Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Exam III-Pharm FSCC
| Question | Answer |
|---|---|
| When administering an intramuscular injection using the Z-track method, it is important to: | stretch the skin 1 inch to the side. |
| When positioning a patient prior to an enteral feeding: | the patient should be in a semi-Fowler's position. |
| Prior to administering an oral medication, what is most important for the nurse to assess? | The patient's ability to swallow |
| Intramuscularly (IM), the maximum volume of fluid at one site for an older infant is: | 1.0 ml |
| Enteral drug administration includes the following principles: | Most economical Drugs are delivered directly by the oral, or NG methods Dosage forms are convenient and readily available |
| The maximum volume of medication at one intradermal site is: | 0.1 - 0.2 ml |
| The posterior superior iliac spine and greater trochanter represent the anatomic landmarks for the: | ?? dorsogluteal |
| The preferred intramuscular site for injecting a 6-month-old child is the _____ region. | vastus lateralis |
| When administering a rectal suppository, a ______ lubricant should be used. | water-soluble |
| The syringe that most accurately measures small volumes of a medication is the ______ syringe. | tuberculin |
| You are preparing to administer heparin to an adult patient. You would: | ?? inject at a 90-degree angle. |
| While preparing a drug using an ampule, a(n) ______ needle is used during the withdrawal of the drug. | filter |
| To promote safety, which action should the nurse take before administering any medication? | Check the patient's identification band |
| To administer a disposable enema, the RN will: | position the patient on their left side. instruct the patient to hold the solution 10 to 30 minutes before defecating. maintain the six rights of medication administration. |
| Parenteral administration refers to the: | intraderamal route subcutaneous route intramuscular route |
| George Ryan is a 46-year-old obese man who is hospitalized with COPD. He is to receive 350,000 U Penicillin IM. Which angle is appropriate when administering the medication in the dorsogluteal site? | 90-degree angle |
| The RN is preparing to administer a medication that is supplied in a vial. Before drawing the medication into the syringe, the RN should first: | inject an amount of air equal to the medication into the vial. |
| Intramuscularly (IM), the maximum volume of fluid at one site for a small infant is generally limited to: | 0.5 ml |
| Which of the following principles is correct for mixing insulin? | The shorter-acting insulin is drawn up first. |
| What should the nurse advise a patient who complains that he cannot swallow his sustained release capsule that has been prescribed for his heart condition? | Call the doctor for a new order for a different preparation |
| In an adult, divided doses are generally recommended for total volumes to be administered intramuscularly that exceed: | 2 - 3 ml |
| Which statement best describes a safety issue when the nurse gives medications orally? | Inadvertent aspiration may occur in the seriously ill, old, or young patient |
| When withdrawing solution from an ampule, an amount of air equal to the volume of solution containing the drug to be withdrawn is inserted. | False |
| The pediatric intramuscular (IM) needle gauge routinely used is _____ with adaptations in needle length based on the depth of the muscle mass. | 25-27 gauge |
| What are the most important factors to remember when giving insulin to a patient with Type I diabetes? | Use only an insulin syringe to measure and give the medication. Insulin is supplied in a 100 units per milliliter vial. Give the injection into the subcutaneous tissue. |
| Which syringe is used for small amounts of medication? | tuberculin |
| Maximum amount of fluid at one site in large infant is... | 1 mL |
| Maximum amount of fluid at one site in small infant is... | 0.5 mL |
| A pediatric IM injection routinely uses... | 25-27 gauge |
| Maximum amount of fluid at one site in an adult is... | 2 to 3 mL |
| Air is added to an ampule | no |
| How do you position a patient prior to enteral feeding? | semi-Fowler's position |
| What type of lubricant is used with a rectal suppository? | water-soluble |
| subcutaneous injection; 90 degree angle; no massage; no aspiration | giving heparin |
| size of needle for average adult IM | 20-22 gauge - 1.5 inches |
| preferred injection route for child under 7 months | vastus lateralis |
| preferred injection route for child over 7 months | ventrogluteal |
| injection site for children over 3 years of age | dorsogluteal |
| IM site for an adult | deltoid |
| A shot that already has medication in it... | prefilled injection |
| Always us a ______ needle for thick medications if available. | 20 gauge |
| needle angle for intradermal | 10 to 15 degrees; bevel up |
| needle angle for subcutaneous | 45 degrees average weight; 90 degrees obese |
| needle angle for intramuscular | 90 degrees |
| needle gauge for intradermal | 25 to 27; 1/4 to 3/8 inches |
| needle gauge for intramuscular | 19 to 23; 1 to 1.5 inches |
| needle gauge for subcutaneous | 25 to 27; 3/8 to 5/8 inches |
| equipment needed for preparing from a vial | MAR |
| MAR | medication administration record |
| maximum amount of medication for a subcutaneous site | 1 mL |
| maximum amount of medication for a deltoid IM site in an adult | 1 mL |
| refers to outside the alimentary canal or gastrointestinal tract | parenteral |
| single-dose container that must be broken at the neck to withdraw the drug | ampule |
| a glass or plastic container that is sealed with a rubber stopper | vial |
| some of the more unstable drugs may be supplied in vials that have a compartment containing the liquid diluent; pressure applied to the top of the vial releases the stopper between the compartments and allows the drug to be dissolve. | mix-o-vial |
| tuberculin syringe is a thin___-mL syringe | 1 |
| anticoagulant that inhibits clotting of the blood | heparin |
| hormone secreted by the pancreas that lowers blood glucose | insulin |
| what drugs must be given subcutaneously or intravenously? | heparin & insulin |
| only ________ is measure and given in the syringes that are marked in units. | insulin |
| after reconstitution (thoroughly mix | has to be clear) of a ___________ vial; place your initials; date of preparation; time preparation; date of expiration; and time of expiration on the label. |
| for oral medications given through a ______________ | crush tablets or open capsules & dissolve powder with 20 to 30 mL of warm water. |
| designed to dissolve in alkaline environment of small intestine; cannot be crushed b/c it is directly exposed to stomach | enteric-coated |
| designed to dissolve very slowly & cannot be crushed or open | sustained-release tablets or capsules |
| medications absorbed from stomach & small intestine first travel to liver | where they may be inactivated before they ever reach their target organs |
| medication place under tongue & allowed to dissolve slowly | sublingual |
| tablet or capsule placed in oral cavity between gum & cheek | buccal |
| keep head of bed elevated for 1 hour to prevent aspiration during which med. Route? | nasogastric |
| drugs applied to skin | topical route most commonly used; creams |
| drugs applied into body cavities or orifices--eyes | ears |
| drugs applied to respiratory tract by inhalers | nebulizers |
| used to treat local conditions of the eye & surrounding structures | ophthalmic route |
| used to treat local conditions of the ear | including infections & soft blockages of auditory canal |
| when administering ear medication to children less than 3 years of age | straighten ear canal by pulling the pinna... |
| when administering ear medication to adults & children older than 3 years of age | straighten ear canal by pulling the pinna... |
| when instilling drops in the ear canal | hold the dropper at _________ above the ear canal |
| after instilling drops in the ear canal | ask the client to maintain later position for _________ |
| when administering eye medication | instruct client to look up and drop prescribe number of drops into... |
| before vaginal administration of meds. | have client empty _______ to lessen both discomfort during treatment & possibility of irritating or injuring vaginal lining |
| after vaginal administration of meds. | offer client... |
| first-pass effect is avoided by which route? | rectal route |
| what type of injection can be done here: outer aspect of upper arms | in area above triceps muscle |
| what type of injection can be done here: middle two-thirds of anterior thigh area (vastus lateralis) | subcutaneous |
| what type of injection can be done here: subcapular areas of upper back | subcutaneous |
| what type of injection can be done here: upper dorsogluteal & ventrogluteal areas | subcutaneous |
| what type of injection can be done here:abdominal area; above iliac crest & below diaphragm; 1.5 to 2 inches out from umbilicus | subcutaneous |
| Mr. Smith is a 65-year-old man who weighs 180 lb. (81.8 kg). He is to receive 1.5 ml of a thick antibiotic, IM. Which of the following needles and syringes will you use? | 1.5-inch, 20-gauge needle with 3 ml syringe |
Created by:
chaptravelman
Popular Nursing sets