Question 1

The nurse is preparing a syringe for an intramuscular injection.The nurse plans to administer the injection in the deltoid muscle.What is the maximum amount of medication that the nurse can administer to this site?

Accepted Answer

The maximum amount of medication that can be safely administered into the deltoid muscle is 1 mL. Administering more than this amount can increase the risk of tissue irritation and injury.

Question 2

The nurse is teaching a client about parenteral medication administration.Which routes of administration should the nurse include in the teaching? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

Parenteral medication administration refers to methods of medication administration that do not involve the gastrointestinal tract. This includes intravenous infusion (B) and intramuscular injection (C), among other methods. Oral, vaginal, and sublingual routes involve the medication being absorbed through the mucous membranes or the gastrointestinal tract and are not considered parenteral.

Question 3

A nurse is providing the client information about the prescribed medication.Which statement requires additional teaching about the medication regime?

Accepted Answer

Skipping medication due to affordability issues indicates a misunderstanding or potential non-compliance with the medication regimen, which could compromise treatment effectiveness. It's important for patients to discuss financial concerns with their healthcare provider to find solutions.

Question 4

The nurse is preparing to administer an IM injection to a client.Which site is not appropriate for an IM injection?

Accepted Answer

The subscapular areas of the upper back are not appropriate for intramuscular (IM) injections due to the lack of large muscle mass and the risk of hitting underlying structures. The ventrogluteal, vastus lateralis, and deltoid sites are commonly used and recommended for IM injections.

Question 5

A nurse is preparing to administer medication to a patient.Which action is the priority?

Accepted Answer

Reviewing the medication order and checking for allergies is the priority action to ensure patient safety and prevent adverse drug reactions. This step is crucial before administering any medication.

Question 6

Which statement made by the nurse regarding topical medications is the most appropriate when referring to the desired reaction?

Accepted Answer

Topical medications are primarily intended to act locally at the site of application, which often results in fewer side effects compared to systemic medications.

Question 7

What is a disadvantage of administering medication via the subcutaneous or intramuscular route?

Accepted Answer

This route allows only small volumes to be administered, which is a limitation compared to other methods such as intravenous administration that can handle larger volumes.

Question 8

Which are administration guidelines for transdermal drugs? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

A) Wearing gloves prevents the caregiver from absorbing the drug through their skin. D) Applying the medication to clean, dry, and hairless skin ensures better adhesion and absorption of the drug. E) Rotating skin sites helps to prevent skin irritation and increases the effectiveness of drug absorption by avoiding saturation of one area.

Quiz 3: Principles of Drug Administration