MAP 115 CLO 2 Mastery Review

Medications given _____ reach the bloodstream more rapidly than other routes.

• by injection

• orally

• transdermally

• sublingually

Which of the following statements is true about needle safety?

• Some have a sheath cover that clicks into place to cover the used needle completely.

• ​There are safety devices that activate by the touch of a finger to click a shield over the used needle or retract the needle into a sleeve on the syringe.

• ​Some needle and syringe units have a shield that locks into place over used needles to prevent injury to the user.

• all answers are correct

You should recap a needle:

• ​before the injection while preparing the patient and injection site

• ​after the injection

• ​never

• ​before placing in the sharps container

When administering an intradermal injection, you should insert the needle at a ____-degree angle.

• 45–60

• 30–45

• 60–90

• 10–15

Which of the following sites is not used for intramuscular injections?

• Gluteus maximus

• gluteus medias

• Vastus lateralis

• Deltoid

Answer explanation

Intramuscular (IM) injection is the injection of a substance directly into a muscle. The main muscles suitable for an intramuscular injection is the deltoid (shoulder), vastus lateralis (thigh), and gluteus medius (buttocks). Depending on the injection site, an administration is limited to between 2 and 5 milliliters (cc) of fluid.

All of the following are reasons parenteral routes are indicated instead of the oral route except for which?

• A faster onset of action is desired.

• The patient is unable to tolerate medications by mouth.

• The medication would be destroyed by the GI tract.

• There is less risk involved with parenteral routes than with the oral route.

Answer explanation

Parenteral drug administration means any non-oral means of administration, but is generally interpreted as relating to injecting directly into the body. The parenteral administration is used for drugs that are poorly absorbed, inactive, or ineffective if given orally and provides for a faster onset of action.

The medical assistant documented an IM injection as follows: 10/12/16 @ 1030, Rocephin 1 gm IM patient tolerated procedure well. Amy Ray, MA. Which of the following necessary pieces of documentation is missing?

• Use of the medication.

• Site of administration.

• Physician signature

• Frequency of administration

Answer explanation

Anatomical site of injection should always be documented for reassessment of local and/or systemic reaction. Every intramuscular injection should be documented with date, time, injection site, medication, dosage, person who gave the injection, and record anything relative to the patient's tolerance of the procedure and response to the medication.

Which of the following forms of medication can be administered vaginally?

• Creams and suppositories.

• Creams and buccal.

• Transdermal and suppositories.

• Transdermal and buccal.

Answer explanation

Medications are administered vaginally to provide direct vaginal absorption of the medication application and/or insertion including creams and suppositories.