Deck 13: Administration of Parenteral Medications

Question 1

All of the following regarding IM injections are correct except?

A) Inject medicine slowly.
B) Insert needle slowly.
C) Aspirate to check for blood in the syringe.
D) Insert needle at a 90-degree angle.

Answer 1

Insert needle slowly.

Question 2

Body areas normally used for intradermal injections are:

A) deltoid and ventrogluteal areas
B) vastus lateralis and deltoid
C) inner forearm and middle of back
D) vastus lateralis and dorsogluteal

Answer 2

inner forearm and middle of back

Question 3

All of the following are advantages of the parenteral route except:

A) Drugs are not altered by gastric acids.
B) It is an effective route when the patient refuses to take oral medications.
C) It is an effective route when medications cannot be taken orally.
D) It allows medications to be delivered to a targeted area of the body.

Answer 3

It is an effective route when the patient refuses to take oral medications.

Question 4

A subcutaneous injection is given at a ____-degree angle.

A) 10-15
B) 45
C) 90
D) 25

Question 5

The ____ is the preferred site for injections in most infants and children.

A) deltoid
B) vastus lateralis
C) ventrogluteal
D) dorsogluteal

Question 6

Patient assessment prior to injection should include:

A) age and sex
B) body size and physical condition
C) skin texture and injection site
D) All of these answers are correct.

Question 7

Which of the following are disadvantages of the parenteral route?

A) possibility of infection
B) possibility of needle breakage
C) possibility of tissue damage
D) All of these answers are correct.

Question 8

The term parenteral pertains to medications that are:

A) given by mouth
B) administered to children by their parents
C) administered by injection
D) applied to the skin

Question 9

When using the dorsogluteal site, you should inject:

A) between the posterior iliac spine and greater trochanter of the femur
B) between the anterior superior iliac spine and greater trochanter of the femur
C) 1-2 inches below the acromion
D) between the greater trochanter of the femur and within the upper lateral quadrant of the thigh

Question 10

All of the following would be appropriate if a health care worker sustained an accidental needlestick after giving an injection except:

A) Wash the site with soap and water.
B) Be tested for HIV and HBV.
C) Not reporting the incident to your supervisor because you will be reprimanded for not following proper needle safety precautions.
D) Cleanse the skin with an antiseptic.

Question 11

When choosing an injection site, which would be the best choice?

A) the deltoid, with no scars or lesions visible
B) the vastus lateralis with an old burn scar
C) the deltoid with a small bruise
D) the vastus lateralis of a patient with paraplegia

Question 12

Improper site selection when using which site could cause damage to the sciatic nerve?

A) ventrogluteal
B) deltoid
C) vastus lateralis
D) dorsogluteal

Question 13

After injection of which of the following medications should you massage the injection site?

A) insulin
B) heparin
C) DTaP
D) Imferon

Question 14

If an injection into the deltoid is not in the proper location, which of the following may occur?

A) damage to the radial nerve
B) damage to the brachial and axillary nerves
C) damage to blood vessels
D) All of these answers are correct.

Question 15

Which of the following sites would be appropriate for insulin injections?

A) abdomen
B) lower back
C) upper arm
D) All of these answers are correct.

Question 16

When preparing to give an intradermal injection, the first thing the health care worker should do is:

A) obtain the correct medication
B) identify the patient
C) wash his or her hands
D) prepare the patient for injection

Question 17

All of the following statements are appropriate for insulin administration except:

A) Shake the bottle vigorously to ensure that the medication is properly mixed.
B) Use a U-100 syringe.
C) Do not massage the injection site.
D) Make sure insulins are compatible prior to mixing.

Question 18

If blood appears in the syringe upon aspiration:

A) you are most likely in a blood vessel
B) if injected, the medication will be given IV rather than IM or SC
C) you should discard the entire syringe and medication and start over
D) All of these answers are correct.

Question 19

When preparing the patient for injection, you should:

A) consider the patient's age and mental condition
B) keep conversation to a minimum
C) tell the patient that the injection will not hurt
D) ask the patient to flex the muscles to give you a larger target for the injection

Question 20

All of the following statements are appropriate for Z-track injections except:

A) Insert the needle quickly, using a dartlike motion.
B) Wait 10 seconds before removing the needle to allow medication to be absorbed.
C) Remove the needle and syringe at the same angle of insertion.
D) Massage the site after administration to aid absorption.

Question 21

If a patient is vomiting, he or she may lose the parenteral medication.

Question 22

If a patient is going to have an allergic reaction to an injected medication, it will happen immediately after injection.

Question 23

Injections should be documented within 2-3 hours of administration.

Question 24

Intravenous injection provides the slowest effect.

Question 25

Use of the deltoid is contraindicated for infants.

Question 26

Male patients tend to have tougher skin than females and may need more force for injection.

Question 27

The Z-track method of injection is used for medications that can cause irritation to the skin.

Question 28

Pediatric or geriatric patients may require a smaller needle for injections than the average-size adult.

Question 29

Place the steps for intramuscular injection in the correct order.

A) Obtain correct equipment and supplies.
B) Identify the patient.
C) Inject the medication.
D) Perform medical asepsis hand washing.
E) Dispose of equipment.
F) Check expiration date on the medication.
G) Select the appropriate site for injection.
H) Obtain the correct medication.
I) Assess the patient.
J) Document the procedure.
K) Massage the site.

Question 30

If a medication intended for IM injection is given SQ, a sterile abscess could result.