Administering Meds Flashcards by Asia Howard

When administrating a subcutaneous and/or an intramuscular injection, you would gently pull back on the plunger to
A. Reduce discomfort to the pt
B. Ascertain that the needle is not in the blood vessel
C. Make sure that you are in the right side
D. Make sure that you have the right medication

B. Ascertain that the needle is not in a blood vessel

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Before administering any medication, you are to carefully assess your pt’s conditions. This assessment should include
A. the pt’s age and body size
B. the pt’s physical condition
C. the muscular build and skin texture of the pt
D. all of these

the pt’s age and body size
the pt’s physical condition
the muscular build and skin texture of the pt

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Body areas to avoid when choosing the site for an injection are
A. healthy muscle tissue
B. scar tissue
C. moles, birthmarks, warts, tumors, lumps, bones
D. both b & c

scar tissue

moles, birthmarks, warts, tumors, lumps, bones

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A subcutaneous injection is given at an angle of 
A.	60
B.	50	
C. 45
D.	30

C. 45

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An intramuscular injection is given at a
A.	45 angle
B.	90 angle
C.	60 angle
D.	50 angle

B. 90 angle

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The body areas used for an intradermal injection are
A. The deltoid muscle and/or gluteal muscle
B. the inner forearm and the middle of the back
C. the outer forearm and the middle of the back
D. the thigh and/or the middle of the back

B. the inner forearm and the middle of the back

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The \_\_\_\_ may be used for giving (adult) deep IM injections
A.	ventrogluteal site
B.	dorsogluteal site
C.	deltoid muscle
D.	vastus lateralis

C. deltoid muscle

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When administering an injection into the deltoid muscle, caution must be taken to avoid the 
A.	sciatic nerve
B.	brachial and auxiliary nerves
C.	acromion and numerous 
D.	both b & c

brachial and auxiliary nerves

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The \_\_\_\_\_ is the preferred site for IM injections in infantas and children
A.	ventrogluteal
B.	deltoid muscle 
C.	dorsogluteal
D. Vastus lateralis

Vastus lateralis

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The following special considerations should be followed when preparing and administrating insulin
A. shake the bottle to mix evenly
B. use a site rotation system
C. be sure you have the correct insulin for administration
D. both b&c

use a site rotation system

be sure you have the correct insulin for administration

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When administrating insulin, you should
A.	not massage the injection site
B.	use any subcutaneous area for injection
C.	not rotate the site for injection	
D.	use a 30 angle

not massage the injection site

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Regardless of the type of injection, there are basic guidelines that one must follow to safeguard the pt. These guidelines include
A. evaluating each pt as an individual
B. correctly preparing parental equipment and supplies for use
C. selecting the correct site for the intended injection
D. all of these

evaluating each pt as an individual
correctly preparing parental equipment and supplies for use
selecting the correct site for the intended injection

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What steps should be taken if blood appears in the syringe upon aspiration? A. smoothly withdraw the needle
B. properly discard the used unit
C. prepare another injection for administration
D. All of these

smoothly withdraw the needle
properly discard the used unit
prepare another injection for administration

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When cleaning the injection site with a sterile antiseptic swab, you would
A. use a circular motion
B. work from the center out to about 2 inches beyond the planned injection site
C. work from the outer edges of the injection site to the center
D. both a &b

use a circular motion
work from the center out to about 2 inches beyond the planned injection site
work from the outer edges of the injection site to the center

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Should an accidental stick occur after an injection, you would
A. thoroughly wash the site where the stick occurred
B. cleanse the skin with an antiseptic
C. report and document the incident and obtain medical attention
D. all of these

thoroughly wash the site where the stick occurred
cleanse the skin with an antiseptic
report and document the incident and obtain medical attention

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When administrating an intradermal injection, the lumen of the needle should be in 
A.	subcutaneous tissue
B.	muscle tissue
C.	the epidermal layer of the skin
D.	none of these

the epidermal layer of the skin

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Insulin injection site must be rotated to
A. prevent tissue damage
B. prevent accumulation of the unabsorbed medication
C. prevent tissue hypertrophy
D. all of these

prevent tissue damage
prevent accumulation of the unabsorbed medication
prevent tissue hypertrophy

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A correctly administered ID injection will produce a
A.	wen
B.	wheal
C.	wheel
D.	all of these

Wheal

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Examples of drugs that are administered subcutaneously are
A.	antibiotics
B.	insulin
C.	certain vitamins
D.	both b & c

Insulin

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To feel

Palpate

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To pull or draw tight a surface such as the skin

Taut

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A blood tumor

Hematoma

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To remove by suction

Aspirate

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A slight elevation of the skin that can be produced as a result of an ID injection

Wheal

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A feeling of trust and understanding established between the pt and those providing health care

Rapport

``` The component parts of a syringe consist of A. a barrel B. a plunger C. the flange and the tip D. All of these ```

All of these

``` The parts of a typical needle are A. the point, lumen and shaft B. the point, shaft and hub C. point, bevel, lumen, shaft, hub and hilt D. point, hilt, bevel, hub ```

point, bevel, lumen, shaft, hub and hilt

``` Syringes are named according to A. manufacturing choice B. inventor’s name C. their sizes and usages D. none of these ```

their sizes and usages

The parts of the syringe that must remain sterile during the preparation and administration of a parenteral medication are A. the outside if the barrel, the tip and plunger’ B. the plunger and the tip C. the indiscernible of the barrel,plunger and tip D. the flange, barrel, and tip

the indiscernible of the barrel,plunger and tip

``` A 3 mL hypodermic syringe is calibrated in A. 0.2 mL B. 0.5 mL C. 0.1 mL D. 0.3 mL ```

0.1 mL

``` A ____ syringe is used to inject min amounts of medications, for ID injections, allergy testing and other allergy injections A. insulin B. tuberculin C. 3 mL hypodermic D. 5 mL hypodermic ```

Tuberculin

``` Insulin syringed are calibrated in A. cubic centimeters B. millimeters C. units D. minims ```

Units

``` The ____ of medication ordered determines the size of the syringe-needle unit to be selected A. color and odor B. amount and viscosity C. color and amount D. viscosity and odor ```

amount and viscosity

``` When the giving a SC injection, you should not inject more than ___ into SC tissue A. 0.5 mL B. 1 mL C. 2 mL D. 3 mL ```

2 mL

When selecting a syringe needle unit for an IM injection, you will A. consider the age and size of the pt B. select a needle with sufficient length to reach muscle tissue C. use the same size syringe needle unit for all pts D. both a & b

consider the age and size of the pt | select a needle with sufficient length to reach muscle tissue

``` The ___ of a needle is determined by the diameter of its lumen A. shaft B. hub C. units D. minims ```

Units

``` ____ is the injection of a liquid substance into the body via a route other than the alimentary canal A. hypodermic B. parenteral C. parental D. none of these ```

parenteral

``` The ____ of a syringe is the part that hold the medication, and has a graduated markings on its surface A. barrel B. plunger C. flange D. tip ```

Barrel

``` The 5 mL syringe is calibrated with a single metrical scale. Each small line of this scale represents ___ of a millimeter A. 0.2 B. 0.3 C. 0.1 D. 0.5 ```

0.2

``` Each small line of the metric scale on a tuberculin syringe represents ___ of a millimeter A. 0.2 B. 0.1 C. 0.01 D. 0.5 ```

0.01

``` The ____ is the sharpened end of the needle A. bevel B. lumen C. hub D. point ```

Point

``` The point at which the shaft of the needle attaches to the hub is called the A. flange B. hilt C. shaft D. lumen ```

Hilt

``` A 3 mL syringe 25 G, 5/8 inch needle unit may be used for a A. IV injection B. IM injection C. SC injection D. ID injection ```

SC injection

``` A 1 mL syringe 26 G, 3/8 needle unit may be used for a A. IV injection B. IM injection C. SC injection D. ID injection ```

ID injection

``` Used needles and syringes should be discarded in A. a rigid, puncture proof container B. sharps container C. a plastic container D. both a & b ```

a rigid, puncture proof container | sharps container

Acquired immunodeficiency syndrome

AIDS

Under or below the skin

Hypodermic

State of being free from living microorganisms

Sterile

Small, sterile, prefilled glass container that hold a hypodermic solution

Ampule

Sterile, prefilled or plastic vessel or bottle used to sore medication as liquid, powders, tablets or capsules

Vial

7 rights of drug administration

``` Right pt Right drug Right dose Right route of administration Right time Right technique Right documentation ```

Bevel

Angled tip of a needle

Gauage

Diameter or lumen size of a needle

The larger the gauge number

The smiler the diameter of the needle

Smallest gauged are ID injections

27-28

Gauges for SC injections

25-26

Gauges for IM injections

20-23

Length of needle depends on 2 factors

Area of body for injection | Depth of administration (SC vs IM)

Length of needle in inches vary from

3/8 inches- 4 inches

ID needle length

3/8; bevel only part of needle injected

SC needle length

1/2-5/8 inche

IM needle length

1-3 inches; length depends on the muscle being used and pt size

Parts of syringe

Barrel Calibrated scale Plunger Tip

3 cc syringe

Calibrated with cc and minims

Tuberculin syringe

Holds 1 mL

Insulin syringe

Calibrated in units, 50U or 100U

Anaphylactic signs and symptoms

Hypotension resulting from systemic vasodilation Urticaria Dyspnea caused by bronchoconstriction Vomiting and diarrhea

Parenteral routes of administration

Intradermal (ID) Subcutaneous (SC) Intramuscular (IM)

Important steps while withdrawing medication from vial

- disinfect the rubber stopper of the vial with an alcohol wipe - keep bevel of the needle above the fluid level and inject an equal amount of air - while on eye level, pull plunger to fill syringe - tap syringe while holding it to eliminate air bubbles

For ampules,

You do not need to inject air into it

For insulin and heparin injections

Do not massage after injection

Administering Meds Flashcards

(71 cards)