Deck 9: Administration by the Parenteral Route

Question 1

One of the advantages of inhalation therapy is that .

A)very potent medications can be given in very small doses
B)the ease of use for virtually all patients
C)active participation by the patient is not required
D)the focus on the gradual onset of action

Answer 1

very potent medications can be given in very small doses

Question 2

Prefilled cartridges are made ready for use by .

A)rehydrating the contents with normal saline
B)putting the cartridge into a holder and attaching a needle for injection
C)inserting a needle into the cartridge to withdraw the drug
D)mixing the contents of the cartridge with other medications

Answer 2

putting the cartridge into a holder and attaching a needle for injection

Question 3

The nitroglycerin ointment used for transcutaneous administration should be measured using a(n) .

A)scale
B)syringe
C)Appli-Ruler
D)medicine cup

Answer 3

Appli-Ruler

Question 4

You are giving a subcutaneous injection to a young child.The best needle length to use would be .

A)1 inch
B)2 inches
C)5/8 inch
D)1 1/2 inches

Question 5

Metered-dose inhalers deliver the medication via .

A)a propellant gas
B)mechanical pressure
C)the force of inspiration
D)pressurized liquid

Question 6

Subcutaneous injections are administered into .

A)fatty tissue
B)lean tissue
C)deep levels of the skin
D)connective tissue

Question 7

Patients taking sublingual medications should be instructed to .

A)drink water periodically to help the tablet dissolve
B)hold the tablet in place with the mouth closed until the tablet is completely dissolved
C)allow the tablet to dissolve for five minutes and then swallow what is left
D)chew the tablet if more rapid effect is needed

Question 8

Patients using hand-held nebulizers can reduce their risk of infection by .

A)including an antibiotic in the nebulizer
B)properly cleaning the nebulizer every day
C)resisting the urge to cough after treatment
D)hyperventilating to ensure full absorption in the lungs

Question 9

What type of needles should be recapped?

A)used
B)sterile
C)all needles
D)safety

Question 10

Systemic drugs are those that .

A)alter homeostasis
B)affect the body as a whole
C)have predictable effects
D)affect only one organ system

Question 11

Larger syringes may have a metal attachment at the tip that fastens the needle securely to the syringe.This device is called a(n) .

A)Carpuject
B)Z-ject
C)Luer-Lok
D)safety cap

Question 12

Tuberculin syringes are used for .

A)administering subcutaneous fluids
B)intradermal injections of very small volumes
C)intramuscular injections
D)obtaining specimens of pulmonary secretions

Question 13

When administering an intradermal injection,the syringe should be held so that the .

A)needle is at a 45-degree angle and the bevel is down
B)bevel is up and the needle is at a 45-degree angle
C)needle is at a 90-degree angle
D)bevel is up and the needle is almost flat against the patient's skin

Question 14

Richard has asthma and has not used his metered-dose inhaler for more than 24 hours.What should he do before using the inhaler again?

A)Shake for at least 60 seconds.
B)Discharge a waste dose.
C)Take it apart and sterilize it.
D)Use a small volume nebulizer.

Question 15

When applying a new transdermal patch,it is especially important to .

A)make sure the area it will be placed on is cleanly shaven
B)abrade the skin to facilitate absorption
C)avoid touching the inside of the patch
D)puncture the drug reservoir

Question 16

In what situation is it acceptable to add a small volume of air into the filled syringe?

A)when administration is intravenous
B)absolutely never
C)when a subcutaneous injection is being given
D)when an intramuscular injection is being given

Question 17

Proper placement for buccal administration is .

A)in the pouch between the cheek and the gum at the back of the mouth
B)under the tongue
C)in direct contact with the nasal mucosa
D)on dry,hair-free skin

Question 18

What is the route of administration that is most likely to have systemic effects?

A)eye
B)topical skin
C)mucous membrane
D)transcutaneous

Question 19

Intermittent positive pressure breathing treatments are useful for patients who are .

A)unable to cough on their own
B)unable to take deep breaths on their own
C)not compliant with other methods
D)very physically active

Question 20

Transcutaneous delivery systems may be used for treatment of .

A)psychiatric disorders
B)chronic reflux
C)systemic infections
D)severe,chronic pain for which opiates are needed

Question 21

The order is for an injection into the vastus lateralis.Where is the vastus lateralis?

A)front of the thigh towards the midline of the leg
B)front of the thigh towards the outside of the leg
C)above and to the outside of the buttock area
D)upper outer arm above the axilla

Question 22

Why is site selection particularly important when giving IM injections?

A)Once a particular site has been used,it can never be used again.
B)The needles used are so short that they must be precisely placed.
C)Medications given IM are typically more prone to causing infections.
D)There are more large blood vessels and nerves in deep tissue.

Question 23

Which of the following routes is typically limited to localized effects?

A)sublingual preparations
B)buccal preparations
C)transcutaneous preparations
D)topical skin preparations

Question 24

When using the Z-track method,the clinician should insert the needle .

A)at a 15-degree-angle and inject the medication slowly
B)with a dart-like motion,aspirate,and then inject the medication slowly
C)quickly and inject the medication in brief,forceful pulses
D)quickly and inject the medication as quickly as possible

Question 25

What do topical skin medications,medications applied to the mucous membranes,eye medications,and ear medications have in common?

A)They are all used for local effects.
B)Their usefulness is related to how quickly they are metabolized and distributed.
C)They can cause very dangerous systemic side effects even when used properly.
D)They are all excreted very rapidly.