What routes are used for parenteral drug administration? Sel...

What routes are used for parenteral drug administration? Select all that apply.

A. Subcutaneous
B. Intramuscular
C. Intradural
D. Intravenous
E. Intradermal

Correct Answer: A,B,D,E

Rationale: A nurse can administer parenteral drugs via subcutaneous, intramuscular, intravenous, intradermal, and, in some instances, intra-arterial routes by means of a catheter placed by a physician in an artery. The primary health care provider can administer a drug via the intradural route.

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When documenting, which abbreviations are appropriate for use in accredited healthcare organizations? Select all that apply.

A. IU
B. QD
C. 0.2 mg
D. Units

Correct Answer: C,D

Rationale: Always use a leading zero when writing decimals (i.e., 0.2 mg, not .2 mg) and leave off the trailing zero (i.e., 2 mg, not 2.0 mg). Always write out units, international units, and daily; do not use U, IU, or QD.

What is considered a unit dose system? Select all that apply.

A. Floor stock bottle of aspirin 81 mg
B. A prefilled Lovenox syringe
C. One Phenergan suppository
D. Floor stock bottle of ibuprofen suspension
E. Single-dose cup of Maalox

Correct Answer: B,C,E

Rationale: Examples of unit dose medications include a package that contains one tablet or capsule, a premeasured amount of a liquid drug, a prefilled syringe, or one suppository.

The five+ 1 rights of drug administration include which of the following? Select all that apply.

A. Right documentation
B. Right patient
C. Right route
D. Right drug
E. Right prescriber

Correct Answer: A,B,C,D

Rationale: The five+ 1 rights of drug administration include: right patient, right drug, right dose, right route, right time, and right documentation.

When are drug errors most likely to occur? Select all that apply.

A. When transcribing the drug order
B. When verifying the client
C. When dispensing the drug
D. When charting after drug administration
E. When administering the drug

Correct Answer: A,C,E

Rationale: Drug errors may occur in transcribing drug orders, when the drug is dispensed, or in administration of the drug. Nurses, as the drug administrators, serve as the last defense against drug errors. Verifying the client and charting after administration are two important areas to help prevent medication errors.

What information about the drug is most important for the nurse to know before administration? Select all that apply.

A. Normal dosage range
B. Special precautions in administration
C. Drug's most common adverse effects
D. Drug's general action
E. Reason for use of the drug

Correct Answer: A,B,C,D,E

Rationale: The nurse must have factual knowledge of each drug given, the reason for use of the drug, the drug's general action, the more common adverse reactions associated with the drug, special precautions in administration (if any), and the normal dose ranges.