Nursing Fundamentals- Potter And Perry Ch. 35 Medication Administration

Front 1

Enforcement of medication laws currently rests with the ____.

Back 1

FDA (Food and Drug Administration)

Front 2

The ___ sets standards for medication strength, quality and purity.

Back 2

USP (United States Pharmacopeia)

Front 3

The primary intent of the ___ is to protect the public from unskilled, undereducated and unlicensed personnel.

Back 3

NPA (Nurse Practice Act)

Front 4

_____ produces the most rapid absorption because medications are immediately available when they enter the systemic circulation.

Back 4

Intravenous injections

Front 5

Medications that are ___ are not absorbed before reaching the small intestine.

Back 5

basic

Front 6

___ medications pass through the gastric mucosa rapidly.

Back 6

Acidic

Front 7

The BBB allows only ___ medications to pass into the brain and cerebral spinal fluid.

Back 7

fat-soluble

Hint 7

this is why central nervous system infections often require treatment with antibiotics injected directly into the subarachnoid space of the spinal cord.
The placental membrane has non-selective barrier.

Front 8

When medications bind to ____ they cannot exert pharmacological activity.

Back 8

albumin

Hint 8

-only the free medicine in the blood is in active form

Front 9

_____ occurs under the influence of enzymes that detoxify, degrade and remove biologically active chemicals.

Back 9

Biotransformation

Front 10

True/False
Deep breathing and coughing help the postoperative patient get rid of anesthetic gases more rapidly.

Back 10

True

Front 11

The ___ is the expected or predictable physiological response a medication causes.

Back 11

therapeutic effect

Hint 11

-knowing the desired therapeutic effect for each medication allows the nurse to provide client education and evaluate the medications effect.

Front 12

___ are unintended, undesirable and often unpredictable severe responses to meds.

Back 12

Adverse effects

Hint 12

-happen right away, but sometimes takes weeks or months to develop.
-Med Watch can be used to report adverse effects

Front 13

___ develop after prolonged intake of a medication or when medication accumulates in the blood.

Back 13

Toxic effects

Hint 13

-narcan reverses the effects of opioid toxicity; this is called an antidote

Front 14

Medications sometimes cause unpredictable effects such as ____, in which a client overreacts or underreacts to a med.

Back 14

idiosyncratic reaction

Front 15

____ are life threatening, and cause bronchiolar constriction, edema, wheezing and SOB.

Back 15

Anaphylactic

Front 16

____ occurs when one medication modifies the other.

Back 16

Medication interaction

Front 17

When two medications have a _____ the combined effect of the two is greater than separate.

Back 17

synergistic effect

Hint 17

Ex. the effect of alcohol on certain medications

Front 18

True/False
Medications typically peak just before the body is about to absorb the last of it.

Back 18

True

Front 19

The ____ is the time it takes for excretion processes to lower the serum medication concentration by half.

Back 19

serum half-life

Hint 19

-pain medication works best when given around the clock because each dose is given at the previous doses half-life.

Front 20

AC

Back 20

before meals

Front 21

ad lib

Back 21

as desired

Front 22

twice a day

Back 22

do not abbreviate

Front 23

h or hr

Back 23

hour

Front 24

At bedtime

Back 24

nightly or at bedtime

Front 25

PC

Back 25

after meals

Front 26

as needed

Back 26

prn

Front 27

Every morning

Back 27

qAM

Front 28

Every day

Back 28

daily

Front 29

Every hour

Back 29

qH

Front 30

Every 2 hours

Back 30

q2h

Front 31

4 times a day

Back 31

do not abbreviate

Front 32

give immediately

Back 32

STAT

Front 33

3 times a day

Back 33

do not abbreviate

Front 34

An ____ injection is given into the dermis just under the epidermis.

Back 34

intradermal (ID)

Front 35

___ injections are given into tissues just below the dermis of the skin.

Back 35

Subcutaneous (Sub-Q)

Front 36

An injection into the muscle

Back 36

intramuscular (IM)

Front 37

An ____ is given directly into a vein.

Back 37

intravenous (IV)

Front 38

A medication given by the ___ route should be placed under the tongue to dissolve.

Back 38

sublingual

Hint 38

buccal route is against the cheek

Front 39

A nurse has ___min. to administer a now order.

Back 39

90

Front 40

___ refers to comparing a patients medications with ones they take at home.

Back 40

Medication reconciliation

Front 41

What are the six rights to medication administration?

Back 41

1)The right to medication
2)The right dose
3)The right client
4)The right route
5)The right time
6)The right documentation

Front 42

Components of medication orders include these seven areas:

Back 42

1) Clients full name
2) Date and time that the order is written
3) Medication name
4) Dose
5) Route
6) Time and frequency
7) Signature of physician

Front 43

___ happens when a client takes more than one type of the same medication.

Back 43

Polypharmacy

Front 44

A 1-3 mL syringe is adequate for a ___ or intramuscular injection.

Back 44

subcutaneous

Front 45

True/False
When preparing a site for infection swab from center of site, and move outward in a 2-inch radius.

Back 45

True

Front 46

Use 1 - 1 1/2 inch needles for ____ injection.

Back 46

intramuscular

Front 47

Use 3/8 to 5/8 inch needles for ___ injections.

Back 47

subcutaneous

Front 48

True/False
You must use a filter needle to aspirate a ampule of medicine.

Back 48

True

Hint 48

-this prevents small glass fragments to enter
-replace the filter with a regular needle

Front 49

True/False
Normal saline and sterile distilled water are solutions commonly used to dissolve medications.

Back 49

True

Front 50

True/False
Air must be injected into a vial before medication is withdrawn.

Back 50

True

Hint 50

-the amount of air should equal the amount of medication being given