The safest and preferred site for intramuscular injections on a toddler is the ________ muscle.

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Terms in this set (60)

slightly decrease

The availability of the Hib vaccine has caused incidents of Hib to ________ since 1985.

dramatically increase

dramatically decrease

slightly increase

slightly decrease

True

Concerns related to a needlestick injury include exposure to human immunodeficiency virus (HIV).

True

False

three

Medication must be checked ________ times before administration.

two

three

four

five

False

Parenteral medications are administered inside the gastrointestinal tract, usually by injection.

True

False

HepB

The recommended immunization schedule for persons aged 0 through 18 years includes the recommendation that an infant receive the "first dose" of the ________ vaccine at birth.

DTaP

MMR

HepB

PCV13

True

The intradermal injection, in which a minute amount of material is injected within the top layer of skin to determine a patient's sensitivity to it, is commonly used for allergy testing.

True

False

10—15

The intradermal injection is given at a ________-degree angle to the skin surface.

5—10

10—15

15—20

20—25

pertussis

When children receive a vaccine for tetanus, it is usually injected in combination with vaccines for ________ and diphtheria.

measles

pertussis

rubella

mumps

3-mL

Larger syringes are calibrated in 2-mL, 3-mL, 5-mL, 10-mL, and larger sizes, up to 60 mL. The most commonly used size is the ________ syringe, because it is the most accurate with small doses of medication.

2-mL

3-mL

5-mL

10-mL

True

An insulin injection is done subcutaneously, typically in the arm, abdomen, or thigh.

True

False

measles

The MMR vaccine prevents ________, a disease that can result in birth defects, brain damage, deafness, or death.

diphtheria

chickenpox

measles

scarlet fever

2.5

Up to ________ mL can be safely injected into a large adult's ventrogluteal muscle.

1

1.5

2

2.5

True

It is recommended that all children receive the polio vaccine by injection.

True

False

True

The Centers for Disease Control and Prevention (CDC) recommends that children aged 6 months up to 19 years receive the influenza vaccine.

True

False

False

Chemotherapy medications are NOT administered using IV therapy.

True

False

True

The viscosity of the medication being given helps determines the gauge of the needle.

True

False

False

Employees are responsible for providing their own medical evaluation and treatment for exposure to contaminated sharps or needles while at work.

True

False

2

Up to ________ mL can be safely injected into a large adult's deltoid muscle.

1

1.5

2

2.5

hub

The ________ connects the needle to the syringe.

lumen

shaft

hub

flange

True

Once a child is given the measles, mumps, and rubella (MMR) vaccine, he or she is protected from those diseases for life.

True

False

vastus lateralis

The safest and preferred site for intramuscular injections on a toddler is the ________ muscle.

vastus lateralis

deltoid

dorsogluteal

ventrogluteal

insert the needle in one swift movement at a 90-degree angle

To administer medication by subcutaneous injection, the medical assistant does all of these, EXCEPT ________.

grasp the skin at the injection site

form a small mass of tissue

grasp the syringe like a dart

insert the needle in one swift movement at a
90-degree angle

20 to 30

Patients receiving allergy injections should remain in the office after their injection, per the office protocol, usually ________ minutes, to ensure that the patient is not having any type of allergic reaction.

2 to 3

5 to 10

10 to 20

20 to 30

safety

To prevent needlesticks, ________ needles and syringes should be used.

safety

unsheathed

recapped

disinfected used

90

Intramuscular injections are always given at a ________-degree angle.

30

45

90

120

annually

A(n) ________ recommended childhood and adolescent immunization schedule is issued by the American Academy of Pediatrics, the Advisory Committee on Immunization Practices of the CDC, and the American Academy of Family Physicians.

monthly

quarterly

annually

biannual

True

A subcutaneous injection is given in the back of the arms, the abdomen, or thighs.

True

False

DTaP

The ________ vaccine guards against whooping cough.

MMR

DTaP

Hib

RV

4

The length of needle required for medication administration varies from 3/8 inch to ________ inches.

2

3

4

5

withdraw the needle before releasing the skin

When administering a Z-Track injection, it is critically important to ________.

insert the needle and then pull the skin

withdraw the needle after releasing the skin

withdraw the needle before releasing the skin

inject the medication and then pull the skin

liver damage

The MMR vaccine prevents mumps, which can result in all of the following, EXCEPT ________.

meningitis

liver damage

deafness

encephalitis

4

Up to ________ mL can be safely injected into a dorsogluteal muscle.

2

3

4

5

intravenously

The medical assistant's scope of practice includes administration of medication by all of these routes, EXCEPT ________.

subcutaneously

intramuscularly

intravenously

intradermally

varicella

The ________ vaccine guards against chickenpox.

RV1

IPV

2vHPV

varicella

antibiotics

The subcutaneous injection is given just under the skin in the fat (adipose) tissue. This method is used for small doses of non-irritating medications for all of the following, EXCEPT ________.

immunizations

antibiotics

insulin

heparin

False

Inhaled medication delivered by nebulizer treatment must be administered in a physician's office.

True

False

intradermal injections

The smallest gauge needles are used for ________.

intravenous lines

intramuscular injections

subcutaneous injections

intradermal injections

two months

Only infants whose mothers have negative hepatitis B surface antigens (HBsAg) may be given the first dose of hepatitis B vaccine by age ________ instead of soon after birth.

four weeks

six weeks

two months

three months

an alcohol wipe

During a tuberculin skin test, the skin where the test is done should be cleansed with ________ and allowed to dry.

cool water

warm water

an alcohol wipe

disinfectant

Five

________ DTaP shots are required to fully protect a child. The last booster is given to children between the ages of 4 and 6.

Three

Five

Seven

Nine

respiratory tract

A nebulizer dispenses medication into the ________.

mucous membranes

respiratory tract

skin

muscles

intradermal injection

The purified protein derivative (PPD) test for tuberculosis is administered by ________.

subcutaneous injection

inhalation

intradermal injection

intramuscular injection

unit

Bolus, IV push, and scheduled intermittent administration are all examples of ________ dosage.

analgesic

unit

port

sublingual

True

The tuberculin skin test is administered intradermally.

True

False

intradermal injection

Allergy tests are administered by ________.

inhalation

intradermal injection

subcutaneous injection

intramuscular injection

It is less cost effective for patients without insurance.

Which of the following statements about outpatient IV therapy is FALSE?

It prevents hospital admissions.

It is less cost effective for patients without
insurance.

It allows patients to spend more time with
family.

It enables earlier discharge for patients.

California

Because of the high incidence of Hepatitis A, it is recommended that children be vaccinated with Hepatitis A vaccine in all of these states, EXCEPT ________.

Alaska

Arizona

California

Oregon

subscapular

Intramuscular injections (IM) are given in one of four sites. These sites include all of the following muscles, EXCEPT the ________.

deltoid

subscapular

vastus lateralis

dorsogluteal

4 and 6

The fifth dose of diphtheria vaccine is given to children between the ages of ________ years.

2 and 4

4 and 6

6 and 8

8 and 10

True

Hepatitis B is caused by the hepatitis B virus (HBV) and is transmitted by contaminated serum in blood transfusions or through the use of contaminated needles or instruments.

True

False

True

The polio vaccine has been available since 1955, which has resulted in the disappearance of the disease in the United States.

True

False

abdomen

Which is NOT a common site for intradermal injections?

anterior forearm

upper chest

upper back

abdomen

needle gauge

The medical assistant charts the medication administration on the patient record, including all of these, EXCEPT ________.

route of administration

dosage

needle gauge

medical assistant's name

barrel

The ________ holds the liquid in the syringe.

hub

shaft

barrel

flange

two

The MMR vaccine to protect children from developing measles, mumps, and rubella is given in ________ dose(s).

one

two

three

four

5

Up to ________ mL can be safely injected into a large adult's vastus lateralis muscle.

2

3

4

5

True

The pneumococcal vaccine was NOT, until very recently, licensed for children under the age of 2.

True

False

True

Any time the medical assistant has the potential to come into contact with body fluids, gloves must be worn.

True

False

red sharps container

All needles and syringes should be placed in a ________, needle down, as soon as they are used.

cover

Safety-Lock

red sharps container

sheath

administering medications into the respiratory tract

IV therapy is indicated for all of the following, EXCEPT ________.

rheumatoid arthritis medications

replacing lost fluids

administering hemoglobin

administering medications into the respiratory
tract

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What is the preferred location for intramuscular injections on a toddler?

The most appropriate sites for IM injections are the vastus lateralis (anterolateral thigh) for infants and toddlers and the deltoid muscle for pediatric patients 18 months old or older. Selection of the injection site is based on the patient's age, muscle mass, medication volume, and medication viscosity.

What is the site for intramuscular injections in infants?

The anterolateral thigh is the preferred site for IM injection in infants under 12 months of age. Medications are injected into the bulkiest part of the vastus lateralis thigh muscle, which is the junction of the upper and middle thirds of this muscle.

Where should an intramuscular injection be given?

Intramuscular injections are often given in the following areas:.
Deltoid muscle of the arm. The deltoid muscle is the site most typically used for vaccines. ... .
Vastus lateralis muscle of the thigh. ... .
Ventrogluteal muscle of the hip. ... .
Dorsogluteal muscles of the buttocks..

Where is the deltoid muscle injection site?

The correct injection site is in the middle one-third of this triangle (ie, in the center of the deltoid muscle, midway between the acromion and the deltoid tuberosity).