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Nur 216 > Chapter 35 > Flashcards

Chapter 35 Flashcards

1
Q

Substance administered for the diagnosis, cure, treatment or relief of a symptom of for the prevention of disease

A

Medication

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2
Q

Written direction for the preparation and administration of a drug

A

Prescription

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3
Q

Name assigned by the United States Adopted Names Council and is used throughout the drug’s lifetime.

A

Generic Name

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4
Q

The given name by the drug manufacturer and identifies it as property of that company. Sometimes called the brand name.

A

Trade Name

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5
Q

The name under which a drug is listed in one of the official publications

A

Official Name

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6
Q

Name by which a chemist knows it; this name describes the constituents of the drug precisely

A

Chemical Name

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7
Q

Study of the effects of drugs on living organisms

A

Pharmacology

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8
Q

The art of preparing, compounding and dispensing drugs

A

Pharmacy

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9
Q

The licensed ___________ prepares, makes and dispenses drugs as order by the physician, dentist, nurse practitioner or physician assistant.

A

Pharmacist

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10
Q

Book containing a list of products used in medicine, with descriptions of the product, chemical test for determining identity and purity, and formulas and prescriptions.

A

Pharmacopoeia

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11
Q

The primary effect intended, that is, the reason the drug is prescribed

A

Therapeutic effect / desired effect

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12
Q

A secondary effect of a drug is one that is unintended

A

Side effect

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13
Q

__________ __________ results from overdosage, ingestion of a drug intended for external use, or buildup of the drug in the blood because of imparted metabolism or excretion.

A

Drug toxicity

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14
Q

Immunologic reaction to a drug

A

Drug allergy

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15
Q

A severe allergic reaction usually occurs immediately after the administration of the drug

A

Anaphylactic reaction

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16
Q

Ture or False An allergic reaction can occur anytime from a few minutes to 2 weeks after the administration of the drug

A

True

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17
Q

________ _________ exist in a person who has unusually low physiological response to a rug and who requires increases in the dosage to maintain a given therapeutic effect.

A

Drug Tolerance

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18
Q

True or False Drugs that commonly produce tolerance are opiates, barbiturates and ethyl alcohol

A

True

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19
Q

The __________ effect is the increasing response to repeated doses of drug that occurs when the rate of administration exceeds the rate of metabolism or excretion

A

Cumulative

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20
Q

An ___________ effect is one that is unexpected and may be individual to the client.

A

Idiosyncratic

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21
Q

Occurs when the administration of one drug before, at the same time as, or after another drug alters the effect of one or both drugs

A

Drug interaction

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22
Q

A _________ effect occurs when two different drugs increase the action of one or another drug.

A

Synergistic

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23
Q

Disease caused unintentionally by medical therapy

A

Iatrogenic disease

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24
Q

The improper use of common medications in ways that lead to acute and chronic toxicity

A

Drug misuse

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25
Q

True or False Only prescription drugs may be misused

A

False, both OTC and prescription drugs may be misused

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26
Q

An inappropriate intake of a substance, either continually or periodically

A

Drug Abuse

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27
Q

A person’s reliance on or need to take a drug or substance

A

Drug Dependence

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28
Q

True or False Drug abuse has two main facets

A

True, drug dependence and habituation

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29
Q

____________ dependence is due to biochemical changes in body tissues, especially the nervous system

A

Physiological

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30
Q

True or False A dependent person who stops taking a drug experiences withdrawal symptoms

A

True

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31
Q

___________ dependence is emotional reliance on a drug to maintain a sense of welling being.

A

Psychological

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32
Q

_________ _________ denotes a mild form of psychological dependence

A

Drug habituation

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33
Q

The drug’s specific target

A

Receptor

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34
Q

True or False When a drug produces the same type of response as the physiological or endogenous substance, it is referred to as a agonist

A

True

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35
Q

A drug that inhibits cell function by occupying receptor sites

A

Antagonist

36
Q

The study of absorption, distribution, biotransformation and excretion of a drug

A

Pharmacokinetics

37
Q

The process by which a drug passes into the bloodstream

A

Absorption

38
Q

True or False A drug administered intravenously is immediately in the vascular system without having to be absorbed

A

True

39
Q

The transportation of a drug from its site of absorption to its site of action

A

Distribution

40
Q

True or False When a drug enters the bloodstream, it is carried to the most vascular organs, the heart, liver and kidneys

A

False, the liver, kidneys and brain

41
Q

The process by which a drug is converted to a less active form

A

Biotransformation

42
Q

True or False Biotransformation can also be called detoxification or metabolism

A

True

43
Q

The process by which drug metabolites are eliminated from the body

A

Excretion

44
Q

True or False Most drug metabolites are eliminated by the liver

A

False, the kidneys in the urine

45
Q

A clients response to a drug is influenced by genetic variations such as gender, size and body composition

A

Pharmacogenetics

46
Q

The study of the effect of racial and ethnic differences / responses to prescribed medication

A

Ethnopharmacology

47
Q

True or False A client’s expectations about a drugs effects can affect the response to the medication

A

True

48
Q

Administration of a drug that is placed under the tongue

A

Sublingual

49
Q

Administration of a drug that is held in the mouth against the mucous membranes of the cheek

A

Buccal

50
Q

Administration of a drug into the subcutaneous tissue

A

Subcutaneous / hypodermic

51
Q

Administration of a drug into a muscle

A

Intramuscular

52
Q

Administration of a drug under the epidermis

A

Intradermal

53
Q

Administration of a drug into a vein

A

Intravenous

54
Q

_____ order indicates that the medication is to be given immediately and only once

A

Stat

55
Q

______ order is for medication given once at a specified time

A

Single

56
Q

______ order may or may not have a termination date

A

Standing

57
Q

______ order permits the nurse to give a medication when the client requires it; referred to as an as-needed order

A

Prn

58
Q

True or False The nurse should assess a client’s health status and obtain a medication history prior to giving any medications

A

True

59
Q

True or False A medication history information about the prescription medications the client is currently taking or has taken recently.

A

False, a medication history includes prescription medications, Over-The-Counter (OTC) medications and non sanctioned drugs (e.g. marijuana).

60
Q

The process of creating the most accurate list possible of all medications a patient is taking

A

Medication reconciliation

61
Q

Identifying the client; Informing the client; Administering the drug; Providing adjunctive interventions as indicated; Record the drugs administered; Evaluating the client’s response to the drug

A

Process of Administering Medications

62
Q

The ______ route is the most common route by which medications are given

A

Oral

63
Q

True or False The administration of oral drugs in an acute care setting can be delegated to unlicensed assistive personnel

A

False

64
Q

A _________ tube is inserted by way of the nasopharynx and is placed into the client’s stomach for the purpose of feeding the client

A

Nasogastric

65
Q

A _________ tube is surgically placed into the stomach and provides another route for administering drugs and food

A

Gastrostomy

66
Q

What are the three parts of the syringe?

A

Tip, barrel and plunger

67
Q

This type of syringe comes in 3 and 5 ml sizes

A

Hypodermic

68
Q

True or False Syringes range in size from 1 to 50 ml

A

False 1 to 60 ml

69
Q

The ___________ syringe was originally designed to administer tuberculin solution

A

Tuberculin

70
Q

What are the three parts of a needle?

A

Hub, shaft and bevel

71
Q

_______ bevels are used for subcutaneous and intramuscular injections; _______ bevels are used for intradermal and Intravenous injections

A

Longer; short

72
Q

The shaft length of commonly used needles varies from ____ to ____ inches

A

1/2; 2

73
Q

The gauge varies from _______ to _______

A

18; 30

74
Q

Glass container usually designed to hold a single dose of a drug

A

Ampule

75
Q

Small glass bottle with a deal rubber cap

A

Vial

76
Q

Technique of adding a diluent to a powdered drug to prepare it for administration

A

Reconstitution

77
Q

True or False Preparing medications from ampules cannot be delegated to UAP’s

A

True

78
Q

True or False Preparing medications from vials can be delegated to UAP’s

A

False

79
Q

Injection method most frequently used for allergy testing and TB screening; Common sites are lower arm, upper chest and back beneath the scapulae

A

Intradermal

80
Q

Injection method used to administer vaccines, insulin and heparin; common sites include upper arms and anterior thigh

A

Subcutaneous

81
Q

Injection method into the muscle; usually 3 to 5 ml, 1.5 inch long syringe with a gauge of 21 or 22

A

Intramuscular

82
Q

Route of absorption through the skin

A

Percutaneous

83
Q

Type of topical / dermatologic medication delivery system

A

Transdermal patch

84
Q

Medications for the eye

A

Ophthalmic

85
Q

Washing out of a cavity by a water stream or other fluid that may or may not be medicated

A

Irrigation / Lavage

Nur 216 (10 decks)

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