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In addition to verifying that the right patient is receiving the right dose of the right drug, you must also be sure the medication is given through the right ________ of administration.

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route

In most cases, a(n) ________ drug must be administered by a physician or nurse because the medication is administered directly into the bloodstream and can produce an almost immediate effect.

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Intradermal injections are used for which of the following?


A) Insulin
B) Allergy or TB test
C) Heparin
D) Penicillin
E) Vitamin B12

F) A) and C)
G) All of the above

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When charting medication administration, which of the following is correct?


A) All chart entries must be factual, accurate, complete, current, organized, and confidential
B) Document your opinion of the patient's reaction to taking a medication
C) Skip a line after the last entry
D) Use your own shorthand to document
E) If you make a mistake, erase and correct the entry immediately

F) C) and E)
G) A) and D)

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A

Which of the following methods could you use to ensure that a child swallows a liquid medication?


A) Pat the child firmly on the back
B) Gently rub the child's throat
C) Gently hold the child's mouth closed
D) Ask the child to cough
E) Tell a joke so the child will laugh

F) B) and C)
G) A) and D)

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A(n) ________ is a liquid used to dissolve and dilute a drug.

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What should the medical assistant tell the patient about interactions?


A) All drug-drug interactions are toxic.
B) Drug-food interactions are almost never serious.
C) Taking multiple drugs at the same time reduces the chance of interactions.
D) Drug-food interactions are beneficial.
E) Drug-drug interactions can lead to adverse reactions.

F) All of the above
G) A) and E)

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Which of the following is included when reconstituting and drawing a drug for injection?


A) Snap the ampule neck toward you
B) Shake the vial vigorously unless the label indicates that it should not be shaken
C) Puncture the diaphragm of the vial of diluent with the needle and inject the air into the vial
D) Use tap water as the diluent
E) Wipe the rubber diaphragm with a 10% bleach solution

F) All of the above
G) A) and C)

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A(n) ________, or salve, is an example of a topical medication that is rubbed into the skin.

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ointment

When should a patient's medication list be updated?


A) Once a year
B) Every 6 months
C) Every 3 months
D) At every office visit
E) When the patient indicates that she is taking a new medication

F) B) and E)
G) A) and B)

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Which of the following would you include when administering a retention enema?


A) Have the patient lie on the right side and bend the left knee
B) Insert the tube into the rectum about 11/2 inches
C) Administer all of the solution quickly
D) Cover and apply pressure to the anus for 20 seconds to stifle the patient's urge to defecate
E) Allow the patient to expel the solution after 20 seconds

F) C) and D)
G) A) and B)

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Before administering a vaccine, you must ask the patient to sign a(n) ________ that provides general information about the vaccine and lists possible side effects.

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The physician has determined that Juanita has a bacterial pneumonia and has asked you to administer Bicillin C-R intramuscularly. Juanita is 34 years old and weighs 145 pounds. The appropriate needle length for this injection is


A) 3/8 inch.
B) 1/4 to 1/2 inch.
C) 5/8 inch.
D) 3/4 inch.
E) 1 - 1 1/2 inches.

F) B) and E)
G) D) and E)

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A(n) ________ injection is given into the patient's muscle and allows administration of a larger amount of drug in an adult.

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Which of the following actions can help reduce a child's anxiety when you give the child an injection?


A) Ask the child's permission before giving the injection
B) Allow the patient to see and touch the syringe before giving the injection
C) Give the injection slowly
D) Distract the child by talking to her while you give the injection
E) Avoid the use of topical anesthetics; these can increase anxiety

F) A) and B)
G) A) and C)

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A(n) ________ application is the direct application of a drug on the skin.

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Which of the following is not a condition that would eliminate a site from consideration for injection?


A) Birthmark
B) Tattoo
C) Hair
D) Redness
E) Scar

F) B) and C)
G) A) and D)

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Which of the following is included when administering a drug according to the "rights" of drug administration?


A) Read the drug label on the container three times
B) Give all drugs on an empty stomach
C) Document the administration of the drug immediately before you give it
D) Give the drug using the route that you believe is best
E) Give all medications at the beginning of your shift to be sure you do not forget

F) C) and E)
G) None of the above

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The physician ordered a series of Imferon shots for Gina, a patient who has iron-deficient anemia. Gina is in the office for her second shot. She tells you she dreads getting the shot because the first one not only hurt, but also caused significant skin irritation. Which of the following would be the best response?


A) Tell Gina to tense her muscles while you give the shot to avoid pain
B) Ask Gina if she wants to refuse the shot
C) Ask the physician if another drug can be substituted
D) Administer the Imferon orally
E) Use the Z-track method of injection to reduce subcutaneous irritation

F) C) and D)
G) A) and B)

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Which method of parenteral drug administration calls for pulling the skin and subcutaneous tissue to the side before inserting the needle at the site?


A) Subcutaneous
B) Z-track
C) Intradermal
D) Intravenous
E) Transdermal

F) B) and E)
G) A) and B)

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