Chapter 26- Administration of medication and intravenous therapy

The study of drugs is known as

pharmacology

Which of the following in an example of administering medication

A medical assistant gives an IM injection to a pateint

The term parenteral refers to

Sites located outside the gastrointestinal tract

Which of the following references could you use to look up the adverse reactions of Zithromax

Physician's Desk Reference

Which of the following is assigned by the pharmaceutical company that first develops a drug

generic name

What is the name of a drug preparation that is applied externally to produce a feeling of heat or warmth

liniment

Which of the following medications is administered through the sublingual route

nitroglycerin

The reason for enterically coating a tablet is to

Prevent the medication from irritating the stomach lining

Which of the following represents an equivalent value for a cubic centimeter

1cc= 1 ml

Which of the following systems is used most often to prescribe and administer medication

Metric

Which of the following is NOT a unit of weight

milliliter

Which of the following is a unit of volume

liter

Which of the following must be included in a prescription for a controlled drug

Physician's DEA number

Which of the following categories includes drugs that have a high potential for abuse and accepted medical use

Schedule II

Which of the following is NOT an example of a schedule II drug

Valium

A prescription for a schedule III drug expires

6 months from the date of issue

The inscription of a prescription consists of

Name of drug and dosage

Which of the following parts of a prescription indicates the information that is included on the label

signatura

An EMR prescription program performs all of the following except

Determines the number of prescription refills

Which of the following should be recorded in a patients medication record

Prescription medications, nonprescription medications, vitamins, herbal products( ALL OF THE ABOVE)

Which of the following situations causes a drug to be absorbed at a slower rate

Taking the medication pc

When the same dose of a drug no longer produces the desired effect, it is said that the patient has developed

drug tolerance

What is the name given to an adverse reaction that is harmless and often tolerate by the patient to obtain the therapeutic effect of the drug

Side effect

The early symptoms of an anaphylactic reaction include

Sneezing, hives, erythema, angioedema, disorientation

What is the usual treatment for an anaphylactic reaction?

epinephrine injection

Which of the following guidelines should be followed when administering a medications

Check that you have the correct medication, check the expiration date of the medication, identify the patient by full name and date of birth, check that the patient is not allergic to the medication (ALL OF the ABOVE)

The parental route of administering medication is used

To obtain a more rapid occurs

What is the term for the slanted edge at the top of a needle

bevel

Which of the following needles has the largest lumen

18 g

Which of the following is a function of the flange of syringe

Helps in injecting the medication

What is the purpose of safety engineered syringe

To reduce the risk of a needlestick injury

What is the name given to a closed glass container with a rubber stopper that holds more than one dose of medication

multiple dose vial

What may occur if an equal amount of air is not injected into a vial when withdrawing medication from the vial

It may be difficult to remove the medication from the vial

When withdrawing medication from a vial, the needle must be inserted below the fluid level to

prevent the entrance of air bubbles into the syringe

Which of the following techniques should not be performed when an ampule is used to administer medication

Inject air into the ampule before removing the medication

Which of the following is used to administer an intradermal injection

tuberculin syringe

A subcutaneous injection is given into what type of tissue

fat

What is the maximal amount of medication that can be administered through the subcutaneous route

1 mL

Which is the following meetings is administered through the subcutaneous route

Insulin

Which of the following sites is commonly used to administer a subcutaneous injection

Upper lateral arm

Which of the following needle lengths is used to administer a subcutaneous injection

5/8 inch

The purpose of aspirating when administering an IM injection is to

Ensure that the needle is not in the blood vessel

Which of the following needle lengths is used to administer an intramuscular injection into the dorsogluteal site on an average size adult

1 1/2 inches

Why is the dorsogluteal site used to administer an intramuscular injection to an adult?

It can absorb a large amount of medication

The vastus lateralis site is used most often to administer medication to

infants and young children

When administering an IM injection, the skin over the injection site must be held taut to

Permit easier insertion of the needle

What angle of needle insertion should be used to administer an IM injection

90 degrees

Which of the following helps to reduce the pain of an IM injection

All of the above

All of the following are reasons for chattering the location of the injection except

To avoid injecting the medication into a major nerve if blood vessel

The Z track method is used to administer medications that

Are irritating to subcutaneous tissue

intradermal injection are used to administer

Skin tests

Which of the following is used to administer an intradermal injection

26 G, 3/8 inch

When administering an intradermal injection, the needle must be inserted with the bevel facing upward to

Allow for proper wheal formation

Why should pressure not be applied to the injection site after administering an intradermal injection?

The medication is not intended to be absorbed into the tissues

symptoms of active tuberculosis include all of the following except

abdominal pain

Which of the following does a patient with a latent tuberculosis infection NOT exhibit

Has a negative reaction to a TB test

The mantoux tuberculin test is performed using

Intradermal administration

The patient's forearm should be held taut while administering the Mantoux test to

Permit easier insertion of the needle

After administering a tuberculin skin test, it should be read within

48-72 hours

Which of the following methods of examination must be used when reading a tuberculin skin test

Insepction and palpation

induration measuring 5mm resulting from a TB test in an individual with no known risk factors is?

negative reaction

Erythema without induration occurring from Mantoux test indicates

negative reaction

What is done if a patient has a positive reaction to a Mantoux test?

Further diagnostic procedures are performed

What does it mean if both tests in two step TB test are negative

The patient is classified as noninfected

What is the name of the blood test for tuberculosis

QuantiFERRON-TB Gold

Which of the following is an example of an allergen

Peanuts, house dust, insect stings, ragweed

What is the term for an abnormal reaction to a substance that is normally harmless

Allergy

Patient preparation for allergy skin testing includes

Discontinuing antihistamines for 3 days before the test

Which of the following test is used to identify allergens causing contact dermatitis

Patch test

An allergy skin test that is positive results in

Localized itching, erythema, induration

The maximal reaction to a skin prick test occurs between

15-20 minutes

What is the abbreviation for before meals

Ac

What is the abbreviation for three times per day

tid

What is the abbreviation for immediately

stat

What is the abbreviation for as Desired

ad lib

What is the abbreviation for by mouth

Po

What is the abbreviation for subcutaneous

subcut

What is IV therapy?

Administration of a liquid agent directly into a vein

Which of the following blood vessels is used most often for administering IV therapy

peripheral veins of the arm and hand

What is the term for administration of fluids, medications, or nutrients through the IV route

infusion

What is the term for administration of whole blood or blood products through the IV route

transfusion

Outpatient IV therapy may be administered in which of the following facilities?

Medical offices, infusion clinics, urgent care centers, patients home

Advantages of administering IV therapy in an outpatient setting include all of the following except

Less pain and tissue trauma

The medical assistant should relay the following instructions to the patient regarding IV therapy

Time to arrive for the IV therapy, amount of time required for the therapy, to wear loose fitting comfortable clothing, whether someone needs to drive the patient to and form the appointment ( ALL OF THE ABOVE)