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Ch 53 midterm
Question | Answer |
---|---|
Which of the following is a general rule for drug administration? | Calculate the dose and it double-checked if unsure of your answer |
Which of the following is included when administration a drug according to the "rights" of drug administration? | Read the drug label on the container three times |
Which of the following is included when administering a liquid drug? | Hold the medicine at eye level, with the palm over the label, and pour the correct amount of the drug |
Which of the following is included when administering a capsule orally? | Tap the correct number of capsules into the cap of the container |
In which of the following methods of medication administration are drugs placed in the mouth but do not continue along the GI tract? | Buccal |
Drugs administered sublingually are _____. | Placed under the tongue |
Which of the following instructions is correct when teaching the patient how to take a drug sublingually? | Do not way until after the drug has dissolved |
Which drug is used to an anaphylactic reaction tho medication? | Epinephrine |
Which of these needles is smallest? | 25-gauge |
The licensed practitioner has determined that Juanita has bacterial pneumonia and has asked you to administer Bicillin C-R intramuscularly. Juanita is 34yrs old and weighs 145lbs. What is the appropriate needle length for this injection? | 1 to 1 1/2 inches |
Which drug is administered in syringes calibrated in units, commonly 50 U or 100 U, that have permanently attached needles and no dead space? | Insulin |
In which method of parenteral drug administration is the drug injected within the upper layers of the skin? | Intradermal |
A drug that is administered subcutaneously is ____. | Injected into the skin |
A medication that it's administered intramuscularly is _____. | Injected into a muscle |
In which method of parentetal drug administration is the drug injected directly into the vein? | Intravenous |
Which of the following is a small glass or plastic container that is sealed tho keep its contents sterile? | Ampule |
Which of the following are common sites for intradermal injections? | Forearm and back |
Which of the following is a small bottle with a rubber diaphragm that can be punctured by a needle? | Vial |
Intradermal injections are used to administer which of the following? | Allergy or TB test |
Which method of parenteral drug administration calls for pulling the skin and subcutaneous to the side before inserting the needle at the site? | Z-track |
Which of the following drugs is given by Z-track? | Imferon |
Of all the drug administration methods, which one is the most rapid-acting and produces the most immediate effect? | intravenous |
Which of the following is included when reconstituting and drawing a drug for injection? | puncture the diaphragm of the vial of diluent with the needle and inject the air into the vial |
Which of the following would you include when giving a subcutaneous injection? | Hold the needle and syringe at a 45 to 90 degree angle to the skin |
which method of drug administration requires passing a urinary catheter into the bladder to instill a drug? | Urethral |
which of the following would you include when administering a vaginal suppository? | Insert the applicator 2 inches into the vagina and angled toward the sacrum |
which of the following would you include when administering a retention enema? | Cover and apply pressure to the anus for 20 seconds to stifle the patient's urge to defecate |
which drug interaction occurs when a patient takes both acetaminophen and codeine? | The effect of both drugs is increased, causing a beneficial effect |
A drug that is given intravenously is ____. | injected or infused into a vein |
What should the medical assistant tell the patient about interactions? | Drug-drug interactions can lead to adverse reactions |
You have been asked to administer a liquid antibiotic to Carrie, a 3yr old child. You measure the medication using a calibrated dropper and place it to the side of Carrie's tongue, making sure she swallows it two minutes later, Carrie vomits, and you... | Re-administer the entire dose after Carrie becomes calm |
which of the following is correct about medication documentation? | Document immediately after administering the medication to the patient |
According to the rights of medication administration, what is the correct procedure prior to administering a medication? | Ask the patient to tell you her name and check the label three times |
When charting medication administration, which of the following is correct? | All chart entries must be factual, accurate, complete, current, organized, and confidential |
Which of the following patients would require special consideration related to drug administration? | A 75yr old gentleman with early Alzhelmer's |
Drugs administered via intravenous route are absorbed within ___. | 15 to 30 seconds |
The licensed practitioner ordered a series of Imferon shots for Gina, a patient who has iron deficient anemia. Gina is in the office for her second shot, but she dreads getting the shot because the 1st one not only hurt, but also caused significant... | Use the Z-track methid of injection to reduce subcutaneous irritation |
A healthcare provider has a responsibility to tell a patient the reason for taking the medication, the effect of the medication, and the side effects of the medication. Which right is this? | Right to know |
Ms. Anderson was giving medications on the unit. Just as she was taking a medication out of the patient's cassette, she was interrupted by another patient asking about an appointment. While having the discussion, she opened the medication container and... | She neglected to perform the three checks of medication administration |
when should a patient's medication list be updated? | At every visit |
You have prepared Mrs. White's vitamin B12 shot, performing the "triple check," and are about t o administer it when an emergency occurs in the next patient exam room and you are called to administer it when an emergency occurs in the next patient exam... | Check the order and the injection again, and then administer the injection |
You are providing patient education on a medication for an 11yr old boy. You should direct your teaching to ___. | The boy and his parents |
which of the following methods could you use to ensure that a child swallows a liquid medication? | gently hold the child's mouth closed |
Which of the following actions can help reduce a child's anxiety when you give the child an injection? | Distract the child by talking to her while you give the injection |
Which of the following might result in a drug interaction that can cause a dangerous hypertensive crisis, possibly leading to stroke or death? | MAO inhibitor and aged cheese |
The ___ area of the mouth is between the cheek and gum. | Buccal |
A(n) ____ is a liquid used to dissolve and dilute a drug. | Diluent |
The liquid form of vaginal medication is administered by performing a(n) ___ or vaginal irrigation. | Douche |
IV medications are mixed and dissolved in a solution and given by IV ____, or slow drip, into a vein. | infusion |
An injection administered into the upper layer of skin at an angle almost parallel to the skin is a(n) ____ injection. | Intradermal or ID |
A(n) ____ injection is given into the patient's muscle and allows administration of a larger amount of drug in an adult. | Intramuscular or IM |
In most cases, a(n) ___ drug must be administered by a licensed practitioner or nurse because the medication is administered directly into the bloodstream and can produce an almost immediate effect. | Intravenous |
An example of a topical medication that is rubbed into the skin is a(n) ____, or a salve. | Ointment |
In addition to verifying that the right patient is receiving the right dose of the right drug, you must also be sure the medication is given through the right ____ of administration. | route |
A(n) ____ is a homogeneous mixture of a solid, liquid, or gaseous substance in a liquid. | solution |
A(n) ___ medication is placed under the tongue, where it is absorbed through tissue that is rich in capillaries | sublingual |
The topical application of a medication administered via a patch uses a(n) ___ system. | transdermal |
When using the ___ method for injection an intramuscular drug, the skin and subcutaneous tissue are pulled to the side before inserting the needle at the site. | Z-track |
A medication given as a capsule via the ___ route may take as little as 20 ,imutes or as long as 3 hrs to be absorbed. | oral |
A patient has the right to ___ a medication or vaccine that he or she does not want to take. If this occurs, you should notify the physician and document this in the medical record | refuse |
Before administering a vaccine, you must ask the patient to sig a(n) ____ that provides general information about the vaccine and lists possible side effects. | consent from |
For patients who have asthma, a practitioner may order a nasal or oral ___ to deliver medication in aerosol form. | inhaler |
A(n) ____ application is the direct application of a drug on the skin. | topical |
When an antibiotic is needed locally in the urinary bladder, the ___ route of administration is used. | urethral |
Enemas and suppositories can be used to administer medications via the ___ route; this route is often used to administer drugs to treat constipation, nausea, and vomiting | rectal |
Pediatric patients require special consideration because their small size increases the risk of ____ and toxicity | overdose |
Some drugs are excreted in breast milk, which can be dangerous to the infant because infants have ___ body systems and cannot metabolize and excrete drugs that are safe for the mother. | immature |
The medical assistant should teach patients to be careful taking OTC medications such as acetaminophen to avoid an overdose, which can cause severe damage to the patient's _____. | liver |
An unintended ____ between two prescription drugs or between prescription and OTC drugs or herbal remedies may cause serious effects. | interaction |
Most charting in a physician's office is documented on a(n) ____ or on a medication administration record (MAR). | progress note |
When charting, you should avoid using words that can be interpreted to reflect your own ____. | opinion |
A tablet that has been ____ can be broken along an indented line on the tablet. | scored |
When drugs are mixed and dissolved into a solution and administered by a slow drip into a vein, the administration is known by which of the following terms? | infusion |
When administering oral medications to pediatric patients, the medical assistant will use a ____ spoon or dropper to measure the ordered dose. | calibrated |
A ____ spoon has markings that allow the medical assistant to measure the correct dose of an oral medication to administer to the patient | calibrated |
The administration of a drug solution by a slow drip into a vein is called IV ____. | Infusion |