Basics (Nurs112) Medication Administration Test 3

Front 1

what are the 7 essential parts of an medication order?

Back 1

clients name, date and time, drug, dose,route, frequency, and doctors name.

Front 2

what are some essential measures for safe preparation and administration of medication?

Back 2

-administer med when prepared
-check MAR
-if in doubt, ask doctor
-use 2 form of identification
-five rights
-insulin must be checked by others.

Front 3

when should you do your triple check to insure correct medication administration?

Back 3

1=when you remove the med from the drawer it is stored.
2=when you begin to prepare the med
3=after you have prepared the med

Front 4

when should you open a pack of medication?

Back 4

just before you administer the med in the clients room.

Front 5

little absorption occurs in the mouth? t or f

Back 5

true

Front 6

oral mucosa is capable of absorbing certain drugs as long as they dissolve rapidly in ---------------- ------------------.

Back 6

salivary secretions

Front 7

sublingual and buccal routs are absorbed in the ------------------- ------------.

Back 7

oral mucosa

Front 8

the most common route of medication is?

Back 8

oral

Front 9

also read page 7/ information is in blue highlighter.

Back 9

also read page 7/ information is in blue highlighter.

Front 10

also read page 8/ information is in yellow highlighter.

Back 10

also read page 8/ information is in yellow highlighter.

Front 11

oral mucosa is capable of absorbing certain drugs as long as they dissolve rapidly in ---------------- ------------------.

Back 11

salivary secretions

Front 12

sublingual and buccal routs are absorbed in the ------------------- ------------.

Back 12

oral mucosa

Front 13

the most common route of medication is?

Back 13

oral

Front 14

also read page 7/ information is in blue highlighter.

Back 14

also read page 7/ information is in blue highlighter.

Front 15

also read page 8/ information is in yellow highlighter.

Back 15

also read page 8/ information is in yellow highlighter.

Front 16

this injection is given b/ the skin and the muscle?

Back 16

subcutaneous

Front 17

what are some sub-Q injection sights?

Back 17

outer aspect of upper arm, abdomen(lower ventral abdomen), anterior thigh, flank(love handle), scapular, buttocks.

Front 18

approximately 1-2 mL drug is diffused into capillary per hour in this type of injection?

Back 18

subcutaneous

Front 19

this injection is used for non-irritating drugs and has a slower onset than IM?

Back 19

sub-Q

Front 20

what is the needle gauge range for sub-Q injections? and what is the average for adult?

Back 20

24-30 range

25 average

Front 21

what is the needle length range for sub-Q injections? and what is the average for adult?

Back 21

3/8-5/8 range

5/8 average adult

Front 22

what should you take into account when injecting a person?

Back 22

amount of subcutaneous fat.

Front 23

pinch an inch insert needle at a -----degree angle?

Back 23

45 degree

Front 24

pinch more than a inch insert needle at a --------- degree angle?

Back 24

90 degree

Front 25

this injection site is used for irritating drugs, and has a more rapid effect than sc injections?

Back 25

intramuscular

Front 26

with this injection absorption of medication varies with each injection site?

Back 26

intramuscular

Front 27

name different intramuscular injection sites?

Back 27

ventrogluteal, vastus lateralis, dorsogluteal, deltoid.

Front 28

this IM site is considered the preferred IM site. easily identified by prominent bony landmarks. blood flow is slower than deltoid and thigh areas.

Back 28

ventrogluteal

Front 29

this IM site lacks major nerves and blood vessels; rapid drug absorption; large muscle mass; it may be more painful.

Back 29

vastus lateralis

Front 30

in this IM site there is a rick of striking underlying sciatic nerve, and major blood vessels. this is a deep IM. blood flow slower than deltoid and thigh. can use z-track method?

Back 30

dorsogluteal

Front 31

this IM site is not developed in most clients. used for small amounts of drugs. fastest absorption. acceptable to clients.

Back 31

deltoid

Front 32

what is the needle gauge range for IM needles? and what is the average adult gauge size?

Back 32

20-23 range

22 is the average

Front 33

what is the needle length for IM needles? and what is the average length?

Back 33

1"-3" range

1 1/2" average

Front 34

what is the angle of insertion for IM injections?

Back 34

90 degrees

Front 35

what is the maximum volume of medication for sub-Q injections?

Back 35

1mL maximum/ 0.5-1mL usually injected.

Front 36

what is the maximum amount on medication injected in the deltoid (IM)?

Back 36

1mL is the maximum amount

(deltoid). every other IM location is 4 mL.

Front 37

what are some advantages of oral medication?

Back 37

convenient, least expensive, safe, acceptable by client, causes minimal anxiety.

Front 38

what are some disadvantages of oral medications?

Back 38

unpleasant taste, irritating to GI mucosa, harmful to teeeth, amount of drug can not be determined, limited to people who can swallow.

Front 39

what are some advantages of IM and sub-Q injections?

Back 39

accurately measure amount absorbed, complete absorption, not effected by gastric disturbances, larger volumes can be given(IM),faster rate of absorption(IM).

Front 40

disadvantages of IM and sub-Q are?

Back 40

potential for infection, cluld damage nerves and blood vessels, pain/discomfort, sterile abscess, hypertrophy(thick skin), lipodystrophy(atrophy of tissue), periostitis(inflammation of periosteum-mem covering bone)

Front 41

what are the sterile parts of the syringe?

Back 41

tip, plunger, inside barrel, shaft and bevel of needle

Front 42

what is the maximum amount on medication injected in the deltoid (IM)?

Back 42

1mL is the maximum amount.

Front 43

what are some advantages of oral medication?

Back 43

convenient, least expensive, safe, acceptable by client, causes minimal anxiety.

Front 44

what are some disadvantages of oral medications?

Back 44

unpleasant taste, irritating to GI mucosa, harmful to teeeth, amount of drug can not be determined, limited to people who can swallow.

Front 45

what are some advantages of IM and sub-Q injections?

Back 45

accurately measure amount absorbed, complete absorption, not effected by gastric disturbances, larger volumes can be given(IM),faster rate of absorption(IM).

Front 46

disadvantages of IM and sub-Q are?

Back 46

potential for infection, cluld damage nerves and blood vessels, pain/discomfort, sterile abscess, hypertrophy(thick skin), lipodystrophy(atrophy of tissue), periostitis(inflammation of periosteum-mem covering bone)

Front 47

what are the sterile parts of the syringe?

Back 47

tip, plunger, inside barrel, shaft and bevel of needle

Front 48

what method should you use to stop tracking?

Back 48

z-track method

Front 49

what is the method for using the z-track method?

Back 49

hold skin to side with ulnar side of hand, insert needle; aspirate;inject wait 10 seconds after injection of medication before withdrawing the needle. aspirate to look for blood(if so u r in a vein)

Front 50

who must determine whether the size of the muscle is appropriate to the volume of the drug?

Back 50

the nurse

Front 51

on a well developed gluteus medius, maximus or vastus lateralis muscle how many mL of medication can be tolerated?

Back 51

4 mL of medication can be tolerated

Front 52

treatment other than by mouth?

Back 52

parenteral

Front 53

another word for lozenge?

Back 53

troche

Front 54

a plant extract made by soaking herbs in a liquid, straining and discarding the herb material?

Back 54

tincture