Deck 8: Routes of Drug Administration

Question 1

A major advantage of the ____ route is that it allows for the easiest retrieval of a drug in overdose situations.

A) oral
B) parenteral
C) rectal
D) topical
E) subcutaneous

Answer 1

oral

Question 2

Buccal administration means:

A) placing the drug under the tongue for dissolution and absorption.
B) holding the drug between gums and cheek for local dissolution and absorption.
C) placing the drug under the tongue and taking a drink.
D) placing the drug at the back of the throat and then taking a drink.
E) none of the above.

Answer 2

holding the drug between gums and cheek for local dissolution and absorption.

Question 3

An astringent:

A) inhibits growth and development of microorganisms.
B) results in vasoconstriction, tissue contraction, and decreased secretions, counteracting inflammatory effects.
C) soothes and softens to overcome dryness and hardness.
D) removes the sensation of pain.
E) treats manifestations of an allergic reaction.

Answer 3

results in vasoconstriction, tissue contraction, and decreased secretions, counteracting inflammatory effects.

Question 4

Which body surface absorbs drugs most readily?

A) Skin
B) Hair
C) Thumbnail
D) Mucous membrane
E) Tooth

Question 5

Use of the rectal route:

A) avoids irritation of the upper gastrointestinal tract.
B) may promote higher bloodstream drug titers than the oral route.
C) traverses the liver.
D) a and b.
E) b and c.

Question 6

The retention enema:

A) is superior to the suppository.
B) releases the drug at a slow, steady rate.
C) has the potential for extensive drug metabolism
D) b and c.
E) all of the above.

Question 7

Parenteral drug administration:

A) is done using a syringe and needle.
B) is done using a catheter and container.
C) usually results in rapid action, and the drug is usually irretrievable.
D) a and c.
E) all of the above.

Question 8

An intravenous bolus is generally administered to the:

A) cephalic and basilic veins.
B) vastus lateralis and cephalic veins.
C) antecubital fossa.
D) a and b.
E) a and c.

Question 9

Intracutaneous injections involve:

A) small amounts of drug in solution.
B) slow absorption.
C) rapid action and absorption.
D) a and b.
E) a and c.

Question 10

Jesse is about to give her first subcutaneous drug administration. Without any further information, you know that the drug will be delivered:

A) into the upper layers of the skin almost parallel to the skin surface.
B) beneath the layers of skin, but above the muscle.
C) by rapid infusion.
D) only after aspiration shows that the blood vessel has been entered.
E) a and d.

Question 11

Intramuscular injections involve:

A) the use of aqueous solutions.
B) the use of aqueous suspensions.
C) injection into the fleshy part of the buttock.
D) a and b.
E) all of the above.

Question 12

While aspirating before an IM injection, Jesse detects a slight pinkish tinge to the medication near the needle hub. This means that:

A) Jesse has entered healthy tissue; a red streak would have meant that she had not.
B) Jesse has entered a blood vessel.
C) Jesse may proceed with the injection.
D) a and b.
E) b and c.

Question 13

Pain at an injection site is more frequently caused by:

A) needle puncture of the skin.
B) diameter of the needle.
C) applying firm pressure as the needle is withdrawn.
D) rubbing or jiggling the site after the needle is withdrawn.
E) the antiseptic swab.

Question 14

Which of the following guidelines is not appropriate?

A) When preparing an injection, always label the syringe immediately.
B) Never administer medication prepared by another person.
C) After giving an IV contrast agent, remain with the patient for a minimum of 20 minutes.
D) Stay with the patient until all the medicine has been taken.
E) None of the above guidelines is inappropriate or inaccurate.

Question 15

Sean is to receive 65 mg of a drug by mouth at bedtime. The drug order may look like this:

A) 65 mg PO at bedtime.
B) 65 mcg os PM.
C) 65 mg os PM.
D) 65 mcg PO prn.
E) 65 mL PO PM.

Question 16

Venipuncture is used to deliver ____ to dehydrated patients.

A) electrolyte replacements
B) normal saline
C) 5% solution of dextrose in water
D) a and c
E) all of the above

Question 17

The use of hypodermic needles is generally restricted to:

A) phlebotomy.
B) single, small injections.
C) continuous IV injections or infusions.
D) a and b.
E) b and c.

Question 18

A butterfly set is often used for:

A) single, small injections.
B) direct injections with a syringe.
C) situations requiring more than one injection.
D) a and b.
E) none of the above.

Question 19

The veins most often used for initiating IV lines do not include the:

A) ulnar aspect of the wrist.
B) posterior hand.
C) radial aspect of the wrist.
D) antecubital space.
E) anterior forearm.

Question 20

In performing venipuncture, be sure that:

A) the vein is anchored with your dominant hand.
B) the needle punctures the skin at a 15-degree angle with a quick motion.
C) the bevel of the needle is up.
D) a and b.
E) b and c.

Question 21

If a venipuncture is unsuccessful:

A) withdraw the needle or catheter and immediately apply light pressure to the insertion site.
B) use a new needle in the next attempt.
C) withdraw the needle or catheter and immediately apply very firm pressure to the insertion site; have a crash cart standing by.
D) a and b.
E) b and c.

Question 22

As Mr. Blair is receiving an IV fluid infiltration, some of the fluid is accidentally injected into the tissues surrounding the vein. Which of the following is/are true?

A) Mr. Blair is experiencing extravasation; the needle must be removed.
B) Mr. Blair is experiencing infiltration; heat to the affected area will help alleviate the pain.
C) Mr. Blair is experiencing extravasation; the needle should be immobilized at the injection site while pressure is applied to stop any accompanying bleeding.
D) a and b.
E) b and c.