the nurse administer medication through a nasogastric (NG) tube?
a. Administer the medication with a small medication syringe.
b. Apply gentle pressure on the syringe’s piston to infuse the medication.
c. Flush the tubing with 30 mL of saline after the medication has been given.
d. Using the barrel of the syringe, allow the fluid to flow via gravity into the NG
tube.
d. Using the barrel of the syringe, allow the fluid to flow via gravity into the NG
tube.
Which technique should the nurse use to facilitate the administration of a rectal suppository?
a. Having the patient lie on the right side of the body, unless contraindicated
b. Having the patient hold the breath during insertion of the medication
c. Lubricating the suppository with a small amount of petroleum-based lubricant
d. Encouraging the patient to lie on the left side of the body for 15 to 20 minutes after
insertion
d. Encouraging the patient to lie on the left side of the body for 15 to 20 minutes after
insertion
