Chap 34 Medication Administration

Front 1

THIS TYPE OF MEDICATION NAME PROVIDES AND EXACT DESCRIPTION OF THE MEDICATION'S COMPOSITION AND MOLECULAR STRUCTURE (EG. N-ACETYL-PARA-AMINOPHEN)

Back 1

THE MEDICATIONS CHEMICAL NAME

Front 2

THE MANUFACTURED WHO FIRST DEVELOPS THE MEDICATION GIVES THIS NAME OR NONPRORIETARY NAME WITH THE UNITED STATES ADOPTED NAVE COUNSIL (USAN) APPROVAL. GIVEN BEFORE THE MED IS APPROVED. BECOMES THE OFFICIAL NAME WITH THE UNITED STATES PHARMACOPEIA (USP)

Back 2

THE MEDICATIONS GENERIC NAME (EG. TYLENOL)

Front 3

BRAND NAME OR PROPRIETARY NAME IS THE NAME UNDER WHICH A MANUFACTURER MARKETS A MEDICATION.

Back 3

THE MEDICATIONS TRADE NAME

Front 4

INDICATES THE EFFECT OF THE MEDICATION OF A BODY SYSTEM, THE SYMPTOMS THE MEDICATION RELIEVES, OR THE MEDICATIONS DESIRED EFFECT.

Back 4

MEDICATION CLASSIFICATIONS

Front 5

INSULIN MEDS ARE UNDER WHAT CLASSIFICATION OF MEDS?

Back 5

ORAL HYPOGLYCEMIC AGENTS

Front 6

WHAT IS ASPIRIN CLASSIFIED AS? THREE TYPES

Back 6

ANALGESIC, ANTIPYRETIC, AND AN ANTIINFLAMMATORY MEDICATION.

Front 7

THE FDA INSTITUTED THIS PROGRAM SO THAT NURSES AND OTHER HEALTHCARE PROFESSIONALS REPORT WHEN A MEDICATION, PRODUCT, OR MEDICAL EVENT CAUSES SERIOUS HARM TO A CLIENT.

Back 7

THE MEDWATCH PROGRAM

Front 8

THESE OFFICIAL PUBLICATIONS SET STANDDARDS FOR MEDICATION STRENGTH, QUALITY, PURITY, PACKAGING, SAFETY, LABELING, AND DOSE FORM.

Back 8

USP AND THE NATIONAL FORMULARY

Front 9

THE STUDY OF HOW MEDICATIONS ENTER THE BODY, REACH THEIR SITE OF ACTION, ARE METABOLIZED, AND EXIT THE BODY IS CALLED?

Back 9

PHARMACOKINETICS

Front 10

WHAT TERM REFERS TO PASSAGE OF MEDICATION MOLECULES INTO THE BLOOD FROM IT'S SITE OF ADMINISTRATION?

Back 10

ABSORPTION

Front 11

WHY ARE MEDICATIONS PLACED ON THE MUCOUS MEMBRANES AND RESPIRATORY AIRWAYS QUICKLY ABSORBED?

Back 11

BECAUSE THESE TISSUES CONTAIN MANY BLOOD VESSELS, HIGH VASCULARITY.

Front 12

WHAT TYPES OF MEDICATIONS PASS THROUGH ACIDIC MEDICATIONS RAPIDLY?

Back 12

ACIDIC MEDICATIONS

Front 13

WHY ARE MEDICATIONS THAT HIGHLY LIPID SOLUBLE ABSORBED MORE EASILY?

Back 13

THEY READILY CROSS THE CELL MEMBRANE BECAUSE IT IS MADE OF A LIPID LAYER.

Front 14

WHAT LIQUID INTERFERES WITH THE ABSORPTION OF IRON AND TETRACYCLINE? AND WHAT OTHER LIQUID IS PREFERRED?

Back 14

MILK. ORANGE JUICE IS PREFERRED.

Front 15

TRUE OR FALSE. MOST DRUGS DISTRIBUTE TO BODY FAT AND WATER. THE MORE FAT A PERSON HAS THE LONGER THE DURATION OF DRUG, SLOWER DISTRIBUTION

Back 15

TRUE

Front 16

BLOOD-BRAIN BARRIER ALLOWS ONLY WHAT TYPE OF MEDICATION TO PASS INTO THE BRAIN AND CEREBRAL SPINAL FLUID?

Back 16

ONLY FAT SOLUBLE MEDICATIONS

Front 17

WHAT AGENTS MAY CROSS THE PLACENTA AND PRODUCE FETAL DEFORMATIES, RESPIRATORY DEPRESSION, AND WITH NARCOTIC ABUSE, WITHDRAW SYMPTOMS?

Back 17

FAT SOLUBLE AND NON FAT SOLUBLE AGENTS.

Front 18

MOST MEDICATIONS BIND TO WHAT TYPE OF PROTEIN?

Back 18

ALBUMIN

Front 19

WHAT OCCURS UNDER THE INFLUENCE OF ENZYMES THAT DETOXIFY, DEGRADE (BREAK DOWN), AND REMOVE BIOLOGICALLY ACTIVE CHEMICALS.

Back 19

BIOTRANSFORMATION OCCURS

Front 20

WHERE DO MOST BIOTRANSFORMATIONS OCCUR? WHAT OTHER 4 PLACES DOES IT OCCUR?

Back 20

IN THE LIVER.

THE LUNGS, KIDNEYS, BLOOD , AND INTESTINES.

Front 21

AFTER BEING METABOLIZED, WHERE DO MEDICATIONS EXIT FROM?

Back 21

THROUGH THE KIDNEYS, LIVER, BOWEL, LUNGS, AND EXOCRINE GLANDS.

Front 22

WHAT KIND OF DRUGS EXIT THROUGH THE LUNGS?

Back 22

GASEOUS AND VOLATILE COMPOUNDS SUCH AS NITROUS OXIDE AND ALCOHOL.

Front 23

WHAT EXCRETES LIPID SOLUBLE MEDICATIONS?

Back 23

THE EXOCRINE GLANDS

Front 24

WHAT IS AN ADEQUATE FLUID INTAKE FOR AN ADULT TO PROMOTE ELIMINATION OF MEDICATIONS?

Back 24

50ML/KG/DAY

Front 25

WHAT TERM IS USED TO DESCRIBE THE EXPECTED OR PREDICTABLE PHYSIOLOGICAL RESPONSE A MEDICATION CAUSES?

Back 25

THERAPEUTIC EFFECT

Front 26

WHAT MEDICATION IS USED TO REDUCE THE CARDIAC WORKLOAD, INCREASE MYOCARDIAL OXYGEN SUPPLY AND CHEST PAIN?

Back 26

NITROGLYCERIN

Front 27

WHAT IS THE TERM USED FOR THE UNINTENDED, SECONDARY EFFECTS A MEDICATION PREDICTABLY WILL CAUSE?

Back 27

SIDE EFFECTS

Front 28

WHAT TERM IS USED WHEN A MEDICATION CAUSES A SEVER EFFECT (EG. PATIENT BECOMES COMATOSE WHEN MEDICATION IS INGESTED)?

Back 28

ADVERSE EFFECT

Front 29

WHAT MAY DEVELOP AFTER PROLONGED INTAKE OF A MEDICATION OR WHEN A MEDICATION ACCUMULATES IN THE BLOOD BECAUSE OF IMPAIRED METABOLISM OR EXCRETION?

Back 29

TOXIC EFFECTS

Front 30

TOXIC LEVELS OF WHAT DRUGS CAUSE SEVERE RESPIRATORY DEPRESSION AND DEATH?

Back 30

MORPHINE AND OPIOD

Front 31

ALLERGIC REACTIONS CAUSE WHAT PERCENTAGE OF ALL MEDICATION REACTIONS?

Back 31

10-15 %

Front 32

REACTIONS CHARACTERIZED BY SUDDEN CONSTRICTION OF BRONCHIOLAR MUSCLES, EDEMA OF THE PHARYNX AND LARYNX, AND SEVERE WHEEZING AND SHORTNESS OF BREATH ARE CALLED?

Back 32

ANAPHYLACTIC REACTIONS

Front 33

THESE TYPES OF MEDICATIONS ARE ADMINISTERED THROUGH A CATHETER THAT HAS BEEN PLACED INTO THE SUBARACHNOID SPACE OR INTO ONE OF THE VENTRICLES OF THE BRAIN.

Back 33

INTRATHECAL

Front 34

THESE TYPES OF MEDICATION ADMINISTRATIN INVOLVES THE INFUSION OF MEDICATION DIRECTLY INTO THE BONE MARROW.

Back 34

INTRAOSSEOUS

Front 35

THESE MEDICATIONS ARE ADMINISTERED INTO THE PERITONEAL CAVITY, WHERE THEY ARE ABSORBED INTO THE CIRCULATION.

Back 35

INTRAPERITONEAL

Front 36

THESE MEDICATIONS ARE ADMINISTERED THROUGH THE CHEST WALL AND DIRECTLY INTO THE PLEURAL SPACE.

Back 36

INTRAPLEURAL

Front 37

THIS METHOD CALLS FOR MEDICATIONS TO BE ADMINISTERED DIRECTLY INTO THE ARTERIES. COMMON IN CLIENTS WHO HAVE ARTERIAL CLOTS.NURSE MUST CAREFULLY MONITOR THE INTEGRITY OF THIS INFUSION TO PREVENT INADVERTENT DISCONNECTION OF THE SYSTEM AND SUBSEQUENT BLEEDING.

Back 37

INTRAARTERIAL

Front 38

THESE METHODS OF MEDICATION ADMINISTRATION ARE LIMITED TO PHYSICIAN ADMINSTRATION,

Back 38

INTRACARDIAC AND INTRAARTICULAR (INTO A JOINT)

Front 39

WHAT TYPE OF MEDS ARE APPLIED THROUGH A TRANSDERMAL DISK OR PATCH?

Back 39

NITROGLICERIN,SCOPOLAMINE, AND ESTROGENS.

Front 40

THERE MUST BE A DOCUMENTED DIAGNOSIS, CONDITION, OR INDICATION FOR USE OF EACH ...

Back 40

MEDICATION ORDERED

Front 41

THESE TYPE OF MEDICATION ORDER IS CARRIED OUT UNTIL THE PRESCRIBER CANCELS IT BY ANOTHER ORDER OR UNTIL A PRESCRIBED NUMBER OF DAYS ELAPSE. MAY INDICATE A FINAL DATE OR NUMBER OF TREATMENTS OR DOSES.
EG. TETRACYCLINE 500MG PO Q6H OR
DECADRON 10MG DAILY X 5DAYS

Back 41

A STANDING ORDER OR ROUTINE MEDICATION ORDER

Front 42

A MEDICATION ORDER TO BE USED WHEN THE CLIENT REQUIRES IT. THE NURSE USES OBJECTIVE AND SUBJECTIVE ASSESSMENT AND DISCRETION IN DETERMINING WHETHER OR NOT THE CLIENT NEEDS THE MEDICATION.

Back 42

PRN ORDERS

Front 43

A PRESCRIBER WILL OFTEN ORDER A MEDICATION TO BE ONLY ONCE AT A SPECIFIED TIME. EG. ATIVAN 1MG IV ON CALL TO MRI

Back 43

SINGLE (ONE TIME) ORDER

Front 44

A SINGLE DOSE OF MEDICATION ORDER TO BE GIVEN IMMEDIATLY AND AT ONCE.

Back 44

STAT ORDER

Front 45

THE PRESCRIBER WRITES_______FOR CLIENTS WHO ARE TO TAKE MEDICATIONS OUTSIDE THE HOSPITAL.

Back 45

PRESCRIPTIONS

Front 46

WHO IS RESPONSIBLE FOR FILLING PRESCRIPTIONS ACCURATELY AND FOR BEING SURE THAT THE PRESCRIPTIONS ARE VALID? AND WHOS MAIN TASK IS IT TO DISPENSE THE CORRECT MEDICATION, IN THE PROPER DOSAGE AND AMOUNT, WITH AN ACCURATE LABEL?

Back 46

THE PHARMACIST

Front 47

WITH THIS DISTRIBUTION SYSTEM, THE MEDICATIONS ARE AVAILABLE IN QUANTITY IN LARGER, MULTIDOSE CONTAINERS.

Back 47

STOCK SYSTEM, OR STOCK SUPPLY

Front 48

WITH THIS DISTRIBUTION SYSTEM, PORTABLE CARTS ARE USED CONTAINING A DRAWER WITH A 24HR SUPPLY OF MEDICATIONS FOR EACH CLIENT.

Back 48

UNIT DOSE SYSTEM

Front 49

WHICH MEDICATION DISTRIBUTION SYSTEM IS DESIGNED TO REDUCE THE NUMBER OF MEDICATION ERRORS AND SAVES STEPS IN DISPENSING MEDICATIONS?

Back 49

THE UNIT DOSE SYSTEM

Front 50

VIOLATION OF WHAT ACT IS PUNISHABLE BY FINES, IMPRISONMENT, AND LOSS OF NURSE LICENSURE?

Back 50

VIOLATION OF THE CONTROLLED SUBSTANCES ACT

Front 51

PILOCARPINE IS A MEDICATION USED TO TREAT________. AND IT'S THE MOST COMMON MEDICATION DISK.

Back 51

GLAUCOMA

Front 52

TRUE OR FALSE. THE NURSE HAS THE SOLE RESPONSIBILITY FOR MEDICATION ADMINISTRATION.

Back 52

FALSE. THE PRESCRIBER AND THE PARMACIST ASLO HELP ENSURE THE RIGHT MEDICATION GETS TO THE RIGHT CLIENT. HOWEVER, THE NURSE ADMINISTERING THE MEDICATIONS IS ACCOUNTABLE FOR KNOWING WHICH MEDICATIONS ARE PRESCRIBED, THEIR THERAPEUTIC AND NON THERAPEUTIC EFFECTS, AND THE MEDICATIONS' ASSOCIATED NURSING IMPLICATIONS.

Front 53

WHEN CLIENTS DO NOT HAVE ENOUGH POTASSIUM IN THEIR BODY, THEY MAY EXPERIENCE SIGNS AND SYMPTOM S THAT ARE ASSOCIATED WITH________, SUCH AS MUSCLE FATIGUE AND WEAKNESS.

Back 53

HYPOKALEMIA.

Front 54

AN EVENT THAT COULD CAUSE OR LEAD TO A CLIENT RECEIVING INAPPROPRIATE MEDICATION THERAPY OR FAILING TO RECEIVE APPROPRIATE THERAPY IS CALLED A

Back 54

MEDICATION ERROR

Front 55

THIS MEDICATION IS A POWERFUL MEDICATION THAT IS ADMINISTERED TO TREAT SEIZURES; MAY BE ADMINISTERED BY MOUTH OR IV PUSH. IN LARGE DOSAGES, THIS MEDICATION CAN ALSO AFFECT THE RHYTHM OF THE HEART. THEREFORE SOME INSTITUTIONS PLACE LIMITS ON HOW MUCH THIS MEDICATION CAN BE GIVEN TO A CLIENT ON A NURSING UNIT THAT DOES NOT HAVE THE ABILITY TO MONITOR THE CLIENTS HEART RATE AND RHYTHM.

Back 55

DILANTIN. NOT ALL PRESCRIBERS ARE AWARE OF ALL OF THE LIMITATIONS AND MAY PRESCRIBE MEDICATIONS THAT CANNOT BE GIVEN IN A PARTICULAR HEALTH CARE SETTING. NURSES MUST RECOGNIZE THESE LIMITATIONS AND ENSURE THAT THE PRESCRIBER IS INFORMED AND THAT APPROPRIATE ACTIONS ARE TAKEN TO ENSURE THAT THE CLIENT RECEIVES THE MEDIATIONS AS PRESCRIBED AND WITHIN THE TIME PRESCRIBED IN THE APPROPRIATE ENVIRONMENT.

Front 56

WHAT ARE THE SIX RIGHTS OF MEDICATION ADMINISTRATION?

Back 56

THE RIGHT MEDICATION
THE RIGHT DOSE
THE RIGHT CLIENT
THE RIGHT ROUTE
THE RIGHT TIME
THE RIGHT DOCUMENTATION

Front 57

WHEN ADMINISTERING MEDICATIONS, THE NURSE COMPARES THE LABEL OF THE MEDICATION CONTAINER WITH THE MEDICATION FORM WHEN AND HOW MANY TIMES?

Back 57

3 TIMES. BEFORE REMOVING THE CONTAINER FROM THE DRAWER OR SHELF, AS THE AMOUNT OF MEDICATION ORDERED IS REMOVED FROM THE CONTAINER, AND BEFORE RETURNING THE CONTAINER TO STORAGE

Front 58

TRUE OR FALSE. A NURSE CAN ADMINISTER A MEDICATION PREPARED BY ANOTHER REGISTERED NURSE?

Back 58

FALSE. A NURSE ADMINISTERS ONLY THE MEDICATIONS THEY PREPARE THEMSELVES.

Front 59

A MEDICATION THAT IS ORDERED___ IS TO BE GIVEN WITHIN HALF AN HOUR AFTER A MEAL, WHEN THE CLIENTS HAS A FULL STOMACH.

Back 59

PC (AFTER MEALS)

Front 60

ALL ROUTINELY ORDERED MEDICATIONS SHOULD BE GIVEN WITHIN___MINUTES OF THE TIMES ORDERED.

Back 60

60 MINUTES. (30 MINUTES BEFORE OR AFTER THE PRESCRIBED TIME)

Front 61

WHAT COMPOUNDS WILL INCREASE THE LIKELIHOOD OF BLEEDING IN A PERSON WHO HAS A GASTRIC ULCER?

Back 61

COMPOUNDS CONTAINING ASPIRIN.

Front 62

WHAT ARE 7 THINGS NEEDED TO COMPLETE A MEDICATION ORDER?

Back 62

1.CLIENTS FULL NAME
2.DATE THAT THE ORDER IS WRITTEN
3.MEDICATION NAME
4.DOSE
5.ROUTE OF ADMINISTRATION
6.TIME AND FREQUENCY OF ADMIN
7.SIGNATURE OF PRESCRIBER

Front 63

WHEN THE CLIENT IS TAKING MANY MEDICATIONS, PRESCRIBED OR NOT, IN AN ATTEMPT TO TREAT SEVERAL DISORDERS SIMULTANEOUSLY IS CALLED

Back 63

POLYPHARMACY

Front 64

WHEN THE CLIENT OVERUSE, UNDERUSE, ERRATIC USE, OR CONTRATINDICATES USE IT IS CALLED

Back 64

MISUSE OF MEDICATIONS

Front 65

75% OF OLDER ADULTS INTENTIONALLY DO NOT ADHERE TO THEIR MEDICATION REGIMEN EITHER BY NOT TAKING THE MEDICATION AT ALL OR BY ALTERING THE DOSE. THIS IS CALLED...

Back 65

NONCOMPLIANCE. NONCOMPLIANCE GENERALLY OCCURS EITHER BECAUSE OF DRUG EFFECTIVENESS, UNCOMFORTABLE SIDE EFFECTS, OR THE PROHIBITIVE COST OF THE MEDICINE

Front 66

MOST TABLETS AND CAPSULES SHOULD BE SWALLOWED WITH ______ML FLUIDS (AS ALLOWED)

Back 66

60-100 ML

Front 67

IN NASAL INSTILATION, FOR ACCESS TO POSTERIOR PHRYNX TILT CLIENTS HEAD________

Back 67

BACKWARD

Front 68

IN NASAL INSTILLATION, FOR ACCESS TO ETHMOID OR SPHENOID SINUS TILT CLIENTS HEAD________

Back 68

OVER THE EDGE OF THE BED OR APPLY A SMALL PILLOW UNDER SHOULDERS AND TILT HEAD BACK.

Front 69

IN NASAL INSTILLATION, FOR ACCESS TO FRONTAL OR MAXILLARY SINUS, TILT CLIENTS HEAD______

Back 69

BACK OVER EDGE OF BED OR PILLOW WITH HEAD TURNED TOWARD SIDE TO BE TREATED.

Front 70

O.D. STANDS FOR

Back 70

RIGHT EYE

Front 71

O.S. STANDS FOR

Back 71

LEFT EYE

Front 72

O.U. STANDS FOR

Back 72

BOTH EYES

Front 73

AFTER INSTILLING EYE DROPS INTO THE CONJUCTIVAL SAC THE NURSE____

Back 73

APPLIES GENTLE PRESSURE WITH FINGER AND CLEAN TISSUE ON CLIENTS NASOLACRIMAL DUCT FOR 30-60 SECONDS

Front 74

WHEN INSTILLING EAR DROPS IN AN ADULT YOU PULL THE EAR____

Back 74

PULL AURICLE UPWARD AND OUTWARD.

Front 75

WHEN INSTILLING EAR DROPS IN CHILDREN YOU PULL THE EAR____

Back 75

PULL AURICLE DOWN AND BACK.

Front 76

WHEN INSERTING AN ANAL SUPPOSITORY IN AN ADULT, HOW FAR IN DO YOU GO?

Back 76

PAST INTERNAL SPHINCTER AND AGAINST RECTAL WALL 10CM (4IN)

Front 77

WHEN INSERTING AN ANAL SUPPOSITORY IN A CHILD AND INFANT, HOW FAR IN DO YOU GO?

Back 77

5CM (2IN)

Front 78

THESE ARE DESCRIPTIONS OF NEEDLES FOR WHAT TYPE OF INJECTION?

HOLDS 2-3ML FOR ADULT
0.5-1ML FOR INFANTS AND CHILDREN
1-1 1/2 INCHES IN NEEDLE SIZE

VASTUS LATURALIS(ADULTS)1-1 1/2 INCH

DELTOID (ADULTS)1-1 1/2 INCH

VENTROGLUTEAL (ADULTS)1 1/2 INCH

18-27 GAUGE NEEDLE
INJECT AT A 90DEGREE ANGLE

Back 78

INTRAMUSCULAR INJECTION

Front 79

THESE ARE DESCRIPTIONS OF NEEDLES FOR WHAT TYPE OF INJECTION?
1ML TUBERCULIN SYRINGE
3/8-3/5 INCH LONG NEEDLE
26-27 GAUGE NEEDLE
INJECT AT A 5-15 DEGREE ANGLE
INJECT ABOUT 3MM BELOW SKIN SURFACE

Back 79

INTRADERMAL INJECTION

Front 80

THESE ARE DESCRIPTIONS OF NEEDLES FOR WHAT TYPE OF INJECTION?
1-3ML
27-25 GAUGE
3/8-5/8 INCH NEEDLE
INJECT AT A 45-90 DEGREE ANGLE

Back 80

SUBQUTANEOUS INJECTIONS

Front 81

WHAT SITE IS MOST FREQUENTLY RECOMMENDED FOR HEPARIN INJECTIONS?

Back 81

THE ABDOMEN

Front 82

HOW MANY ML OF MEDICATION CAN A NORMAL, WELL DEVELOPED CLIENT TOLERATE WITHOUT SEVERE MUSCLE DISCOMFORT?

Back 82

3ML

Front 83

HOW MANY ML OF MEDICATION CAN CHILDREN, OLDER ADULTS, AND THIN CLIENTS TOLERATE WITHOUT SEVERE MUSCLE DISCOMFORT?

Back 83

2ML

Front 84

IT IS RECOMMENDED TO GIVE NO MORE THAT_____ML TO SMALL CHILDREN AND OLDER INFANTS.

Back 84

1ML

Front 85

WHICH IM SITE IS THE PREFERRED SITE FOR MEDICATIONS THAT INVOLVE LARGER VOLUME, MORE VISCOUS, AND IRRITATING FOR ADULTS, CHILDREN, AND INFANTS?

Back 85

VENTROGLUTEAL. IT IS A LARGE WELL DEVELOPED MUSCLE IN YOUNG CHILDREN OVER 7MONTHS, EVEN THE ONES THAT CANNOT WALK YET.

Front 86

DORSO GLUTEAL MUSCLE WAS THE TRADITIONAL IM SITE BUT IS CONSIDERED HIGH RISK BECAUSE ONE CAN ACCIDENTALY HIT WHAT NERVE?

Back 86

THE SCIATIC NERVE

Front 87

THIS IM SITE IS LOCATED 3-5 CM (1-2INCHES) BELOW THE ACROMION PROCESS AND IS USED FOR SMALL MEDICATION DOSES AND IMMUNIZATIONS OR WHEN OTHER SITES ARE INACCESSIBLE BECAUSE OF DRESSINGS OR CASTS.

Back 87

THE DELTOID MUSCLE

Front 88

THIS METHOD IS USED TO MINIMIZE SKIN IRRITATION BY SEALING THE MEDICATION IN MUSCLE TISSUES

Back 88

ZTRACK METHOD

Front 89

WHICH OF THE FOLLOWING RIGHTS HAS BEEN ADDED TO THE TRADITIONAL FIVE RIGHTS OF MEDICATION ADMINISTRATION:
A. RIGHT DOCUMENTATION
B.RIGHT ROUTE
C.RIGHT MEDICATION
D.RIGHT TIME

Back 89

A. RIGHT DOCUMENTATION

Front 90

THE NURSE IS HAVING DIFFICULTY READING A PHYSICIAN'S ORDER FOR A MEDICATION. THE NURSE KNOWS TH PHYSICIAN IS VERY BUSY AND DOES NOT LIKE TO BE CALLED. THE NURSE SHOULD:
A. CALL A PHARMACIST TO INTERPRET THE ORDER.
B.CALL THE PHYSICIAN TO HAVE THE ORDER CLARIFIED.
C.CONSULT THE UNIT MANAGER TO HELP INTERPRET THE ORDER.
D.AS THE UNIT SECRETARY TO INTERPRET THE PHYSICIAN'S HANDWRITING.

Back 90

B. CALL THE PHYSICIAN TO HAVE THE ORDER CLARIFIED.

Front 91

THE CLIENT HAS AN ORDER FOR 2 TABLESPOONS OF MILK OF MAGNESIA. THE NURSE CONVERTS THIS DOSE TO THE METRIC SYSTEM AND WOULD GIVE THE CLIENT:
A. 2ML
B. 5ML
C. 16ML
D. 30ML

Back 91

D. 30ML

Front 92

MOST MEDICATION ERRORS OCCUR WHEN THE NURSE:
A. FAILS TO FOLLOW ROUTINE PROCEDURES.
B. IS RESPONSIBLE FOR ADMINISTERING NUMEROUS MEDICATIONS.
C. IS CARING FOR TOO MANY CLIENTS.
D. IS ADMINISTERING UNFAMILIAR MEDICATIONS.

Back 92

A. FAILS TO FOLLOW ROUTINE PROCEDURES.

Front 93

A CLIENT IS TO RECEIVE CEPHALEXIN (KEFLEX) 500MG PO. THE PHARMACY HAS SENT 250MG TABLETS. THE NURSE SHOULD GIVE:
A. 1/2 TABLET
B. 1 TABLET
C. 1 1/2 TABLET
D. 2 TABLETS

Back 93

D. 2 TABLETS

Front 94

THE PRIMARY INTENT OF THE STATE NURSE PRACTICE ACT IS TO:
A. PROTECT THE PUBLIC FROM UNSKILLED, UNDEREDUCATED, AND UNLICENSED PERSONNEL.
B. PROTECT THE NURSE FROM CLIENT ABUSE.
C. DETERMINE THE NURSE'S SALARY
D. PREVENT POOR HEALTH OUTCOMES RESULTING FROM MEDICATION USE.

Back 94

A. PROTECT THE PUBLIC FROM UNSKILLED, UNDEREDUCATED, AND UNLICENSED PERSONNEL.

Front 95

THE NURSE IS RESPONSIBLE FOR FOLLOWING LEGAL PROVISIONS WHEN ADMINISTERING CONTROLLED SUBSTANCES OR NARCOTICS. FAILURE TO DO SO MAY RESULT IN:
A. FINES, IMPRISONMENT, AND LOSS OF NURSE LICENSURE
B. LOSS OF EMPLOYMENT
C. MEDICATION ERRORS
D. POOR HEALTH OUTCOMES RESULTING FROM NARCOTIC USE.

Back 95

A. FINES, IMPRISONMENT, AND LOSS OF NURSE LICENSURE

Front 96

PHARMACOKINETICS IS THE STUDY OF HOW MEDICATIONS:
A. ARE DERIVED FROM PLANTS
B. ENTER THE BODY, REACH THEIR SITE OF ACTION, ARE METABOLIZED, AND EXIT THE BODY.
C. ARE USED FOR CERTAIN DISEASE PROCESSES.
D. ARE MANUFACTURED AND DISTRIBUTED TO PHARMACEUTICAL COMPANIES.

Back 96

B. ENTER THE BODY, REACH THEIR SITE OF ACTION, ARE METABOLIZED, AND EXIT THE BODY.

Front 97

OFFICIAL PUBLICATIONS SUCH AS THE FOLLOWING, SET STANDARDS FOR MEDICATION STRENGTH, QUALITY, PURITY, PACKAGING, SAFETY, LABELING, AND DOSE FORM.
A. PHYSICIANS REFERENCE GUIDE
B. NURSE'S DRUG GUIDE
C. MEDWATCH PROGRAM
D. USP AND NATIONAL FORMULARY

Back 97

D. USP AND NATIONAL FORMULARY

Front 98

ENFORCEMENT OF MEDICATION LAWS RESTS WITH THE:
A. FOOD AND DRUG ADMINISTRATION (FDA)
B. NURSE OR PHYSICIAN DISPENSING AND PRESCRIBING MEDICATIONS.
C. MEDWATCH PROGRAM
D. HEALTH CARE INSTITUTIONS

Back 98

A. FOOD AND DRUG ADMINISTRATION (FDA)