Deck 14: Parenteral Routes

Question 1

The parts of a syringe include all of the following EXCEPT

A) needle
B) flange
C) plunger
D) barrel
E) tip

Answer 1

needle

Question 2

Syringes come in sizes that hold 0.5 mL to 60 mL.

Answer 2

True

Question 3

Parenteral routes of medication administration include all but which of the following?

A) intravenous
B) intramuscular
C) subdermal
D) intradermal
E) subcutaneous

Answer 3

subdermal

Question 4

OSHA standards mandated in 2003 require the use of syringes with retractable needle covers or other means of personal protection for health care workers.

Question 5

An entire syringe must remain sterile.

Question 6

When preparing an injection from both a vial and an ampule, the medication from the ampule should be drawn into the syringe first.

Question 7

All of the following are important in selecting a needle for injection EXCEPT

A) amount of medication to be administered
B) depth to ensure medication is administered to appropriate site
C) rate of flow of the medication
D) safety
E) comfort of the patient

Question 8

Medications for parenteral administration are supplied in all of the following forms EXCEPT

A) prefilled syringes
B) ampules
C) multidose ampules
D) vials
E) multidose vials

Question 9

Parenteral medications must be

A) sterile
B) in liquid form
C) in vials
D) a and b
E) all of the above

Question 10

When giving parenteral medications, OSHA standards must be followed, the liquid should be properly stored, and the medications should be within the expiration date.

Question 11

To reconstitute powders for injection, the allied health professional should do all of the following EXCEPT

A) use the diluent specified in the packaging
B) always use sterile water or saline
C) label the multidose container with the time and strength of reconstitution
D) roll the powder in his or her hands to mix
E) use sterile technique

Question 12

When mixing medications from two vials, the allied health professional should do all of the following EXCEPT

A) aspirate the medications correctly from each vial
B) be sure the medications are compatible
C) inject air into vial B and then into vial A if vial B is to have withdrawal first
D) hold the plunger when withdrawing the medication from the second vial when two vials are being used
E) all are correct

Question 13

Failure to administer medications by the parenteral route correctly may result in all of the following EXCEPT

A) shorten the rate of absorption
B) cause tissue damage
C) cause pain and bleeding
D) damage nerves
E) retrieval of the medication after administration

Question 14

In choosing a syringe, choose the smallest syringe in the correct measurement system to hold the amount of medication to be administered.

Question 15

In the ambulatory care setting, the most common syringes used are

A) 3 mL
B) insulin
C) tuberculin
D) a and c
E) all of the above

Question 16

Because parenteral medications are given under the skin, allergies to the additives or the base of the medication are not important.

Question 17

When preparing a medication from an ampule, all of the following are important EXCEPT

A) using a filter needle to administer the medication
B) wrapping the neck of the ampule with sterile gauze prior to opening
C) wiping the neck of the ampule with alcohol prior to opening
D) being sure the medication is not in the top of the ampule
E) keeping the needle in the liquid while withdrawing the medication

Question 18

Advantages of parenteral medication administration include all of the following EXCEPT medications

A) are not inactivated by the liver prior to absorption
B) enter the circulation more rapidly
C) may be used for those who are unable to swallow
D) are more rapidly absorbed and therefore pose less risk from allergic reactions
E) are not inactivated by the secretions of the stomach

Question 19

Needle points come in which of the following?

A) short bevel
B) intradermal bevel
C) regular bevel
D) a and c
E) all of the above

Question 20

The parts of a needle include all of the following EXCEPT

A) point
B) barrel
C) hilt
D) bevel
E) hub

Question 21

When giving an injection in the deltoid region, it is permissible to pinch the tissue.

Question 22

When giving injectable medications correctly, above minimal pain is always present because the medication has been placed under the skin.

Question 23

The gauge of a needle relates to its length.

Question 24

Ampules are small, hermetically sealed glass containers that hold multiple doses of medications.

Question 25

When withdrawing medications from a vial, the allied health professional must first inject the amount of air into the vial to replace the amount of medication that will be withdrawn.

Question 26

Vials may contain powders that need reconstitution prior to administration.

Question 27

Vials are labeled with the name of medication and the dosage per liquid volume.

Question 28

When administering medications intradermally for tuberculin testing, a bleb or wheal is always necessary.

Question 29

In choosing a needle for medication administration, the needle should be the smallest possible that will administer the medication to the desired site with the least pain.

Question 30

Z-track injections are used for medications that are irritating or will stain the skin.

Question 31

When selecting a needle for injection, the viscosity of the medication is not important.

Question 32

Vials are small glass or plastic containers that hold single or multiple doses of medications.

Question 33

The needle lumens range from 14 gauge, which is the smallest, to 31 gauge, which is the largest.

Question 34

When mixing regular and NPH insulin, the regular insulin should be drawn into the syringe first.

Question 35

When giving an injection in the deltoid site, a tight-fitting garment should be removed so that the site is not constricted.

Question 36

A needle with a small lumen should be short in length.

Question 37

When giving an injection in the dorsogluteal or ventrogluteal sites, the skin should be held taut.

Question 38

The allied health professional should always hold the site of injection with the nondominant hand to prevent the patient from moving during an injection.

Question 39

A filter needle should be used to withdraw medications from an ampule.

Question 40

When reconstituting medications, the allied health professional should agitate the medication in the vial.

Question 41

Match the following terms with their descriptions below.
Into or within the epidermis

A)intravenous
B)compatible
C)intradermal
D)intramuscular
E)subcutaneous

Question 42

The allied health professional requires special skills to administer medications at each possible injection site.

Question 43

All hazardous waste used for parenteral medication administration must be placed in the sharps container.

Question 44

When giving an injection in the dorsogluteal site, full view of the entire buttocks is more important than protecting the person's privacy.

Question 45

Match the following terms with their descriptions below.
Liquid added to a powder for parenteral administration

A)ampule
B)vial
C)diluent
D)aqueous
E)viscous

Question 46

Disposable needles are sharp and coated with silicone for each injection.

Question 47

Medications that are given by injection have a longer duration of action than those taken orally.

Question 48

Match the following terms with their descriptions below.
Glass or plastic container with a metal-enclosed rubber seal for injectable medications that may hold single or multiple doses

A)ampule
B)vial
C)diluent
D)aqueous
E)viscous

Question 49

Match the following terms with their descriptions below.
Small glass container for sterile injectable medications, holding a single dose

A)ampule
B)vial
C)diluent
D)aqueous
E)viscous

Question 50

When administering an injection, the allied health professional should try to keep the patient's mind on the procedure being done so no adverse reactions can occur.

Question 51

Match the following terms with their descriptions below.
Based in water

A)ampule
B)vial
C)diluent
D)aqueous
E)viscous

Question 52

Match the following terms with their descriptions below.
Into or within the vein

A)intravenous
B)compatible
C)intradermal
D)intramuscular
E)subcutaneous

Question 53

Match the following terms with their descriptions below.
Thick or sticky

A)ampule
B)vial
C)diluent
D)aqueous
E)viscous

Question 54

Medications that are given parenterally may already contain preservatives or a small amount of antibiotics that may cause allergic reactions.

Question 55

Aqueous solutions are absorbed more slowly and last longer than viscous medications.

Question 56

Match the following terms with their descriptions below.
Into or within the muscle

A)intravenous
B)compatible
C)intradermal
D)intramuscular
E)subcutaneous

Question 57

When giving intramuscular injections, positioning of the patient is not important.

Question 58

Always check injectable medications for the expiration date and sterility prior to preparing the drug for administration.

Question 59

Match the following terms with their descriptions below.
Beneath the skin

A)intravenous
B)compatible
C)intradermal
D)intramuscular
E)subcutaneous

Question 60

Two of the dangers of an intramuscular injection is the medication entering the bloodstream or irritating a nerve.

Question 61

Match the following terms with their descriptions below.
Suitable for mixing without unfavorable actions; to mix two or more medications

A)intravenous
B)compatible
C)intradermal
D)intramuscular
E)subcutaneous