Chapter 3 & 46

Question 1

_____ Experience relief of signs and symptoms

Answer 1

Goal

Question 2

What does the patient know about current drugs? Is teaching needed?

Answer 2

Assessment

Question 3

As desired

Answer 3

Ad lib.

Question 4

Emulating, positioning, exercising

Answer 4

Intervention

Question 5

mcg

Answer 5

Microgram

Question 6

Three examples of commonly reported medication errors

Answer 6

Giving an incorrect dose,
not giving and ordered drug,
and giving and on ordered drug.

Question 7

Describe the components of a medication order

Answer 7

Full name of patient.
Full name of drug (preferably the generic name).
The dose, route, and frequency of administration.
The date, time, and signature of prescriber

Question 8

Describe the assessment phase of the nursing process

Answer 8

Observing and interviewing the patient. Interviewing family members involved in patient care. Completing physical assessment. Reviewing medical records for pertinent lab and diagnostic test reports.

Question 9

If a nurse is taking a doctors order verbal orders over the telephone for discharge described up perimeter for verbal orders

Answer 9

Orders should be written on patients order sheet. Order signed by the person taking the order. Order later countersigned by the prescriber

Question 10

For a verbal order concerning a prescription for a scheduled II controlled drug, describe the perimeter of Prescription narcotic; include the method used to refill the prescription

Answer 10

Prescriptions for schedule to controlled drugs cannot be refilled

Question 11

For a verbal order concerning discharge what information with a nurse include in the education plan regarding discharge medication?

Answer 11

Instructions for taking the drug (e.g., dose, frequency) and whether the prescription can be refilled or not.

Question 12

Patient returns to physicians office, you begin your assessment by doing

Answer 12

Collecting both objective and subjective data

Question 13

You interview the patient regarding the effectiveness of the medication as well as any adverse reactions. Your patience statements are considered to be

Answer 13

Subjective data

Question 14

Part of your focused assessment includes taking the patient’s vital signs. Vital signs are in example of

Answer 14

Objective Daddo

Question 15

The ____ System is a method of drug administration in which most drugs are dispensed and single-dose containers for individual patient

Answer 15

Unit dose

Question 16

_____ Are usually kept as a stack supply in a locked drawer or automated cabinet and replaced as needed

Answer 16

Controlled drugs

Question 17

____ Is a process designed to avoid medication errors such as omission, duplication, dosing errors, or drug interactions that occur when a patient is admitted to a healthcare agency and then transferred from one department to another or then discharged home

Answer 17

Medication reconciliation

Question 18

The nursing process involves both ____&_____skills

Answer 18

Cognitive and psychomotor

Question 19

____Involves collecting data about patient characteristics known to affect drug therapy

Answer 19

Assessment

Question 20

_____ Drugs stimulate the parasympathetic nervous system in the same manner as acetylcholine

Answer 20

Cholinergic

Question 21

In normal neuromuscular function,_____ Is released from nerve endings and binds to___ Receptors and cell membranes of muscle cells to cause muscle contraction

Answer 21

Acetylcholine, nicotinic

Question 22

_____ Is an autoimmune disorder in which autoantibodies are thought to destroy nicotinic receptors for acetylcholine and skeletal muscle

Answer 22

Myasthenia gravis

Question 23

Alzheimer’s disease, the most common type of dementia in adults, is characterized by abnormalities in the ____, ____ , ____, and ____ Neurotransmission systems

Answer 23

Cholinergic, serotonergic, noradrenergic, and Glutamatergic

Question 24

Acetylcholine stimulates ___receptors in the gut to promote normal secreta Tori and motor activities

Answer 24

Cholinergic

Question 25

Synthetic derivative of choline

Answer 25

Bethanechol (Urecholine)

Question 26

The prototype anticholinesterase

Answer 26

Neostigmine

Question 27

Short acting: cholinergic drug used to diagnose myasthenia gravis

Answer 27

Edrophonium

Question 28

The only anticholinesterase capable of crossing the blood brain barrier

Answer 28

Physostigmine salicylate (Antilirium)

Question 29

Used to treat mild to moderate Alzheimer’s disease

Answer 29

Donepezil (Aricept)

Question 30

Cholinergic Drugs stimulate the____ nervous system in the same manner as____. Some drugs and directly to stimulate___ receptors; Others and indirectly by inhibiting the____ ___, Thereby slowing acetylcholine___at ___ ___ ___

Answer 30

Parasympathetic. Acetylcholine
Cholinergic; Enzyme acetylcholinesterase
Metabolism at autonomic nervous synapses

Question 31

In normal brain function, ____is an essential neurotransmitter and plays antiport role in ___functions, including storage ___and____&____

Answer 31

Acetylcholine. Cognitive Memory. Retrieval

Question 32

Acetylcholine stimulates cholinergic receptors in the ___ to promote normal___&___ Activity. (CONT NEXT CARD)

Answer 32

Gut. Secretory and motor

Question 33

Cholinergic stimulation results in increased ___&___ of the smooth muscle in ____to facilitate movement __&___

Answer 33

Peristalsis. Relaxation. Sphincters. Flatus and feces

Question 34

The secretory functions of the salivary and gastric glands are also stimulated by

Answer 34

Cholinergic

Question 35

Acetylcholine stimulates cholinergic receptors in the urinary system to promote normal___. This results in the contraction of the ____muscle and relaxation of the ___ To facilitate emptying the urinary bladder

Answer 35

Urination.

Detrusor. Sphincter

Question 36

___-Acting cholinergic drugs are____ Of choline.

Answer 36

Direct. Synthetic derivatives

Question 37

True or False. Some direct acting cholinergic drugs are___amines.
Water soluble
Negative charge

Answer 37

False, most
Quaternary
False, lipid insoluble
False, positive

Question 38

Because direct acting cholinergic drugs do not readily enter the ____system there effects occur primarily in the___

Answer 38

Central nervous system (CNS).

Periphery

Question 39

T or F
Direct acting cholinergic drugs are highly resistant to metabolism by Acetylcholinesterase.
The enzyme does not normally metabolize acetylcholine

Answer 39

True resistant to metabolism by acetylcholinesterase.

Faults enzyme normally metabolizes Acetylcholine:

Question 40

Myasthenia gravis Is an___ disorder in which ____are thought to destroy ____receptors for acetylcholine on ____muscle

Answer 40

Autoimmune. Autoantibodies. Nicotinic. Skeletal

Question 41

What is the result of my myasthenia gravis

Answer 41

Acetylcholine is less able to stimulate muscle contraction, and muscle weakness occurs

Question 42

What is used in the diagnosis and treatment of myasthenia gravis?
Name of drug

Answer 42

Anticholinesterase agent

Neostigmine (Prostigmin)

Question 43

Neostigmine, like ___, is a ___ amine And carries a ____charge. This reduces its ___solubility and results in ____absorption from the ___track

Answer 43

Bethanechol. Quaternary. Positive. Lipid. Poor GI

Question 44

Which doses of neostigmine are larger, oral or parental?

T or F. Long-term treatment of myasthenia gravis does not develop a resistance to neostigmine

Answer 44

Oral

F, larger doses may be required