Chapter 10-23 Pharm

Essential medication guidelines include all of the following except a. following the "seven rights." b. working in a dimly lit area. c. becoming completely familiar with each drug. d. always checking for allergies.

. b. working in a dimly lit area.

The following routes of administration involve the GI tract, EXCEPT: a. nasogastric tube. b. parenteral. c. rectal. d. gastrostomy.

.b. parenteral.

Which of the following syringe-needle combinations would be most appropriate for a deep IM injection in the dorsogluteal muscle?

3-ml syringe, 22-G, 1 1/2-inch needle

Used needles and syringes should be discarded in

A rigid, puncture-proof container; A sharps container

What information is used to select the appropriate needle size for an injection? a. Patient's age b. Viscosity of fluid to be administered c. Site of injection d. All of the above

All of the above

Improper site selection/landmarking when using which site could cause damage to the sciatic nerve?

Dorsogluteal

The 2 most important drugs to keep on hand for emergencies in the medical office are:

Epinephrine and Benadryl

All of the following are true of eye medications EXCEPT: a. Instill ointment before drops b. The tip of the dropper should never come in contact with the patient's eye. c. Wash your hands prior to administration d. The patient is to gently blink eyes to disperse medication

Instill ointment before drops

The needle and syringe are positioned at a 10-15-degree angle from the skin for ____ injections.

Intradermal

When preparing liquids for oral administration, the medicine cup should be held in what position for measuring?

Level and on the counter with the meniscus at eye level

What is commonly used for dispensing tablets, capsules, and oral liquid medications?

Medicine cup

A larger number gauge for a needle indicates a ____ size.

Smaller lumen

The needle and syringe are positioned at a 45-degree angle from the skin for ____ injections.

Subcutaneous

A syringe with a total capacity of 1 mL with calibrations in hundredths is a(n):

TB syringe.

Which situation might NOT be considered a medication error? a. The patient was given a generic form of a medication. b. A medication was ordered to be given as 5 mg but was administered in an amount of 50 mcg. c. The MA documented the wrong medication in the chart but gave the correct dose, route, and medication. d. A medication was ordered to be given by mouth but the client was on NPO status, so the same dose was provided by injection.

The patient was given a generic form of a medication.

All of the following statements are appropriate for insulin administration EXCEPT: a. Shake the bottle vigorously to ensure that the medication is properly mixed b. Use a U-100 syringe c. Do not massage the injection site d. Make sure insulins are compatible prior to mixing

a. Shake the bottle vigorously to ensure that the medication is properly mixed

Which of the following is false regarding medication administration? a. Always follow the doctor's orders without question b. Always check the expiration date prior to administration c. Always check for allergies before administration d. Always be completely familiar with the drugs you are giving

a. Always follow the doctor's orders without question

Which statement is correct regarding MedWatch? a. It encourages health care professionals to report unexpected adverse events experienced by patients taking medications. b. It is a form designed by the DEA to monitor mistakes regarding narcotics errors. c. It is a mechanism for reporting clinical trial information. d. It involves mandatory reporting of adverse outcomes and events related to medications.

a. It encourages health care professionals to report unexpected adverse events experienced by patients taking medications.

All of the following are true statements about safe drug storage EXCEPT that: a. controlled substances are stored along with other drugs b. emergency supplies must be readily available c. all poisonous substances should be labeled in red d. certain medications must be refrigerated

a. controlled substances are stored along with other drugs

The term parenteral pertains to medications that are:

administered by injection

Every medication given must be recorded on the patient's record. Which one of the following would not be necessary: a. dose. b. cost. c. time. d. route. e. medication name.

b. cost.

Which of the following statements is not true when selecting the appropriate needle size? a. A large person may need a longer needle b. If the patient appears apprehensive, you should use the smallest needle you have to minimize discomfort. c. Thicker medications require a larger gauge needle d. Pediatric or geriatric patients may require a smaller needle

b. If the patient appears apprehensive, you should use the smallest needle you have to minimize discomfort.

Guidelines for oxygen safety include all of the following EXCEPT: a. Suction machines should be used with caution b. Smoking is permitted as long as the oxygen tank is turned off c. No smoking signs should be clearly posted d. Heating pads and electric blankets should not be used while oxygen is being administered

b. Smoking is permitted as long as the oxygen tank is turned off

Which of the following must be done when withdrawing medication from an ampule? a. Flick the ampule head to release any medication that may be trapped in the neck b. All of the above are correct. c. Disinfect the neck with an alcohol swab d. Snap the top of the ampule while surrounding it with gauze.

b. all of the above are correct.

The oral route would be contraindicated or questioned in the following conditions EXCEPT: a. dysphagia b. incontinence c. vomiting d. semicomatose

b. incontinence

When administering oral medications, all of the following are appropriate actions EXCEPT: a. check allergies b. leave medication on the counter c. give the patient water to swallow the medication d. identify the patient

b. leave medication on the counter

The angled tip of a needle is called the

bevel

If a narcotic has been drawn up, but it is not administered, what is the MOST correct procedure? a. Discard the medication and note it in the patient's record. b. Discard the medication with a witness present and record the waste in the controlled substance records. c. Discard the medication with a witness present and chart in the patient record that it was not given and the reason for withholding it. Then record the waste in the controlled substance records. d. Discard the medication with a witness present and chart in the patient record that it was not given with the reason for withholding it.

c. Discard the medication with a witness present and chart in the patient record that it was not given and the reason for withholding it. Then record the waste in the controlled substance records.

Which element is missing from the following order? "Give Demerol IM every 4-6 hours for complaints of pain." a. Route b. Time c. Dose d. All of the above

c. Dose

What steps should be taken in the case of a medication error? a. Document the error in the patient's record. b. Alter the record to conceal the error if no harm was done. c. Report the error immediately according to institutional policy. d. Do not discuss the error, but take actions to safeguard the patient in the event of an adverse reaction.

c. Report the error immediately according to institutional policy

Health care practitioners have a responsibility to: i. provide quality care and patient safety at all times. ii. first do no harm. iii. conceal medication errors when they occur. iv. prevent medication errors. a. All of the above b. None of the above c. i, ii, iv d. i, ii, iii

c. i, ii, iv

Which statement is true regarding needle gauge? a. Lumen is measured by numbers, with the smallest number representing the smallest opening size. b. Lumen is measured by numbers, with the largest number representing the largest opening size. c. Lumen is measured by numbers, with the largest number representing the smallest opening size. d. Needle length is measured by numbers, with the largest number representing the shortest needle size.

c. Lumen is measured by numbers, with the largest number representing the smallest opening size.

Safe and accurate administration of medications requires all of the following EXCEPT: a. skill. b. judgment. c. personal experience taking the medication. d. wisdom.

c. personal experience taking the medication.

Which of the following forms of drugs may be crushed? a. enteric-coated tablet b. sustained-release capsule c. timed-release capsule d. scored tablet

d. scored tablet

When comparing different routes of administration, the following statements are true of the oral route EXCEPT: a. easier for the patient b. more economical c. absorption rate varies d. faster action

d. faster action

The route of administration by which medication may be delivered via humidification directly into the respiratory system is:

inhalation.

A syringe with a capacity of 1 mL or less and marked in units is a(n):

insulin syringe.

Being delivered by injection directly into a vein is:

intravenous.

Oxygen is typically ordered as ___________

liters per minute

For administration, rectal suppositories should be

lubricated

When administering an intramuscular injection, you would gently pull back on the plunger to

make sure the needle is not in a blood vessel.

When measuring liquid medication for oral administration:

read at the lowest level of the meniscus

A sterile hypodermic syringe with a capacity of 3 mL marked with calibrations in tenths is a(n):

standard syringe.

Being delivered by injection into the fatty layer of tissue below the skin is known as:

subcutaneous.

Method of drug delivery by absorption through the mucosa under the tongue is called a(n):

sublingual tablet.

The ___________ is the preferred site for intramuscular injections in infants and children.

vastus lateralis

A glass container sealed at the top by a rubber stopper is called a(n):

vial.

Which of the following is the definition of drug route?

where the drug is administered