Deck 18: Medication Administration

Question 1

Complete the following equivalents by filling in the blanks.
a.__________ drops = 1 mL
b.__________ drops = 1 minim
c.__________ fluid drams = 1 fluid ounce
d.__________ fluid ounces = 1 cup
e.__________ mL = 1 pint
f.__________ gram = 1000 mg
g.__________ liter = 1000 mL

Answer 1

a.15
b.1
c.6
d.8
e.500
f.1
g.1

Question 2

List "The Six Rights" in the administration of medications.
a.______________
b.______________
c.______________
d.______________
e.______________
f.______________

Answer 2

a.Right medication
b.Right dose
c.Right route
d.Right time
e.Right client
f.Right documentation

Question 3

There are four biologic processes of drug utilization.The process in which the drug binds with plasma protein is

A)Absorption.
B)Distribution.
C)Metabolism.
D)Excretion.

Answer 3

Distribution.

Question 4

If the nurse questions the appropriateness of a medication or an order on the MAR,the nurse should

A)Check the previous MAR.
B)Check the doctor's order.
C)Consult with the previous shift nurse.
D)Ask the pharmacy to validate the MAR.

Question 5

You have been exposed to blood or body fluid through an accidental needle stick.Your first action is to

A)Complete an unusual occurrence form and notify the charge nurse.
B)Cover the site with a sterile dressing and see a physician immediately.
C)Immediately cleanse the site with Betadine for 10 minutes.
D)Express blood from the site and scrub with soap and water.

Question 6

Complete the statements below by filling in the blank with the correct answer.

A)Subcutaneous injections are administered at a _____________ angle.
B)Intramuscular injections are administered at a _____________ angle.
C)Air is not injected into insulin solution to prevent _____________ in the solution.
D)Insulin bottles are turned top to bottom several times to bring the solution into _____________.
E)When two types of insulin are being administered,the intermediate- acting insulin is drawn into the syringe _____________ the short or rapid acting insulin.

Question 7

There are seven parts of a drug order.Which three parts are missing from the list below?
a.Name of client
b.Name of drug
c.Dose
d.Signature of individual ordering drug
e.______________
f.______________
g.______________

Question 8

Clinical Situation: Janice is a 40-year-old obese client who has just returned from surgery following gastric bypass surgery. She has several medications ordered using the parenteral route
Which site is preferred for administering intramuscular injections?

A)Vastus lateralis.
B)Gluteus maximus.
C)Deltoid.
D)Ventrogluteal.

Question 9

Clinical Situation: Janice is a 40-year-old obese client who has just returned from surgery following gastric bypass surgery. She has several medications ordered using the parenteral route
Subcutaneous anticoagulent medications should be injected in which area?

A)Abdomen.
B)Buttocks.
C)Arm.
D)Lateral thigh.

Question 10

Clinical Situation: Janice is a 40-year-old obese client who has just returned from surgery following gastric bypass surgery. She has several medications ordered using the parenteral route
Janice has an order for a medication if she becomes nauseated.The medication is to be given using the intramuscular route.Which one of the following needles should be used?

A)22 gauge,1 1/2inch.
B)20 gauge,1 inch.
C)18 gauge,1 inch.
D)23 gauge,1 inch.

Question 11

The "unit dose" method is used to dispense medications.This method has the advantage of allowing the nurse to:

A)Check the medication three times.
B)Place medications in a medicine cup before taking it to the client.
C)Check medication name and dosage on the package while handing to the client.
D)Chart medications on the medication record.

Question 12

Most drugs are metabolized in which body area?

A)Kidney
B)Plasma
C)Liver
D)Intestinal mucosa

Question 13

Clinical Situation: Janice is a 40-year-old obese client who has just returned from surgery following gastric bypass surgery. She has several medications ordered using the parenteral route
Vistaril is an irritating medication that should be administered using the Z-track method.Which one of the following statements is most correct regarding the Z-track?

A)All of the air is expressed from the needle and syringe before administration.
B)It is necessary to massage the skin following each injection.
C)Aspiration to check for needle placement is not necessary.
D)It is important to wait 10 seconds after injecting medication before removing needle.

Question 14

Clinical Situation: Janice is a 40-year-old obese client who has just returned from surgery following gastric bypass surgery. She has several medications ordered using the parenteral route
Which of the following routes for administering pain medication is most appropriate for the obese client?

A)Intramuscular.
B)Intravascular.
C)Subcutaneous.
D)Oral.

Question 15

The most direct,reliable,and rapid route of drug absorption is

A)Oral.
B)Sublingual.
C)Inhalation.
D)Intravenous.

Question 16

The reason for not massaging the site following a heparin or LMWH injection is to

A)Prevent rapid absorption of medication.
B)Maintain the medication in Sub Q tissue.
C)Prevent tissue damage.
D)Prevent tracking medication onto the skin.

Question 17

Which of the following statements is true concerning the Z-track method for medication administration?

A)It is not necessary to aspirate before injecting the medication.
B)The skin is pulled laterally away from the injection site.
C)Medication is injected slowly and needle removed immediately.
D)Massage is used following injection to assist with absorption.

Question 18

Calculate the following drug dosage:If you give a client one half of a gr.
tablet,how many grains of medication will the client receive?

Question 19

Transdermal medication administration may be less effective in

A)elderly clients.
B)thin clients.
C)obese clients.
D)darkly pigmented clients.

Question 20

It is very important to monitor for potential drug overdose in the elderly even if the dosage is within normal range because the elderly have

A)A slower rate of drug absorption.
B)More intracellular fluid than younger adults.
C)A lower percentage of fat than younger adults.
D)A decreased serum albumin level.

Question 21

Your client is to receive 2000 units of Heparin intravenously.The vial contains Heparin 5000 U/mL.How many mL will you give?