Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Pharmacology > Ch. 3 & 7-13 - Medication Safety, Ethical Considerations, Research, Nursing Process, Drug Administration, Cultural, Genetic & Age-related Considerations & Community Settings > Flashcards

Ch. 3 & 7-13 - Medication Safety, Ethical Considerations, Research, Nursing Process, Drug Administration, Cultural, Genetic & Age-related Considerations & Community Settings Flashcards

1
Q

Assessment

A

The phase of the nursing process that is characterized by systematic validation & documation of information

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Nursing Diagnosis

A

A determination made based on the analysis of assessment data

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Planning

A

The phase of the nursing process characterized by goal setting including the development of nursing interventions that be used to assist the patient in meeting the goals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Goal Setting

A

Stating expected outcomes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Implementation

A

The phase of the nursing process in which the nurse provides education, medication, care & other interventions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Culturally Sensitive

A

The awareness of the implications of culture for the patient & his/her family

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Evaluation

A

The phase of the nursing process in which the nurse determines how well goals are obtained, revises interventions & teaches patient focusing on goal attainment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

“Five-Plus-Five” Rights of Medication Administration

A

(1) RIGHT patient (2) RIGHT drug (3) RIGHT dose (4) RIGHT route (5) RIGHT time (6) RIGHT assessment (7) RIGHT documentation (8) RIGHT to education (9) RIGHT evaluation (10) RIGHT to refuse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

The Joint Commission (TJC)

A

Accredation company that regulates healthcare administration…requires patient be identified by two unique forms of ID

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Unit Dose Method

A

Method in which drugs are individually wrapped & labeled for single doses for each patient

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Institute of Medicine (IOM)

A

a 1999 report that spurred work on changes to decrease medication errors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Sublingual

A

medication placed under the tongue to dissolve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Buccal

A

medication placed between the cheek & gum to dissolve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Inhalation

A

medication inhaled orally into the lungs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Transdermal

A

medication placed on the skin (patch) & absorbed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Topical

A

medication applied to skin surface

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Intillations

A

liquid medication given as drops, ointments or sprays

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Suppositories

A

medication inserted into the vagina or rectum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Parenteral

A

medication given via injection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Intradermal Injection

A

injection given between epidermis & dermis layers of skin (EX: TB test)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Subcutaneous Injection

A

injection given under the skin in the tissue (EX: insulin, heparin)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Intramuscular Injection

A

injection given under the skin & tissue, in the muscle (EX: vaccines)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Z-track Technique

A

technique used to prevent medication from leaking back through site into subcutaneous tissue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Intravenous Injection

A

injection given into a vein

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Metered Dose Inhalers (MDI)

A

handheld devices that deliver medication to the lower respiratory tract when inhaled into the lungs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Intraosseous Injection

A

injection given into the bone marrow

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Biocultural Ecology

A

area of study that looks at variations in biological characteristics that are inconsistent for an ethnic group that might pose a concern for a nurse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Hereditary

A

genetic characteristics transferred from parent to offspring

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Genetic

A

pertaining to genetics & reproduction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Nonadherence

A

not following medication directions; “noncompliance” (frequent in older adults)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Adherence

A

following prescribed medication regimens; “complicane”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Polypharmacy

A

administration of many drugs together to the same patient (frequent in older adults)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

Holistic Nursing Approach

A

a patient-centered approach to healing that strives to meet cognitive, emotional, physical, social & spiritual needs of patients

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

Three Checks of Medication Administration

A

(1) Before taking it out of the package (2) As placing it in the medicine cup (3) Again before giving it to patient

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

Safety Risks for Medication Administration

A

New drugs, distractions, fatigue, sleep deprivation, confusing packaging, equipment failures, poor communication, transcription errors, handwriting issues

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

Institute of Medicine (IOM) Report of 1999 “To Err is Human: Building a Safer Healthcare System”

A

report that spurred changes in healthcare system changes to decrease errors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

FDA 2002 Rule “Bar Code Label Requirements for Human Drug Products & Blood”

A

rule implemented by the FDA to increase the prominence of coding…at a minimum, the bar code contains the drug’s national drug code that uniquely identifies the drug, its strength and its dosage form

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

The Joint Commission 2013 Patient Safety Goals

A

(1) Improve staff communication (2) Identify patients correctly (3) Use medicines safely

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

Institute for Safe Medication Practices (ISMP)

A

organization that puts out monthly newsletter about safety in medication practices…issues a list of error prone abbreviations, symbols & dose designations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

Quality and Safety in Education in Nursing (QSEN)

A

Robert Woods Johnson Foundation…addressing and all about safety in nursing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

Basic Ethical Principles in Medication Administration

A

Respect for person (autonomy), Beneficence, Justice, Veracity, Informed Consent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

Phase I of Human Clinical Experimentation

A

phase of HCE determining human dosage range based on healthy subjects and identifying pharmacokinetics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

Phase II of Human Clinical Experimentation

A

phase of HCE demonstrating safety and efficacy of drug in a limited number of subjects with disease to be treated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

Phase III & IV of Human Clinical Experimentation

A

phase of HCE demonstrating safety and efficacy of drug for well client population (including long-term data if chronic regimen)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

Role of the Nurse in Human Clinical Experimentation

A

(1) Recruit & assess study subjects (2) Understand protocols including inclusion & exclusion criteria (3) Know validity & reliability of measurement instruments (4) Communicate & work with other healthcare providers & sponsors

46
Q

FDA Pregnancy Categories

A

a classification system related to the effects of drugs on a fetus used to optimize informed decision making for pregnant patients

47
Q

Pregnancy Category A

A

No risk to the fetus. Studies have not shown evidence of fetal harm.

48
Q

Pregnancy Category B

A

No risk to fetus in animal studies but well-controlled studies in pregnant women is not available. It is assumed there is little to no risk in pregnant women.

49
Q

Pregnancy Category C

A

Animal studies indicate a risk to the fetus but controlled studies in pregnant women is not available. Risk vs. benefit must be determined.

50
Q

Pregnancy Category D

A

A risk to the human fetus has been proved. Risk vs. benefit of the drug must be determined. It could be used in life-threatening conditions.

51
Q

Pregnancy Category X

A

A risk to the human fetus has been proved. Risk outweighs the benefit & the drug should be avoided during pregnancy.

52
Q

Physiologic Changes in GI System of Geriatric Patient

A

increased pH gastric secretions, decreased peristalsis with delayed gastric emptying time, decreased motility, decreased first-pass effect—>SLOWER ABSORPTION OF ORAL DRUGS

53
Q

Physiologic Changes in Cardiac & Circulatory Systems of Geriatric Patient

A

decreased cardiac output, decreased blood flow —>DELAYS TRANSPORTATION OF DRUGS TO TISSUE

54
Q

Physiological Changes in Hepatic System of Geriatric Patient

A

decreased enzyme function, decreased blood flow—>DRUGS METABOLIZED MORE SLOWLY & LESS COMPLETELY

55
Q

Physiological Changes in Renal System of Geriatric Patient

A

decreased blood flow, decreased nephron function, decreased glomerular filtration rate—>DRUGS EXCRETED LESS COMPLETELY

56
Q

Strategies to Increase Geriatric Patient Compliance with Drug Therapy

A

(1) Education of patients & families (2) Help cut costs of medications (3) Be available for questions (4) Review medications with patient (5) Advise patient to use one pharmacy

57
Q

Reversed

The phase of the nursing process that is characterized by systematic validation & documation of information

A

Assessment

58
Q

Reversed

A determination made based on the analysis of assessment data

A

Nursing Diagnosis

59
Q

Reversed

The phase of the nursing process characterized by goal setting including the development of nursing interventions that be used to assist the patient in meeting the goals

A

Planning

60
Q

Reversed

Stating expected outcomes

A

Goal Setting

61
Q

Reversed

The phase of the nursing process in which the nurse provides education, medication, care & other interventions

A

Implementation

62
Q

Reversed

The awareness of the implications of culture for the patient & his/her family

A

Culturally Sensitive

63
Q

Reversed

The phase of the nursing process in which the nurse determines how well goals are obtained, revises interventions & teaches patient focusing on goal attainment

A

Evaluation

64
Q

Reversed

(1) RIGHT patient (2) RIGHT drug (3) RIGHT dose (4) RIGHT route (5) RIGHT time (6) RIGHT assessment (7) RIGHT documentation (8) RIGHT to education (9) RIGHT evaluation (10) RIGHT to refuse

A

“Five-Plus-Five” Rights of Medication Administration

65
Q

Reversed

Accredation company that regulates healthcare administration…requires patient be identified by two unique forms of ID

A

The Joint Commission (TJC)

66
Q

Reversed

Method in which drugs are individually wrapped & labeled for single doses for each patient

A

Unit Dose Method

67
Q

Reversed

a 1999 report that spurred work on changes to decrease medication errors

A

Institute of Medicine (IOM)

68
Q

Reversed

medication placed under the tongue to dissolve

A

Sublingual

69
Q

Reversed

medication placed between the cheek & gum to dissolve

A

Buccal

70
Q

Reversed

medication inhaled orally into the lungs

A

Inhalation

71
Q

Reversed

medication placed on the skin (patch) & absorbed

A

Transdermal

72
Q

Reversed

medication applied to skin surface

A

Topical

73
Q

Reversed

liquid medication given as drops, ointments or sprays

A

Intillations

74
Q

Reversed

medication inserted into the vagina or rectum

A

Suppositories

75
Q

Reversed

medication given via injection

A

Parenteral

76
Q

Reversed

injection given between epidermis & dermis layers of skin (EX: TB test)

A

Intradermal Injection

77
Q

Reversed

injection given under the skin in the tissue (EX: insulin, heparin)

A

Subcutaneous Injection

78
Q

Reversed

injection given under the skin & tissue, in the muscle (EX: vaccines)

A

Intramuscular Injection

79
Q

Reversed

technique used to prevent medication from leaking back through site into subcutaneous tissue

A

Z-track Technique

80
Q

Reversed

injection given into a vein

A

Intravenous Injection

81
Q

Reversed

handheld devices that deliver medication to the lower respiratory tract when inhaled into the lungs

A

Metered Dose Inhalers (MDI)

82
Q

Reversed

injection given into the bone marrow

A

Intraosseous Injection

83
Q

Reversed

area of study that looks at variations in biological characteristics that are inconsistent for an ethnic group that might pose a concern for a nurse

A

Biocultural Ecology

84
Q

Reversed

genetic characteristics transferred from parent to offspring

A

Hereditary

85
Q

Reversed

pertaining to genetics & reproduction

A

Genetic

86
Q

Reversed

not following medication directions; “noncompliance” (frequent in older adults)

A

Nonadherence

87
Q

Reversed

following prescribed medication regimens; “complicane”

A

Adherence

88
Q

Reversed

administration of many drugs together to the same patient (frequent in older adults)

A

Polypharmacy

89
Q

Reversed

a patient-centered approach to healing that strives to meet cognitive, emotional, physical, social & spiritual needs of patients

A

Holistic Nursing Approach

90
Q

Reversed

(1) Before taking it out of the package (2) As placing it in the medicine cup (3) Again before giving it to patient

A

Three Checks of Medication Administration

91
Q

Reversed

New drugs, distractions, fatigue, sleep deprivation, confusing packaging, equipment failures, poor communication, transcription errors, handwriting issues

A

Safety Risks for Medication Administration

92
Q

Reversed

report that spurred changes in healthcare system changes to decrease errors

A

Institute of Medicine (IOM) Report of 1999 “To Err is Human: Building a Safer Healthcare System”

93
Q

Reversed

rule implemented by the FDA to increase the prominence of coding…at a minimum, the bar code contains the drug’s national drug code that uniquely identifies the drug, its strength and its dosage form

A

FDA 2002 Rule “Bar Code Label Requirements for Human Drug Products & Blood”

94
Q

Reversed

(1) Improve staff communication (2) Identify patients correctly (3) Use medicines safely

A

The Joint Commission 2013 Patient Safety Goals

95
Q

Reversed

organization that puts out monthly newsletter about safety in medication practices…issues a list of error prone abbreviations, symbols & dose designations

A

Institute for Safe Medication Practices (ISMP)

96
Q

Reversed

Robert Woods Johnson Foundation…addressing and all about safety in nursing

A

Quality and Safety in Education in Nursing (QSEN)

97
Q

Reversed

Respect for person (autonomy), Beneficence, Justice, Veracity, Informed Consent

A

Basic Ethical Principles in Medication Administration

98
Q

Reversed

phase of HCE determining human dosage range based on healthy subjects and identifying pharmacokinetics

A

Phase I of Human Clinical Experimentation

99
Q

Reversed

phase of HCE demonstrating safety and efficacy of drug in a limited number of subjects with disease to be treated

A

Phase II of Human Clinical Experimentation

100
Q

Reversed

phase of HCE demonstrating safety and efficacy of drug for well client population (including long-term data if chronic regimen)

A

Phase III & IV of Human Clinical Experimentation

101
Q

Reversed

(1) Recruit & assess study subjects (2) Understand protocols including inclusion & exclusion criteria (3) Know validity & reliability of measurement instruments (4) Communicate & work with other healthcare providers & sponsors

A

Role of the Nurse in Human Clinical Experimentation

102
Q

Reversed

a classification system related to the effects of drugs on a fetus used to optimize informed decision making for pregnant patients

A

FDA Pregnancy Categories

103
Q

Reversed

No risk to the fetus. Studies have not shown evidence of fetal harm.

A

Pregnancy Category A

104
Q

Reversed

No risk to fetus in animal studies but well-controlled studies in pregnant women is not available. It is assumed there is little to no risk in pregnant women.

A

Pregnancy Category B

105
Q

Reversed

Animal studies indicate a risk to the fetus but controlled studies in pregnant women is not available. Risk vs. benefit must be determined.

A

Pregnancy Category C

106
Q

Reversed

A risk to the human fetus has been proved. Risk vs. benefit of the drug must be determined. It could be used in life-threatening conditions.

A

Pregnancy Category D

107
Q

Reversed

A risk to the human fetus has been proved. Risk outweighs the benefit & the drug should be avoided during pregnancy.

A

Pregnancy Category X

108
Q

Reversed

increased pH gastric secretions, decreased peristalsis with delayed gastric emptying time, decreased motility, decreased first-pass effect—>SLOWER ABSORPTION OF ORAL DRUGS

A

Physiologic Changes in GI System of Geriatric Patient

109
Q

Reversed

decreased cardiac output, decreased blood flow —>DELAYS TRANSPORTATION OF DRUGS TO TISSUE

A

Physiologic Changes in Cardiac & Circulatory Systems of Geriatric Patient

110
Q

Reversed

decreased enzyme function, decreased blood flow—>DRUGS METABOLIZED MORE SLOWLY & LESS COMPLETELY

A

Physiological Changes in Hepatic System of Geriatric Patient

111
Q

Reversed

decreased blood flow, decreased nephron function, decreased glomerular filtration rate—>DRUGS EXCRETED LESS COMPLETELY

A

Physiological Changes in Renal System of Geriatric Patient

112
Q

Reversed

(1) Education of patients & families (2) Help cut costs of medications (3) Be available for questions (4) Review medications with patient (5) Advise patient to use one pharmacy

A

Strategies to Increase Geriatric Patient Compliance with Drug Therapy

Pharmacology (13 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions