Bhslr-Rn - Fundamental Of Nursing - Test #10

Front 1

How in 1906, the Pure Food and Drug Act set national standards for drug quality?

Back 1

by designating the United States Pharmacopeia and the National Formulary as the official drug standards in the United States

Front 2

What government agency has the power to enforce drug standards, safety, and laws?

Back 2

The Food and Drug Administration (FDA)

Front 3

The Comprehensive Drug Abuse Prevention and Control Act that was passed in 1970 was also known as?

Back 3

the Controlled Substances Act

Front 4

The Controlled Substances Act of 1970 did what?

Back 4

This law regulated the distribution of narcotics and other drugs of abuse.

Front 5

The process by which a drug is transferred from its site of entry into the body to the bloodstream is called?

Back 5

absorption

Front 6

Undesirable effects other than the intendedtherapeutic effect of a drug are known as?

Back 6

adverse drug effect

Front 7

An immune system response that occurs when the body interprets the administered drug as a foreign substance and forms antibodies against the drug?

Back 7

allergic effect

Front 8

What is the glass flask that contains a single dose of medication for parenteral administration called?

Back 8

ampule

Front 9

What is the most serious allergic effect called?

Back 9

anaphylactic reaction

Front 10

What is the life threatening reaction that results in respiratory distress, sudden severe bronchospasm, and cardiovascular collapse?

Back 10

anaphylaxis

Front 11

In a drug–drug interaction, the combined effect of two or more drugs acting simultaneously produces an effect either less than that of each drug alone is called the?

Back 11

antagonist effect

Front 12

Toxicities occur when the body cannot metabolize one dose of a drug before another dose is administered is called?

Back 12

cumulative effect

Front 13

? find in book

Back 13

distribution

Front 14

What is the drug name that is the precise description of the drugs chemical composition, identifies atomic/molecular structure?

Back 14

Chemical name

Front 15

What is the drug name that is assigned by the manufacture that first develops the drug, often derived from chemical name?

Back 15

Generic name

Front 16

What is the drug name that its identified in official publications, USP and NF (often use generic name)?

Back 16

Official name

Front 17

What is the drug name that is the brand name copyrighted by the company that sells the drug?

Back 17

Trade name

Front 18

What type of medication order is carried out until cancelled by another order?

Back 18

Standing order

Front 19

What type of medication order is written as needed, commonly written for treatment of symptoms such as pain and nausea?

Back 19

PRN order

Front 20

What type of medication order is carried out only once, at a time specified by the prescriber?

Back 20

Single or one time order

Front 21

What type of medication order is carried out immediately?

Back 21

Stat order

Front 22

What occurs when the body becomes accustomed to the effects of a particular drug over a period of time?

Back 22

Drug tolerance

Front 23

Name the seven parts of a medication order...

Back 23

1. Patient’s name
2. Date and time order is written
3. Name of drug to be administer
4. Dosage of drug
5. Route by which drug is to be administered
6. Frequency of administration of the drug
7. Signature of person writing the order

Front 24

Which medication supply system is it where large quantities of medication are kept on unit, immediately available to nurse?

Back 24

Stock supply

Front 25

Which medication supply system is it where the pharmacist simplifies medication preparation by packaging and labeling each dose for a 24 hour period?

Back 25

Unit dose system

Front 26

Which medication supply system is it where each patient is supplied with the medication needed for a period of time?

Back 26

Individual supply

Front 27

Which medication supply system is it where there are individual drawers, labeled with patient names, into which the medications for each patient are placed?

Back 27

Medication cart

Front 28

What is an example of a computerized medication system?

Back 28

Pyxis

Front 29

Which medication supply system is it where each patient and each nurse wear identification with a unique bar code and each drug is packaged with a bar code, then the nurse scans their ID, patient ID and each package of medication to be administered?

Back 29

Bar coded medication cart

Front 30

Drug classifications are groups of drugs that share similar characteristics, what are three ways they are divided?

Back 30

1. Body system – classified by effect on body system, example: drugs that affect the respiratory system
2. Symptoms relieved – pain relievers
3. Clinical indication – antibiotics

Front 31

What is it called when their is a concentration of drug in the blood serum that produces the desired effect without causing toxicity?

Back 31

A therapeutic range

Front 32

What is it called when the drug should be measured when absorption is complete?

Back 32

peak level or highest plasma concentration

Front 33

What is it called at the point when the drug is at its lowest concentration, and this specimen is usually drawn in the 30-minute interval before the next dose?

Back 33

trough level

Front 34

What is the amount of time it takes for 50% of the blood concentration of a drug to be eliminated from the body?

Back 34

half-life

Front 35

What is it called when there is a unusual or peculiar response to a drug that manifests itself by over response, under response, or even the opposite of the expected response?

Back 35

idiosyncratic effect (sometimes called paradoxical effect)

Front 36

What is it called when the specific groups of symptoms related to drug therapy carry risk for permanent damage or death?

Back 36

Toxic effects (toxicities)

Front 37

An adverse drug effect that developments unintentionally by drug therapy is an?

Back 37

iatrogenic disorder

Front 38

What are the signs and symptoms of a drug allergy?

Back 38

rash, urticaria, fever, diarrhea, nausea, and vomiting

Front 39

Anaphylaxis is life threatening and results in?

Back 39

respiratory distress, sudden severe bronchospasm, and cardiovascular collapse

Front 40

Anaphylaxis is treated with?

Back 40

vasopressors, bronchodilators, corticosteroids, oxygen therapy, intravenous fluids, and antihistamines

Front 41

What variables influence the effects of medication?

Back 41

1. Developmental considerations
2. Weight
3. Gender
4. Genetic and cultural factors
5. Psychological factors
6. Pathology
7. Environment, timing of administration

Front 42

What are the three checks of medication administration?

Back 42

1. In the drawer, prior to removal
2. Before placing medication in cup
3. Before taking to the patient

Front 43

What are the Ten Rights of Medication Administration?

Back 43

1. Right patient (P)
2. Right medication (M)
3. Right dose (A)
4. Right route (R)
5. Right time (T)
6. Right documentation
7. Right of patient to know about the medication they are receiving
8. Right to refuse
9. Right assessment
10. Right evaluation

Front 44

When checking if you have the right patient you identify using two methods?

Back 44

Any two of these:

1. Check the name and case number on patient arm band
2. Ask the patient to state his/her full name
3. Check birth date for patients with same last name

Front 45

When checking if you have the right medication you identify using these methods?

Back 45

1. Read the label
2. Check MAR with physician’s order
3. Check for allergies
4. Read medication label (3 times)

Front 46

What type of injections is administered into the dermis, just below the epidermis?

Back 46

intradermal

Front 47

What is the combined effect of two or more drugs acting simultaneously produces a greater than that of each drug alone?

Back 47

synergistic effect

Front 48

What has the longest absorption time of all the parenteral routes?

Back 48

intradermal

Front 49

What site is most commonly used in intradermal injections?

Back 49

the inner surface of the forearm and the upper back, under the scapula

Front 50

What angle of administration do you use for an intradermal injection is?

Back 50

5 to 15 degrees

Front 51

What needle do you use for an intradermal injection?

Back 51

a 1⁄4- to 1⁄2-inch, 26- or 27-gauge needle.

Front 52

How do you do an intradermal injection?

Back 52

1. Place the needle almost flat against the pt’s skin
2. Bevel side up
3. Insert the needle into the skin about 1⁄8" w/ entire bevel under the skin

Front 53

What needle do you use for an subcutaneous injection?

Back 53

A 25-to-30-gauge, 3⁄8-to-1-inch needle

Front 54

What site is most commonly used in subcutaneous injections?

Back 54

The outer aspect of the upper arm, the abdomen (from below the costal margin to the iliac crests), the anterior aspects of the thigh, the upper back, and the upper ventral gluteal area.

Front 55

What size needles are most commonly used in subcutaneous injections?

Back 55

3⁄8- and 5⁄8-inch sized needles

Front 56

What angle of administration do you use for a subcutaneous injection?

Back 56

a 45-to-90-degree angle

Front 57

How do you choose the angle of administration to use for a subcutaneous injection?

Back 57

Choose the angle of needle insertion based on the amount of subcutaneous tissue present and the length of the needle. Choose the needle length based on the amount of subcutaneous tissue present, based on the patient’s bodyweight and build.

Front 58

What needle length do you use in the Vastus lateralis for INTRAMUSCULAR injection?

Back 58

5⁄8" to 1"

Front 59

What needle length do you use in the Deltoid (children) for INTRAMUSCULAR injection?

Back 59

5⁄8" to 1-1⁄4"

Front 60

What needle length do you use in the Deltoid (adults) for INTRAMUSCULAR injection?

Back 60

1" to 1-1⁄2"

Front 61

What needle length do you use in the Ventrogluteal (adults) for INTRAMUSCULAR injection?

Back 61

1-1⁄2"

Front 62

What is the recommended site for an INTRAMUSCULAR injection in infants?

Back 62

Vastus lateralis

Front 63

What is the recommended site for an INTRAMUSCULAR injection in toddlers and children?

Back 63

Vastus lateralis or deltoid

Front 64

What is the recommended site for an INTRAMUSCULAR injection in toddlers and adults?

Back 64

Ventrogluteal or deltoid

Front 65

What angle of administration do you use for a INTRAMUSCULAR injection?

Back 65

72 and 90 degree

Front 66

What INTRAMUSCULAR site is located by placing the palm on the greater trochanter w/ your fingers facing the pt’s head and the index finger toward the anterosuperior iliac spine extend the middle finger dorsally, palpating the iliac crest. A triangle is formed, and the injection is given in the center of the triangle? (The right hand is used for the pt’s left hip, or the left hand for the right hip)

Back 66

The ventrogluteal site

Front 67

What INTRAMUSCULAR site is located by dividing the thigh into thirds, horizontally and vertically (outer middle third), its the quadriceps femoris muscle and is located along the anterolateral aspect of the thigh?

Back 67

The vastus lateralis site

Front 68

What INTRAMUSCULAR site is located by palpating the lower edge of the acromion process, a triangle is formed at the midpoint in line with the axilla on the lateral aspect of the upper arm, with the base of the triangle at the acromion process?

Back 68

The deltoid muscle site