Ch 4&6 (test 1)

Question 1

Controlled substances

Answer 1

any drug listed on one of the “schedules”of the controlled substance act

Question 2

drug polymorphism

Answer 2

variation in response to a drug because of a patient’s age, gender, size, and or body composition.

Question 3

Over the counter drugs (OTC), non-perscription drugs

Answer 3

drugs available to consumers without a prescription.

Question 4

adverse drug reactions

Answer 4

unexpected, unintended, undesired, or excessive responses to medications given at therapeutic dosages

Question 5

idiosyncratic reaction

Answer 5

any abnormal and unexpected response to a medication, other than an allergic reaction, that is peculiar to an individual patient.

Question 6

medication reconciliation

Answer 6

assess and update medication history with communication to health care providers. Done at admission, status change, transfer, and discharge.

Question 7

legal implications

Answer 7

1. nurse must teach

2. nurse must know enough about drug they are administering to judge if an order is unusual.

Question 8

malpractice

Answer 8

wrongful conduct, discharge of duties, faliure to meet standards of care that cause harm to another.

Question 9

negligence

Answer 9

implies that you failed to do something that reasonably could be expected to be done

Question 10

error of omission

Answer 10

not doing something

Question 11

error of commission

Answer 11

doing something wrongly

Question 12

medication error

Answer 12

any preventable event that MAY cause or lead to inappropriate medication use or patient harm.

Question 13

If medication error occurs

Answer 13

1. Assess the patient’s condition
2. Assess for effects
3. medication error form and inform physician, pharmacy, and supervisor
4. monitor pt

Question 14

included in medication order

Answer 14

1. pt name
2. drug name
3. dose
4. route
5. time (frequency)
6. Signature of prescriber

Question 15

standard order

Answer 15

apply indefinitely until d/c or change in status.

Question 16

Single order

Answer 16

once

Question 17

Stat order

Answer 17

immediately and once

Question 18

PRN order

Answer 18

given when needed. document reason/rational for giving.

Question 19

Standing orders

Answer 19

protocol to guide treatment of a particular disease/situation.

Question 20

ethical practice

Answer 20

everything done is for pt benefit (in pt’s best interest)