Deck 10: Photo Atlas of Drug Administration

Question 1

A patient with asthma is to begin medication therapy with a metered-dose inhaler.What important reminder should the nurse include during teaching sessions with the patient?

A)Repeat subsequent puffs,if ordered,after 5 minutes.
B)Inhale slowly while pressing down to release the medication.
C)Inhale quickly while pressing down to release the medication.
D)Administer the inhaler while holding it 7.5 to 10 cm away from the mouth.

Answer 1

Inhale slowly while pressing down to release the medication.

Question 2

The nurse is assisting a patient to take his medications;however,the medication cup falls to the floor,spilling the contents.What is the appropriate action for the nurse to take?

A)Discard the medications and repeat the preparation
B)Document that the client refused the medications
C)Wait until the next dosage time and then give the medications
D)Retrieve the medications and administer them to avoid waste

Answer 2

Discard the medications and repeat the preparation

Question 3

The nurse is administering insulin subcutaneously (SC)to a patient who is obese.Which of the following is the proper technique for this injection?

A)Using the Z-track method
B)Inserting the needle at a 5- to 15-degree angle until resistance is felt
C)Pinching the skin at the injection site and injecting the needle below the tissue fold
D)Spreading the skin tightly over the injection site,inserting the needle,then releasing the skin

Answer 3

Pinching the skin at the injection site and injecting the needle below the tissue fold

Question 4

Which of the following statements describes the proper way for the nurse to measure 4 mL of a liquid cough elixir for a child?

A)Use a teaspoon to measure and administer.
B)Hold the medication cup at eye level and fill it to the desired level.
C)Withdraw the elixir from the container with a syringe with a needle attached.
D)Withdraw the elixir from the container with a syringe without a needle attached.

Question 5

Which technique is proper for the nurse to take when administering medications through a nasogastric (NG)tube?

A)Administering the medications with a small medication syringe
B)Applying gentle pressure on the syringe's piston to infuse the medication
C)Flushing the tubing with 30 mL of saline after the medication has been given
D)Using the barrel of the syringe,allow the fluid to flow via gravity into the NG tube

Question 6

In which of the following situations should the nurse administer an intramuscular medication (IM)with the Z-track method?

A)When the medication is known to be irritating to tissues
B)When the patient is emaciated and has very little muscle mass
C)When the medication must be absorbed quickly into the tissues
D)When the patient is obese and has a deep fat layer below the muscle mass

Question 7

The nurse is preparing to administer an intramuscular (IM)immunization to a 2-month-old infant.Which site is acceptable for this injection?

A)Deltoid
B)Dorsogluteal
C)Ventrogluteal
D)Vastus lateralis

Question 8

The patient is to receive a buccal medication.Which action is appropriate for the nurse to take?

A)Encouraging the patient to swallow if necessary
B)Administering water after the medication has been given
C)Placing the medication between the upper molar teeth and cheek
D)Placing the tablet under the client's tongue and allow it to dissolve completely

Question 9

The patient states that he prefers to chew rather than swallow his pills.One pill has the abbreviation "SR" after the name of the medication.Which of the following instructions should be followed when giving this medication?

A)Break the tablet into halves or quarters.
B)Dissolve the tablet in a small amount of water before giving it.
C)The tablet should not be crushed or broken before administration.
D)Use a mortar and pestle to crush the tablet as needed to ease administration if needed.

Question 10

What is the proper syringe size for an intradermal (ID)injection?

A)3-mL syringe
B)1-mL tuberculin
C)2-mL tuberculin
D)2-mL syringe

Question 11

When the nurse is administering medication by intravenous (IV)bolus (push),which is the correct procedure?

A)Occluding the IV line by folding the tubing just above the injection port
B)Clamping the tubing just above the insertion site
C)Pinching the tubing just above the injection port
D)Pinching the tubing at least 5 cm above the injection port

Question 12

After administering an intradermal (ID)injection for a skin test,the nurse notices a small bleb at the injection site.Which of the following is the proper action for the nurse to take?

A)Apply heat
B)Massage the area
C)Report the bleb to the physician
D)Do nothing

Question 13

Before administering any medication,which action by the nurse is most important?

A)Verifying orders with another nurse
B)Documenting the medications given
C)Counting medications in the medication cart drawers
D)Checking the patient's identification and allergy bracelets

Question 14

A patient is to receive a penicillin intramuscular (IM)injection in the ventrogluteal site.What is the proper angle for needle insertion?

A)15 degrees
B)45 degrees
C)60 degrees
D)90 degrees

Question 15

Which of the following is the proper method of mixing intravenous (IV)solutions and medications?

A)Shaking the bag or bottle vigorously
B)Holding the bag or bottle and gently turning it end-to-end
C)Inverting the bag or bottle just once after injecting the medication
D)Allowing the IV solution to stand for 10 minutes to enhance even distribution of medication

Question 16

What important action should the nurse take after administering an intravenous (IV)push medication through an IV lock?

A)Flushing the lock
B)Regulating the IV flow
C)Clamping the tubing for 10 minutes
D)Holding the patient's arm up to improve blood flow

Question 17

Which technique should the nurse use to facilitate the administration of a rectal suppository?

A)Having the patient lie on his or her right side unless contraindicated
B)Having the patient hold his or her breath during insertion of the medication
C)Lubricating the suppository with a small amount of petroleum-based lubricant
D)Encouraging the patient to lie on his or her left side for 15 to 20 minutes after insertion

Question 18

Which of the following actions is considered a standard precaution for medication administration?

A)Bending the syringe to prevent re-use
B)Recapping needles to prevent needlestick injury
C)Discarding all syringes and needles into the wastebasket
D)Discarding all syringes and needles in a puncture-resistant container

Question 19

What is the proper technique for the nurse to perform when administering ear drops to a 2-year-old child?

A)Administer the drops without altering the ear canal direction.
B)Straighten the ear canal by pulling the lobe upward and back.
C)Straighten the ear canal by pulling the auricle down and back.
D)Straighten the ear canal by pulling the auricle upward and outward.

Question 20

What is the best action for the nurse to take to reduce systemic effects after administering eye drops?

A)Wiping off excess liquid immediately after instilling drops
B)Having the patient close the eye tightly after instilling drops
C)Having the patient close the eye; then move the eye around to help distribute the medication
D)Applying gentle pressure to the patient's nasolacrimal duct for 30 to 60 seconds after instilling drops

Question 21

The nurse is preparing to give an intramuscular (IM)injection to an average-sized adult male.Select all of the following that apply for an intramuscular injection.

A)Choose a 6 to 13 mm (¼- to ½-inch),26- or 27-gauge needle.
B)Choose a 13 to 16 mm (½- to ⁵/₈-inch),25-gauge needle.
C) Choose a 38 mm (1½-inch), 21- to 25-gauge needle.
D)Select a site at least 5 cm away from the umbilicus.
E)The dorsogluteal site is the preferred site for IM injections.
F)The ventrogluteal site is the preferred site for IM injections.
G)Insert the needle at a 45-degree angle.
H)Insert the needle at a 90-degree angle.
I)Insert the needle at a 5- to 1.5-degree angle.
J)The Z-track method is recommended for most IM injections.
K)The Z-track method is used with subcutaneous (SC)injections.
L)Before injecting the medication,withdraw the plunger to check for blood return.
M)Do not check for blood return before injecting the medication.

Question 22

When administering nasal spray,the nurse should instruct the patient as follows:

A)"You will need to blow your nose before I give this medication."
B)"You will need to blow your nose after I give this medication."
C)"When I give this medication, you will need to hold your breath."
D)"You should sit up for 5 minutes after you receive the nasal spray."