Midterm 1

Front 1

What was the first law in the United States to require all drugs marketed in the United States to meet minimal standards of strength, purity, and quality?

Back 1

Pure Food and Drug Act

Front 2

What agency was established by the Federal Food, Drug, and Cosmetic Act?

Back 2

The Food and Drug Administration

Front 3

What agency was established as a result of the Controlled Substances Act?

Back 3

The Drug Enforcement Administration

Front 4

Your opinionated uncle informs you that all prescription drugs are, by definition, controlled substances because they cannot be legally obtained without a prescription. How should you respond to your uncle?

Back 4

Controlled substances are legally defined as substances that have the potential to be abused or are addictive, but not all prescription drugs have this potential.

Front 5

Under what heading would you likely find the statement that a drug should be used "for the treatment of attention deficit hyperactivity disorder (ADHD) and narcolepsy"?

Back 5

indications

Front 6

Drugs that relieve pain without loss of consciousness are known as ____.

Back 6

analgesics

Front 7

The instructions for your medication state to "Take on an empty stomach." What drug process will taking the medication on an empty stomach most likely affect?

Back 7

absorption

Front 8

After identifying a gene that causes the skin of patients with epidermolysis bullosa (EB) to be easily blistered and torn, researchers have found a method to make the gene produce collagen needed for healthy skin, at least in the laboratory. Researchers hope to be able to use the same process in real life, and enable patients with EB to have healthy skin. "Fixing" malfunctioning genes is an example of ____.

Back 8

gene therapy

Front 9

You are reading about the treatment of cardiovascular disease and learn that some medications are more effective in African Americans than persons of other races. The study of why medications vary in effectiveness among groups is known as ____.

Back 9

pharmacogenomics

Front 10

Tonya takes her bronchidilator using a nebulizer. What is the route of administration?

Back 10

inhaled

Front 11

Mandy is preparing an injection and mixes dry particles of drug with a sterile solution. This is called ____.

Back 11

reconstitution

Front 12

The instructions on the antibiotic medication for your pet cat tell you to "shake well before administering." This indicates that the medication is a(n) ____.

Back 12

suspension

Front 13

Pharmaceutical companies prepare each drug in the form or forms most suitable for its intended route of delivery and ____.

Back 13

means of absorption

Front 14

Roxanne is told by her supervisor not to use the abbreviation "SQ." Why?

Back 14

SQ on the ISMP list.

Front 15

What abbreviation should be used to indicate that an extended release formulation is required?

Back 15

ER

Front 16

You take your first telephone order from a doctor on your first day of work at a nursing home. You carefully write out the order for a medication to be given twice a day, using the abbreviation "b.i.d." in the chart. Your supervisor reviews your notes and informs you that periods should not be used with medical abbreviations. What is her reasoning?

Back 16

A poorly written period could be mistaken for the number 1 and cause a medication error.

Front 17

You have misplaced the medication cup for measuring out a dose of 15 ml of medicated mouthwash. You do, however, have measuring spoons and cups for household measurement. Using your household measuring cups and spoons, how much should you take?

Back 17

one tablespoon

Front 18

Responsibility for safe administration of medications requires that the health care practitioner ____.

Back 18

be familiar with every medication before administering it

Front 19

Logan, who has terminal cancer, has a prn order for an anxiolytic injection. When it is administered, the hospice nurse should note dose, time, route, location of injection, and ____.

Back 19

effectiveness

Front 20

What should happen if narcotics are not used due to a partial dosage, error, or cancellation of an order?

Back 20

They must be destroyed and two health care practitioners must sign as witnesses of the disposal of the drug.

Front 21

David was prescribed mefloquine hydrochloride to prevent malaria before his trip to India. Unfortunately, he had an adverse reaction to the drug and wound up hospitalized with hallucinations, paranoia, and amnesia. In the United States, what entity is specifically charged with reporting serious adverse events such as the one David experienced?

Back 21

MedWatch

Front 22

Under what circumstances must a MEDWATCH form be completed?

Back 22

never, because MEDWATCH is voluntary

Front 23

Administration by NG tube is preferable to intravenous administration when a patient is ____.

Back 23

unable to swallow for prolonged periods of time because of illness, trauma, surgery, or unconsciousness

Front 24

Your patient vomits administered medication whole less than a minute later after taking it. What should you do?

Back 24

Report the incident to the person in charge.

Front 25

Ms. Chorba, age 93, is usually a pleasant and cooperative woman. This evening, however, she is refusing to take her medication. What should you do?

Back 25

Determine why she refused to take her medication, report it to the person in charge, and document the incident.

Front 26

If any unusual circumstances or adverse side effects are associated with medication administration, the health care practitioner should ____.

Back 26

record and report the incident

Front 27

Gastric tubes are sometimes called ____.

Back 27

peg tubes

Front 28

Proper placement for buccal administration is ____.

Back 28

in the pouch between the cheek and the gum at the back of the mouth

Front 29

When applying a new transdermal patch, it is especially important to ____.

Back 29

avoid touching the inside of the patch

Front 30

Subcutaneous injections are administered into ____.

Back 30

fatty tissue

Front 31

You are giving a subcutaneous injection to a young child. The best needle length to use would be ____.

Back 31

5/8 inch

Front 32

One of the drawbacks of using activated charcoal is that it ____.

Back 32

may interfere with the action of antidotes

Front 33

The American Academy of Pediatrics recommends that ipecac _____.

Back 33

not be used, because its outcomes fail to justify its use

Front 34

Callers to poison control centers should be prepared to give details regarding the poison and the victim's age, weight and ____.

Back 34

health status

Front 35

During a hike in the desert, your friend is bitten by a rattlesnake. You are preparing her for transport to an emergency facility. What guideline should you follow?

Back 35

Your friend should be transported lying down.

Front 36

Families of very young children may label poisons with stickers showing ____.

Back 36

Mr. Yuk

Front 37

Fall in the blood pressure and cardiac arrhythmias are associated with ____.

Back 37

potassium overdose

Front 38

Any compound that fights against the destructive effects of free radicals is called a(n) ____.

Back 38

antioxidant

Front 39

Pernicious anemia is associated with deficiency of vitamin ____.

Back 39

B12

Front 40

What is the percentage of sodium chloride in "normal" saline?

Back 40

0.9%

Front 41

You can't help but check the contents of your new boyfriend's medicine cabinet. You notice a tube of Zovirax (Acyclovir) cream with his name and a very recent date on it. What do you suspect he has or has recently had?

Back 41

cold sores

Front 42

Lindane is used in ____.

Back 42

pediculicides

Front 43

Marika is diabetic and has developed ulcerated sores on her foot. What type of agent is prescribed for ulcerated wounds?

Back 43

enzymatic

Front 44

Kasey is paralyzed from the neck down in a diving accident and now prone to developing decubitus ulcers (pressure sores) from being in the same position for so long. Recently, a new home health aide found Kasey to have several pressure sores. What type of preparation can be used to clean the necrotic tissue from the wounds?

Back 44

an enzymatic

Front 45

What side effects might Yestin experience as a result of the cholinergic drug he is taking for glaucoma?

Back 45

nausea and vomiting

Front 46

Elle is given medication prior to surgery to dry up her secretions. This drug is likely to be a(n) ____.

Back 46

anticholinergic

Front 47

Evie suffers from severe migraines. What category of medications would be most likely to be used to treat her migraines?

Back 47

beta blockers

Front 48

Sebastian has chronic myelogenous leukemia and is being given imatinib (Gleevec). Imatinib blocks specific enzymes and growth factor receptors that affect cancer cell proliferation and belongs to the class of drugs called ____.

Back 48

signal transduction inhibitors

Front 49

Marcy is receiving cisplatin for the treatment of ovarian cancer. Cisplatin acts by _____.

Back 49

damaging the DNA needed for cell reproduction

Front 50

Macy's chemotherapy has left her so anemic and prone to infections that treatment must be temporarily halted. What type of drug might Macy be prescribed to help her body produce bone marrow stem cells that divide and develop into red and white blood cells, and platelets?

Back 50

colony stimulating factor