Adaptive Quiz: Basic Pharmacology for Nurses Ch. 9

Which actions are required in the preparation of parenteral medications? Select all that apply.

- use a filter needle to withdraw medication from an ampule - replace the filter needle with a new sterile needle of appropriate gauge and length - remove the filter needle from the ampule and point it vertically; then pull back the plunger - perform hand hygiene before handling any medications

Which size needle does the nurse use for an obese patient who requires an intramuscular (IM) injection?

3 inches

Which instruction does the nurse give to a patient, who will be self-administering medication by subcutaneous injections at home, about disposal of used sharps?

Buy a "Sharps by Mail Disposal System" at the pharmacy and use as directed

Which step would the nurse perform first when removing the prescribed volume of liquid medication from a vial?

Calculate the volume of medication required

Which action is most important for the nurse to perform before mixing a medication in an intravenous solution?

Check the compatibility of the drug and the solution

Which task is performed by the circulating nurse when adding medications to the sterile surgical field?

Cleansing the top of the medication container

Which insulin delivery aid is not required by a visually impaired patient?

Safety syringes

When administering medication to a 15-month-old child, which principle about intramuscular (IM) injection technique does the nurse keep in mind?

The maximum volume that can be injected in one site is 1 ml

Which phrase describes the purpose of a needle protector system?

To protect the nurse from an accidentally needlestick

Which type of parenteral drug package contains multiple doses of medication?

Vials

Which factor would the nurse consider when selecting the needle gauge?

Viscosity of the solution to be injected

Which types of syringes are most commonly used? Select all that apply.

- 1 ml - 3 ml - 5 ml

What important points should the nurse know regarding glass containers with two compartments (Mix-O-Vials)? Select all that apply.

- The diluent mixes with the powder to dissolve the drug for administration - The lower chamber contains the drug (solute), and the upper chamber contains a sterile diluent (solvent) - Pressure is applied to the top rubber diaphragm plunger to force the solvent and the rubber stopper to fall into the bottom chamber

Which equipment would the nurse gather to prepare parenteral medication? Select all that apply.

- antiseptic alcohol wipe - needleless access device - drug in a sterile, sealed container

Which action would the nurse take to reduce the risk of injury such as necrosis, skin sloughing and nerve injury when administering an injection? Select all that apply.

- ensure the correct rate of injection - administer an accurate dose of medication - administer the injection at the appropriate site

Which important points would the nurse keep in mind regarding epinephrine pen (EpiPen) prefilled syringes? Select all that apply

- it is a disposable automatic injection site - it is used in case of an allergic reaction to insect stings or bites - it is available in adult and pediatric dosages for use at home or when traveling

Which statements accurately describe a vial? Select all that apply.

- it is sealed with a metal lid - it has a mouth covered with a thick rubber diaphragm - it contains medication either in solution or in sterile powder form

Which factors should a nurse consider when selecting the appropriate syringe size to administer an injection? Select all that apply.

- type of medication to be administered - volume of medication to be administered - degree of accuracy required for dose measurement

Which volume of medication would a nurse ideally administer when using a ½ inch needle in a small infant?

0.5 ml

Which volume in milliliters (ml) is the maximum that a nurse can administer at one site for a toddler?

1 ml

Which volume of medication is ideally the maximum that may be give by intramuscular injection to small children and older infants?

1 ml

Which phrase describes an ampule?

A glass container that usually contains a single dose of medication

Which action would a nurse take after using a needle safety device to administer injection?

Apply a single finger stroke to activate the safety arm

When a nurse is administering insulin into a single syringe, which step will the nurse perform after injecting air into the vial of the shorter-acting insulin?

Draw up the shorter-acting insulin into the syringe

Which equipment would the nurse ideally need to care for a patient who is experiencing an allergic reaction to a bee sting?

Epinephrine pen (EpiPen)

Which instruction would the nurse teach a patient to take to prevent inadvertent reversal of the doses of the two types of insulin in the mixture?

Follow a consistent method of preparing the mixture

Which procedural step would the nurse perform first when preparing an injection using a safety syringe with a full protective sheath?

Hold the needle and the syringe by the flanges and twist the needle

Which part of the syringe is considered to be sterile?

Inner barrel of the syringe

Why would a nurse roll vials of regular and protamine Hagedorn insulin between the palms of the hands?

It helps resuspend the insulin

Which statement about the Luer-Slip syringe is accurate?

It only has a male tapered end

Which statement accurately describes a jet injection system?

Medications are subcutaneously delivered through the skin without using a needle

Which step is necessary for the nurse to follow to reconstitute a sterile powder drug from a vial?

Mix the diluent thoroughly with the sterile powder

Which type of dose form is packaged in a glass container with two separate compartments?

Mix-O-Vials

Which individual(s) is not included in primary safety concerns related to medication administration?

Patient's caregivers

Which step would the nurse follow to avoid damaging the needle point when using a safety syringe with a shielding mechanism?

Pull the shield straight off the needle

Which procedural step would be done first when adding a longer-acting insulin and a shorter-acting insulin in a single syringe?

Pulling back the plunger to an amount equal to the volume of the longer-acting insulin