Test Bank For Claytons Basic Pharmacology for Nurses 19th
Edition By Bruce Clayton, Michelle Willihnganz, Samuel
Gurevitz 9780323796309 / Chapter 1-48 / All Chapters with
Answers and Rationals
What are the 4 parenteral routes? - ANSWER: IM, IV, SC, and ID
Factors involved in parenteral routes - ANSWER: 1.) QUICKER onset of drug action, but SHORTER
duration
2.) SMALLER dosage because potency is not altered by stomach or liver
3.) Cost is usually higher than oral route
What are the guidelines for nurses who are prepping and administering meds? - ANSWER: 1.) Basic
knowledge of drugs ordered, prepped, and given
2.) Symptoms for which the medication is prescribed and baseline VS of pt. to determine reaction to
med
3.) Nursing process to detect, prevent, or ameliorate adverse effects
4.) Use clinical judgement regarding drug orders, missed doses, modified drug orders, sub of generic
med (Ther. equivalent), and changes in pt. condition in order to call physician
Is a drug retrievable after injection? - ANSWER: No, it is possible it was a PO, but not parenteral
What technique is used for parenteral drug admn.? - ANSWER: Aseptic
How many needle stick occurences happen yearly? - ANSWER: 600,000-800,000
What are the nurses 3 primary safety concerns? - ANSWER: pt.
themselves
other healthcare workers
Syringes are made of either? - ANSWER: Glass (rarely used) or plastic
What are the parts of a syringe? - ANSWER: Tip
Barrel
Plunger
What are the two types of syringe tips? - ANSWER: Luer-Lok (threading locking collar outside of the
male leur slip that will lock the flange of the female connector securely)
Luer-Slip (male tapered end)
Which type of syringe tips is more secure? - ANSWER: Luer-Lok since the Luer-Slip is only relatively
secure
How is a syring calibrated? - ANSWER: In mL (Volume), 1, 3, or 5 mL but sometimes 10, 20, or 50 mL
What is the tuberculin syringe? - ANSWER: A syringe that totals 1mL and used measure precise
measurement of medication
Long lines rep 0.1 mL
intermediate lines rep 0.05 mL
shortest lines rep 0.01 mL
How are volumes in glass syringes read? plunger
How are volumes in plastic syringes read? rubber flange - ANSWER: pg 118
, How are insulin syringes read? - ANSWER: pg 117-118
What is the mL equivalent of U-100 syringe? - ANSWER: 1mL
U-100 syringe has lines. What do the short and long ones usually rep? What about smaller doses of U-
50, U-40, or even U- 30? - ANSWER: short lines for U-100 - 2 units of insulin
Longer lines- 10 units of insulin
Short lines for smaller dose (U-50)- 1 unit of insulin
Longer lines - 5 units of insulin
What are the adv. of the prefilled cartridges and syringes?
What are its disadv.? - ANSWER: - Time saving in lack of prepping meds
- Diminished chance of med contamination
Dis advs include:
- Additional expense
- Limit on vol. if another med needs to be mixed
Prefilled cartridge units are marked under which name? - ANSWER: - The brand name Carpuject
What is printed on the cartridge? - ANSWER: The cartridge that amounts to one standard dose
includes printed information of the drug name, concentration, and volume
What does the cartridge require? - ANSWER: A holder that corresponds with the type of cartridge
used
What is kind of info is printed on a pre-filled syringe? - ANSWER: -Drug name
- Dosage
- pt. name n room number
- Dates of preparation and expiration
What is an insulin pen and where is it admnistered? - ANSWER: -A pre-filled syringe that masqureades
as a pen
- Includes pre-filled disposable models or refillable model (change cartridges)
- Low dose models available
- Administered subcut
Epipen - ANSWER: -Prefilled syringe that is disposable and includes one dose of epinephrine for use of
an emergency of an allergic reaction
-Administered IM usually in thigh
-Available for both adults n peds
-Important to monitor expiration date
What should be done after Epi-Pen has been administered? - ANSWER: Pt. should go to the ER since
additional treatment may be needed
what is auvi-Q? - ANSWER: A product of injectable Epinephrine
What are the parts of a needle? - ANSWER: - Hub
-Shaft
-beveled tip (longer the bevel, easier penetration )
What is the needle gauge? - ANSWER: - The diameter of the hole through the needle
- The larger the guage number, the smaller the hole
-Gauge number is marked on needle's hub
Edition By Bruce Clayton, Michelle Willihnganz, Samuel
Gurevitz 9780323796309 / Chapter 1-48 / All Chapters with
Answers and Rationals
What are the 4 parenteral routes? - ANSWER: IM, IV, SC, and ID
Factors involved in parenteral routes - ANSWER: 1.) QUICKER onset of drug action, but SHORTER
duration
2.) SMALLER dosage because potency is not altered by stomach or liver
3.) Cost is usually higher than oral route
What are the guidelines for nurses who are prepping and administering meds? - ANSWER: 1.) Basic
knowledge of drugs ordered, prepped, and given
2.) Symptoms for which the medication is prescribed and baseline VS of pt. to determine reaction to
med
3.) Nursing process to detect, prevent, or ameliorate adverse effects
4.) Use clinical judgement regarding drug orders, missed doses, modified drug orders, sub of generic
med (Ther. equivalent), and changes in pt. condition in order to call physician
Is a drug retrievable after injection? - ANSWER: No, it is possible it was a PO, but not parenteral
What technique is used for parenteral drug admn.? - ANSWER: Aseptic
How many needle stick occurences happen yearly? - ANSWER: 600,000-800,000
What are the nurses 3 primary safety concerns? - ANSWER: pt.
themselves
other healthcare workers
Syringes are made of either? - ANSWER: Glass (rarely used) or plastic
What are the parts of a syringe? - ANSWER: Tip
Barrel
Plunger
What are the two types of syringe tips? - ANSWER: Luer-Lok (threading locking collar outside of the
male leur slip that will lock the flange of the female connector securely)
Luer-Slip (male tapered end)
Which type of syringe tips is more secure? - ANSWER: Luer-Lok since the Luer-Slip is only relatively
secure
How is a syring calibrated? - ANSWER: In mL (Volume), 1, 3, or 5 mL but sometimes 10, 20, or 50 mL
What is the tuberculin syringe? - ANSWER: A syringe that totals 1mL and used measure precise
measurement of medication
Long lines rep 0.1 mL
intermediate lines rep 0.05 mL
shortest lines rep 0.01 mL
How are volumes in glass syringes read? plunger
How are volumes in plastic syringes read? rubber flange - ANSWER: pg 118
, How are insulin syringes read? - ANSWER: pg 117-118
What is the mL equivalent of U-100 syringe? - ANSWER: 1mL
U-100 syringe has lines. What do the short and long ones usually rep? What about smaller doses of U-
50, U-40, or even U- 30? - ANSWER: short lines for U-100 - 2 units of insulin
Longer lines- 10 units of insulin
Short lines for smaller dose (U-50)- 1 unit of insulin
Longer lines - 5 units of insulin
What are the adv. of the prefilled cartridges and syringes?
What are its disadv.? - ANSWER: - Time saving in lack of prepping meds
- Diminished chance of med contamination
Dis advs include:
- Additional expense
- Limit on vol. if another med needs to be mixed
Prefilled cartridge units are marked under which name? - ANSWER: - The brand name Carpuject
What is printed on the cartridge? - ANSWER: The cartridge that amounts to one standard dose
includes printed information of the drug name, concentration, and volume
What does the cartridge require? - ANSWER: A holder that corresponds with the type of cartridge
used
What is kind of info is printed on a pre-filled syringe? - ANSWER: -Drug name
- Dosage
- pt. name n room number
- Dates of preparation and expiration
What is an insulin pen and where is it admnistered? - ANSWER: -A pre-filled syringe that masqureades
as a pen
- Includes pre-filled disposable models or refillable model (change cartridges)
- Low dose models available
- Administered subcut
Epipen - ANSWER: -Prefilled syringe that is disposable and includes one dose of epinephrine for use of
an emergency of an allergic reaction
-Administered IM usually in thigh
-Available for both adults n peds
-Important to monitor expiration date
What should be done after Epi-Pen has been administered? - ANSWER: Pt. should go to the ER since
additional treatment may be needed
what is auvi-Q? - ANSWER: A product of injectable Epinephrine
What are the parts of a needle? - ANSWER: - Hub
-Shaft
-beveled tip (longer the bevel, easier penetration )
What is the needle gauge? - ANSWER: - The diameter of the hole through the needle
- The larger the guage number, the smaller the hole
-Gauge number is marked on needle's hub
