Chapter 36: Calculation of Medication Dosage and Medication Administration

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What is the weight in kilograms for a children who weighs 55 pounds?

25 kg

How many grams is equal to 3,000 milligrams?

3 g

What does the provider take into consideration when ordering an IV?

Clinical laboratory results and Patient's age

Which of the following is NOT a responsibility of the medical assistant in medication administration?

Advising on use of over-the-counter drugs

Which of the following is considered a legal and ethical principle in medication administration?

Always obey the laws of the state Know the effects of the drugs Be knowledgeable about the drug administered (All of the above)

A small, sterile, prefilled glass container that usually holds a single dose of hypodermic solution is known as what?

Ampule

Which of the following medications does NOT require massage to the site after administration?

Insulin Imferon Heparin (All the above)

Which of the following does NOT require aspiration with giving an injection?

Intradermal

Which of the following injections does NOT require massage after administration?

Intradermal

Which of the following best describes one of the most accurate methods of calculating medication dosage for infants and children?

Body surface area

Which of the following types of injections requires a wheal to appear?

Intradermal

Which of the following is the advantage of a Z-track injection?

It prevents medication irritation of tissue

What type of insulin delivery device uses high-pressure air to send a fine mist of insulin through the skin?

Jet injector

Which of the following is a measure of volume?

milliliter

Which of the following abbreviations in a prescription indicates a medication is to be taken every hour?

qh

Which of the following is equal to 5 ml?

1 tsp

Which of the following is the most commonly used syringe?

1-, 3-, 5-cc

What angle is used when giving an intradermal injection?

10-15 degree

Solve for x: 6:12=x:36

18

Which of the following is the recommended maximum volume of fluid introduced to the dorsogluteal site?

2 ml

Solve for x: 1.5:3=x:12

6

In children, 2 years and older, what is the correct angle of injection into the vastus lateralis?

90 degrees

Which of the following is the most important consideration immediately before administering a medication?

Assess the patient's condition

When a provider writes a prescription for controlled substances, what must be on the prescription?

DEA Date Full address of patient (All the above)

Which of the following best describes how syringes and needles should be disposed?

Discard the needle in a rigid, puncture-proof container

Which of the following is the correct interpretation of a prescription that reads Penicillin V 500 mg po qid #50?

Dispense 50 tables of penicillin 500 mg each and have the patient take one tablet four times a day

Which of the following is NOT a procedure to follow when a medication error occurs?

Documenting the error in the medical record is not necessary as long as the provider is notified

Which of the following six rights is being followed when the medication order is compared with the medication label?

Drug

Why is choosing the proper site for injections important?

Ensures the medication is delivered to the correct tissue type

Which of the following is NOT considered to be parenteral?

Ingestion

What part of the prescription states the name and quantities of ingredients to be included in the medication?

Inscription

When filling out a prescription, what does the signature (sig) mean?

Gives directions to the patient

Which of the following is NOT a hazard when giving a parenteral medication?

Good chance of infection

Which of the following is NOT a factor that determines dosage of medications?

Height

Which of the following terms means lack of oxygen in the blood?

Hypoxemia

Which of the following is NOT an area where subcutaneous injections may be given?

Lower leg

Which of the following is a delivery method for oxygen?

Nasal cannula Nasal catheter Mask (All of the above)

Which of the following is NOT part of a syringe?

Needle

A device-graph that shows the relation among numeric values to determine a correct child dose is known as what?

Nomogram

Inflammation of the vein is known as what?

Phlebitis

Which is considered a part of a needle

Point Hilt Lumen (All the above)

Which of the following is NOT one of the "six rights" of proper drug administration?

Right gender

Which of the following would be a safe area to inject a medication?

Side of the thigh

Which of the following injections does NOT require stretching the skin taut?

Subcutaneous

Which of the following types of injections is always used for allergic extracts?

Subcutaneous

Which of the following best describes the units - 100 syringe?

There are 100 units per ml

Which of the following is the number of pills needed per day for the order Allegra 60 mg TID?

Three

Which of the following best describes the purpose of writing on the medicine note?

To prepare, administer, and record medications To know what time the drug was ordered To know whether you have the right patient (All the above)

What type of syringe is used to inject minute amounts for intradermal injections?

Tuberculin

Which of the following syringe types is most frequently used to inject a minute amounts for allergy testing and allergy injections?

Tuberculin

What type of diabetes has a gradual onset, usual sent in adults over 40 years of age?

Type II

What type of diabetes is non-insulin-dependent diabetes mellitus (NIDDM)?

Type II

Which of the following abbreviations is no longer allowed to use by JCAHO?

U

Which of the following is a long-lasting insulin preparation?

Ultralente

Which of the following is one of the most important areas of patient teaching regarding technique?

Usage of an inhaler

Which of the following is the most appropriate action after withdrawing medication from a vial that will be given Z-track?

Use a new needle to administer

Which of the following is the most appropriate action to remove the top of an ampule?

Use gauze and snap off in gauze

Which of the following is the most appropriate action when locating the ventrogluteal site?

Use palm of hang against trochanter with tip of finger on anterior iliac spine

Which of the following is the preferred sire for infant and children intramuscular injections?

Vastus lateralis

Which of the following is a sterile prefilled glass bottle with a rubber stopper containing hypodermic solution?

Vial

Which of the following best describes grams?

Weight

When is the medication label to be read?

When the medication is taken from the storage area, just before removing it from its container, and when returning the medication to the storage area

Which is the most appropriate action when you aspirate some blood while administering an IM injection?

Withdraw the needle, dispose of the needle, and start again

Which of the following best describes a prescription?

Written legal document that gives directions of a medication

Which of the following is the leading cause of drug administration errors?

Wrong dosage

Which of the following types of injections requires you to pull the skin to the side before the needle insertion?

Z-track

Which of the following shows the incorrect definition for the abbreviation?

tid=four times a day

Which of the following is the standard measurement of a dosage of insulin?

unit


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