Application Of Pharmacology Modulethree Quiz
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Evaluating knowledge of parental routes of medication administration.
- 1.A nurse wants to prevent tissue fibrosis in a sickle cell anemia patient secondary to multiple intramuscular (IM) injections. The nurse should _____.
- A.
Massage site after administering the IM injection.
- B.
Rotate IM injection sites.
- C.
Let the patient select the IM injection site.
- D.
Only use the deltoid & dorsogluteal IM injection sites for sickle cell patients.
- 2.A nurse plans to administer an IM injection to a client. The nurse’s first action should be to _______.
- A.
Wash her hands.
- B.
Review the five rights.
- C.
Don gloves.
- D.
Prepare medication.
- 3.Which one of the following is a contraindication to an IM injection?
- A.
Neutropenia
- B.
Leukopenia
- C.
Anemia
- D.
Thrombocytopenia
- 4.The onset of action of a medication administered sublingually can occur within _____.
- A.
Seconds.
- B.
1-5 minutes.
- C.
10-15 minutes.
- D.
20-30 minutes.
- 5.When should a nurse use the Z-Track technique for IM injections?
- A.
When the patient is uncooperative.
- B.
When a large volume is being administered.
- C.
When the drug is extremely irritating to the tissue.
- D.
When it comes up in site rotation.
- 6.Which two sites should a nurse administering an IM injection to an infant use?
- A.
Vastus Lateralis & Dorsogluteal
- B.
Dorsogluteal & Rectus Femoris.
- C.
Deltoid & Ventrogluteal.
- D.
Rectus Femoris & Vastus Lateralis.
- 7.The nurse recognizes that aspiration is not necessary with subcutaneous (s.c.) injections because ______.
- A.
S.c. tissue usually contains only small blood vessels.
- B.
Absorption time is decreased with aspiration.
- C.
Aspiration increases patient discomfort.
- D.
S.c. tissue contains nerves and blood vessels.
- 8.A nurse administering an IM injection to an average adult would select a longer & heavier gauge needle in order to ______.
- A.
Pass through subcutaneous tissue & penetrate muscle.
- B.
Avoid hitting a nerve or blood vessel.
- C.
Increase absorption time of medication.
- D.
Pass through adipose tissue & penetrate subcutaneous tissue.
- 9.The anterior lateral aspect of the thigh that extends in an adult from a handbreadth above the knee to a handbreadth below the greater trochanter of the femur are the landmarks for which IM injection site?
- A.
Ventrogluteal
- B.
Dorsogluteal
- C.
Vastus Lateralis
- D.
Rectus Femoris
- 10.The nurse recognizes the rectal route represents the route of choice for which patient? (short answer)
- 11.The nurse administering an IM injection to an infant use would use the Rectus Femoris & Vastus Lateralis.
- A.
True
- B.
False
- 12.A nurse uses the Z-Track technique for IM injections when a large volume is being administered.
- A.
True
- B.
False
- 13.Which IM injection site can accommodate only small doses of medication?
- A.
Ventrogluteal
- B.
Dorsogluteal
- C.
Deltoid
- D.
Vastus Lateralis
- E.
Rectus Femoris
- 14.Which IM injection site has well developed muscle with few blood vessels?
- A.
Ventrogluteal
- B.
Dorsogluteal
- C.
Deltoid
- D.
Vastus Lateralis
- E.
Rectus Femoris
- 15.Which is a desirable IM injection site, free from nerves and adipose tissue?
- A.
Ventrogluteal
- B.
Dorsogluteal
- C.
Deltoid
- D.
Vastus Lateralis
- E.
Rectus Femoris
- 16.Which is an appropriate IM injection site for infants?
- A.
Ventrogluteal
- B.
Dorsogluteal
- C.
Deltoid
- D.
Vastus Lateralis
- E.
Rectus Femoris
- 17.In which IM injection site exists the risk of striking the underlying sciatic nerve?
- A.
Ventrogluteal
- B.
Dorsogluteal
- C.
Deltoid
- D.
Vastus LAteralis
- E.
Rectus Femoris
- 18.The Z-Track method for IM injections involves pulling the skin in such a way that the subcutaneous layers are staggered. This technique is selected specifically to ____________________________& ________________________________.
- 19.Identify the five “rights” of drug administration. Provide the key points that describe the purpose of each “right.”
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