Deck 22: Principles of Drug Administration

Question 1

Heart attack patients often take a small tablet of nitroglycerine and put it in their mouth,under their tongue,for quick action.This route of administration is

A)parenteral.
B)topical.
C)sublingual.
D)oral.

Answer 1

C
Administration by the sublingual route means that the drug is placed under the tongue and allowed to dissolve.Drugs intended to be administered sublingually should not be swallowed.One drug commonly given by the sublingual route is nitroglycerin.This allows for rapid absorption for immediate onset of action.

Question 2

When venipuncture is performed for contrast medium administration,

A)the veins of the arms are preferred injection sites.
B)a 25-gauge needle is preferred to lessen extravasation.
C)delayed reaction to the intravenous injection can be expected.
D)all of the above.

Answer 2

A
When an intravenous injection is administered,the drug is placed directly into a vein,and a rapid action occurs in minutes.Needle gauge is usually 18 to 20 g to increase the volume of contrast bolus injected.

Question 3

The abbreviation IM means

A)in the morning.
B)in mouth.
C)intramuscular.
D)once per month.

Answer 3

C
Health care professionals who order,dispense,or administer drugs often use abbreviations.Becoming thoroughly familiar with the common abbreviations that are used is important to ensure the safe and accurate administration of drugs.Table 22-1 provides a concise listing of commonly used abbreviations.

Question 4

The abbreviation stat means

A)statistic.
B)immediately.
C)statutory.
D)perform upon first available opening

Question 5

All of the following are related EXCEPT

A)intramuscular.
B)intragluteal.
C)subcutaneous.
D)intravenous.

Question 6

When performing a venipuncture for intravenous drug administration,

A)the needle bevel is facing down as it pierces the skin surface and then turned 90 degrees.
B)disposable sterile gloves are unnecessary because it is a venous entry.
C)it is important to remember that older patients' veins tend to roll and are more fragile.
D)it is acceptable to reinsert the needle into the vein if it has exited both the vein and skin.

Question 7

Drugs intended for single use by parenteral administration are typically contained in a(n)

A)ampule.
B)vial.
C)angiocath.
D)Luer-Lok vial.

Question 8

Sterile needles used for patient injections

A)typically have four components: cannula,hub,and shaft bevel.
B)range in gauge from 0.25 to 5 inches.
C)are made of high-grade surgical aluminum.
D)often require the use of an angiocath for improved safety.

Question 9

All patients should expect correct procedures with regard to drug administration.These correct procedures or "rights" include the
1)the right route of administration.
2)the correct time for giving the drug.
3)he correct person giving the drug.
4)their own physician ordering the drug.
5)their own physician administering the drug.
6)the correct drug and drug amount administered.

A)1,2,4,and 5 only.
B)1,2,and 6 only.
C)3 and 4 only.
D)4 and 5 only.

Question 10

During an intravenous drug administration,a small area around the needle site is growing and swelling.The patient states that the area is starting to burn slightly.In this situation,

A)extravasation has occurred.
B)the needle needs to be removed immediately.
C)a warm,moist compress needs to be applied.
D)all of the above are correct.

Question 11

An injection that is given to a patient relies on a(n)_____ route of administration.

A)enteral
B)parenteral
C)topical
D)portal

Question 12

Technologists working in advanced areas such as CT scanning are often required to administer pharmaceuticals to patients to complete an examination.When such is the case,it is important to remember that

A)any charting of medication administered must be entered by a registered nurse.
B)qualified technologists are permitted to enter medication data into patient charts.
C)all medication errors must be corrected by a radiologist.
D)medical errors dealing with medication administration are uncommon.

Question 13

When performing a subcutaneous injection,the needle tip is positioned

A)in the deltoid muscle of the upper arm.
B)at a 45-degree angle for average-sized patients.
C)perpendicular to the skin line.
D)at a 55- to 60-degree angle for thin patients.

Question 14

All of the following are true of the milliliter unit of measurement EXCEPT it

A)is a metric unit of volume measurement.
B)is equivalent to 1 cc.
C)represents 1/10 of a liter (L).
D)is equivalent to 1/1000 of a cubic centimeter.

Question 15

Sites commonly used for venipuncture include the _____ vein(s).
1)basilic
2)iliac
3)cephalic
4)carotid
5)brachiocephalic

A)1 and 3 only
B)2,4,and 5 only
C)3 and 5 only
D)5 only