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Med 159 rev 53
| Question | Answer |
|---|---|
| Prior to giving a medication, you must know: | the interactions, contraindications, and adverse effects of the drug. |
| Choosing a site for an intramuscular injection includes assessing the patient for: | cyanosis .moles .tattoos .birthmarks. |
| A tablet that is placed under the patient's tongue is the __________ route. | sublingual |
| The subcutaneous route of medication administration delivers medicine to the: | fatty layer beneath the skin |
| The bevel of the needle describes: | the sloped edge at the end. |
| When teaching a patient about his new medication, it is important to: | make sure you are familiar with the medication. |
| What part of the needle fits into the syringe? | Hub |
| What is the gauge of a needle? | The inside diameter of the needle |
| The technique used to deliver irritating medicine to the deep muscle tissue is known as: | Z-track. |
| You have just given a four-year-old a dose of liquid medicine. You see that some has dribbled out of his mouth. You should: | not do anything if he did not spit out the entire dose. |
| Anna is running behind schedule, so to save time, she documents Mrs. Wilbur’s antibiotic injection while she is sitting at the computer; she then immediately goes to Mrs. Wilbur’s room and administers the injection. Which right of medication administratio | Right documentation |
| If you make a mistake while charting manually, you should: | draw a single line through the incorrect information, initial it, and write the correct information |
| Which of the following questions is most important prior to giving an oral medication? | "Do you have trouble swallowing?" |
| Which of the following does NOT represent one of the basic rights of drug administration? | Right insurance |
| __________ is important to know regarding drug administration. | Dosage calculation, Route of administration, Technique of administration |
| Prior to giving a medication, it is important for you to: | ask the patient if he has any medication allergies. |
| Some medications cannot be given orally because: | they are not absorbed well by the GI tract., the digestive processes change the drug |
| A needle for subcutaneous injection in an adult should be between __________ and __________ inch in length. | ½ - ¾ |
| The amount of medication that can be safely administered by the subcutaneous route is | 1 ml. |
| The best method to give an injection to a child is to: | distract the child by talking to them while giving the injection |
| How are insulin syringes different from other syringes? | They are calibrated in units, commonly either 50 U or 100 U. |
| A(n) __________ injection technique is used to administer skin tests | intradermal |
| Your primary concern when educating someone from a different culture than your own should be: | the patient understands the purpose, importance, and possible adverse effects of the medication. |
| Which of the following is not a part of checking for the right route of medication administration? | Checking the expiration date on the medication label |
| Which medication route is most likely to be ordered for a person who has a bladder infection? | Urethral |
| Which of the following information should not be included when charting medication administration? | The medical assistant’s theory about the patient’s statements |
| Right route | Double-check to make sure the administration route you are preparing to use matches the route the doctor ordered. |
| Right documentation | Document immediately after administering the drug or vaccine to the patient. |
| Right to refuse | Every patient has the right to refuse a medication. |
| Right to know | All patients have the right to be educated about the medications they are receiving. |
| Right time | Be sure to give the drug according to a predetermined schedule. |
| Right technique | Always use the proper administration technique. |
| Right drug | Carefully compare the name of the prescribed drug or vaccine in the patient's chart with the label on the drug container. |
| Right patient | Always check the name and date of birth on the order for a drug or vaccine in the patient's chart, then ask the patient to state his or her name and date of birth. |
| Right to reason | Know the reason the medication is being given. |
| Right dose | Compare the dose on the order in the patient's chart with the dose you prepare. |
| Intravenous | Medication is administered directly into a vein |
| Sublingual | Drugs are placed in the mouth, under the tongue |
| Subcutaneous | Injection is administered beneath the skin in the adipose tissue |
| Rectal | Medications, such as drugs used to treat constipation, nausea, and vomiting, may be administered by suppositories or enemas |
| Inhalation | Medication is administered through the mouth or nose |
| Topical | Medication is directly applied on the skin |
| Intramuscular | Injection administered within a muscle |
| Buccal | Drugs are placed in the mouth, between the check and gum |
| Intradermal | Injection is administered within the upper layers of the skin |
| Always check the________________ the order for a drug or vaccine in the patient's chart; then ask the patient to state his or her name and date of birth. | name and date of birth |
| ________________the name of the prescribed drug or vaccine in the patient's chart with the label on the drug container. To ensure accuracy, read the label ____________times every time you prepare a medication. | Compare, three |
| Compare the dose on the order in ____________ with the dose you_____________. | patient's chart, prepare |
| Be sure to give the ___________at the right ____________. | Drug, Time |
| Double-check to make sure the _______________route you are preparing to use matches the doctor's order. | administration |
| Always use the proper administration_______________ | technique |
| Document the procedure ______________after administering the drug or vaccine to the patient. | immediately |
| Identify the patient. Wash your hands and put on exam gloves | 1 |
| Check the seven rights, comparing information against the drug order. | 2 |
| Identify the injection site on the patient's forearm. To do so, rest the patient's arm on a table with the palm up. Measure 2 to 3 finger-widths below the antecubital space and a hand-width above the wrist. The space between is available for the injection | 3 |
| Prepare the skin with the alcohol swab, moving in a circle from the center out. | 4 |
| Let the skin dry before giving the injection. | 5 |
| Hold the patient's forearm, and stretch the skin taut with one hand. | 6 |
| With the other hand, place the needle-bevel up-almost flat against the patient's skin. Press the needle against the skin and insert it. | 7 |
| Inject the drug slowly and gently. You should see the needle through the skin and feel resistance. As the drug enters the upper layer of skin, a wheal (raised area of the skin) will form. | 8 |
| After the full dose of the drug has been injected, withdraw the needle. Properly dispose of used materials and the needle and syringe immediately. | 9 |
| Remove the gloves and wash your hands. | 10 |
| Stay with the patient to monitor for unexpected reactions. | 11 |
| Document the injection with the date, time, drug name, dosage, expiration date, lot number, manufacturer, route, site, significant patient reactions, and any patient education in the patient's chart. | 12 |