Question 1

Generally, the DG injection site is reserved for toddlers.

Accepted Answer

The correct location for administering the DG (diphtheria and tetanus toxoids and acellular pertussis adsorbed, inactivated poliovirus and Haemophilus b conjugate vaccine) injection is the thigh for infants and young children and the upper arm for older children and adults. The injection site may vary based on the type of vaccine being given.

Question 2

It is preferable to inject medications below the level of injury of a paraplegia patient, eliminating the pain which can accompany an injection.

Accepted Answer

Injecting medications below the level of injury in a paraplegic patient does not eliminate the pain of injection because the pain from an injection is not solely due to skin sensation but can also involve deeper tissues, and the perception of pain can vary greatly among individuals regardless of paralysis. Additionally, the choice of injection site should be based on the medication type, absorption rate, and other clinical factors rather than solely on the presence of sensation.

Question 3

While intramuscular injection of insulin is uncommon, its rate of absorption is quicker via intramuscular injection than subcutaneous injection.

Accepted Answer

Intramuscular injection of insulin has a quicker rate of absorption than subcutaneous injection. However, it is not commonly used due to the risk of complications such as muscle damage or bleeding.

Question 4

In some instances, it is not so much the medicine administered that is crucial but rather the way in which it is given.

Accepted Answer

The manner in which medicine is administered can have a significant impact on its effectiveness. For example, certain medications may need to be taken with food, at a specific time of day, or in a specific dosage form (such as a tablet, capsule, or injection). Additionally, the method of administration can impact the rate at which the medication is absorbed by the body and how quickly it takes effect. All of these factors can affect the overall efficacy of a medication.

Question 5

For an SVN to function properly, the gas pressure must be adequate, but not excessive.

Accepted Answer

The gas pressure in an SVN should be adequate, but not excessive. Excessive gas pressure could lead to barotrauma, and inadequate gas pressure might result in insufficient tidal volume.

Question 6

Up to 4 mL of medication can be injected in the vastus lateralis without causing the patient significant discomfort.

Accepted Answer

The answer of Up to 4 mL of medication can...

Question 7

Advances in science demanded a more accurate system of measurement, and so the apothecary system was born out of necessity.

Accepted Answer

The apothecary system is an older system of measurement that was used in the past for pharmacy and medical prescriptions. The need for more accurate measurements led to the development and adoption of the metric system, not the apothecary system.

Question 8

Vials are intended for multiple use and therefore are more likely to become contaminated.

Accepted Answer

Vials are generally intended for multiple use as they are made of durable material. However, each use carries a risk of contamination of the contents or the vial itself through contact with the environment, the user's hands or instruments used for extraction. Therefore, proper sterilization or cleaning of vials is essential to prevent contamination.

Question 9

Because of the barrel's diameter, a 2 mL syringe is generally used for intramuscular injections as it provides better control.

Accepted Answer

A 2 mL syringe is typically used for intravenous injections, while a larger diameter barrel, such as a 3 mL or 5 mL syringe, is used for intramuscular injections to provide better control and reduce the risk of medication leaking out of the injection site.

Question 10

Medications are packaged in either vials or ampoules.

Accepted Answer

Medications are often packaged in vials or ampoules. Vials are small glass or plastic containers with a rubber stopper that can be punctured to withdraw the medication with a syringe. Ampoules are small glass containers that must be broken open to withdraw the medication.

Question 11

Medications meant for the skin (i.e., topical medicine) placed in water are called ointments, whereas those placed in either lanolin, an oil from sheep's wool, or petroleum jelly are called lotions.

Accepted Answer

The statement is incorrect. Medications meant for the skin placed in water are called lotions, whereas those placed in either lanolin or petroleum jelly are called ointments.

Question 12

Paramedics generally prefer to use the deltoid muscle for injections because it requires less patient exposure and is easier to access.

Accepted Answer

The deltoid muscle is a common site for injection in paramedicine because it requires less patient exposure and is relatively easy to access.

Question 13

The intramuscular needle range is between 18 to 24 gauge and the selection of the length of the needle is more important than the gauge.

Accepted Answer

The length of the needle is more important than the gauge in intramuscular injections because it determines the depth of the injection and the location of the medication within the muscle. While the range of gauges is typically between 18 to 24, the specific gauge used may depend on the viscosity of the medication.

Question 14

The combination of age and poor nutrition in elderly patients reduces muscle mass, limiting available injection sites.

Accepted Answer

Age-related muscle loss, also known as sarcopenia, combined with poor nutrition can result in decreased muscle mass in elderly patients. This can make it difficult to find suitable injection sites for medications that require administration into muscle tissue.

Question 15

The dry power inhaler remains the gold standard for respiratory therapy.

Accepted Answer

The dry powder inhaler is not the gold standard for respiratory therapy. There are various types of inhalers available and the choice of inhaler depends on the individual patient's needs and preferences. Other inhalers such as metered-dose inhalers and nebulizers are also commonly used in respiratory therapy.

Question 16

The use of intranasal naxolone is considered an on-label use.

Accepted Answer

The answer of The use of intranasal naxolone is considered...

Question 17

Alcohol has long been used in pharmacy, in part because of its excellent solvent properties and, in part, because of its ready availability.

Accepted Answer

Alcohol is commonly used in pharmacy due to its solvent properties and high availability.

Question 18

An easy-to-swallow pill is the best carrier for a medication, especially for the older patient.

Accepted Answer

While pills are a common form of medication delivery, they are not always the best option, especially for older patients who may have difficulty swallowing (dysphagia). Liquid medications, patches, or dissolvable forms can sometimes be more appropriate.

Question 19

A nasogastric (NG) tube is measured from the bridge of the nose to an earlobe, then from the earlobe to the xiphoid process.

Accepted Answer

This is the correct method for measuring the length of a nasogastric (NG) tube.

Question 20

Paramedics usually use less than an 18 gauge needle when drawing blood, either through an intravenous catheter or via direct needle insertion.

Accepted Answer

Paramedics typically use larger gauge needles, such as 18 gauge or larger, for drawing blood to ensure adequate flow and prevent hemolysis.

Quiz 26: Principles of Medication Administration