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fundamentals of nursing > exam 2: chapter 30 (medication administration) > Flashcards

exam 2: chapter 30 (medication administration) Flashcards

1
Q

__, __, and __ prescribe medications

A

physicians; nurse practitioners; physician assistants

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2
Q

__ dispense medications

A

pharmacists

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3
Q

__ administer medications

A

nurses

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4
Q

__ is assigned by the manufacturer that FIRST develops the drug

A

generic name

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5
Q

__ is the brand name copyrighted by the company that sells the drug

A

trade name

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6
Q

__, __, and __ are the 3 drug preparations

A

oral; topical; injectable

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7
Q

__, __, __, __, __, and __ are ORAL drugs

A

capsule; tablet; enteric-coated tablets; extended release; elixir; suspension

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8
Q

powder or gel form in a gelatinous container

A

capsule

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9
Q

small, solid dose of med (any color, shape, size)

A

tablet

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10
Q

coated that is insoluble in gastric acids to reduce gastric irritation by the drug

A

enteric-coated tablets

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11
Q

allows for slow and continuous release over a predetermined period

A

extended release

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12
Q

med in a CLEAR liquid containing water, alcohol, sweeteners, and flavor

A

elixir

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13
Q

finely divided, undissolved particles in a liquid medium; should be shaken before use

A

suspension

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14
Q

ointment, suppository, and transdermal patch are __

A

topical drugs

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15
Q

semisolid preparation applied externally

A

ointment

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16
Q

easily melted med in a firm base that is inserted into body (rectum, vagina, urethra)

A

suppository

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17
Q

unit dose of med applied directly to skin for diffusion through skin and absorption into bloodstream

A

transdermal patch

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18
Q

__, __, and __ are injectable preparations

A

subcutaneous; intramuscular; intradermal

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19
Q

difference between pharmacodynamics vs pharmacokinetics

A

pharmacodynamics: what drug does to body
pharmacokinetics: what body does to drug

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20
Q

the body __, __, __, and __ a drug in pharmakinetics

A

absorbs; distributes; metabolizes; excretes

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21
Q

route, blood flow, lipid solubility, pH, local conditions at the site of administration, and drug dosage are __ in pharmacokinetics

A

absorption

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22
Q

__ is the slowest

A

oral

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23
Q

__ are quickly absorbed

A

injected drugs

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24
Q

__ are delivers over 24-82 hrs

A

topical

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25
more vascular, the greater the absorption
blood flow
26
__ passes more easily through cell membrane
lipid solubility
27
food may alter absorption; alter gi function
local conditions at admin site
28
loading dose
drug dosage
29
__ includes adequacy of circulation, protein building, and blood-brain barrier
distribution
30
blood flow to tissues demonstrates __ in distribution
adequacy of circulation
31
drug ability to leave the bloodstream and enter cells demonstrates __ in distribution
protein building
32
many drugs cross the selectively permeable membrane demonstrates __ in distribution
blood-brain barrier
33
the __ is the primary site of metabolism
liver
34
if liver function is DECREASED, then its __ drugs DECREASES
ability to metabolize
35
__ the removal of drug or its metabolites
excretion
36
the __ excrete the most drugs through urine
kidneys
37
the __ excrete gaseous substances
lungs
38
developmental considerations, weight, gender, genetic and cultural factors, psychological factors, pathology, environment, and time of admin are all __
factors affecting drug actions
39
therapeutic range, peak levels, trough level, and half-life are included in __ and __
drug dose; serum levels
40
concentration of drug in blood serum that produces desired effect without causing toxicity is called __
therapeutic levels
41
highest plasma level is called the __
peak level
42
drug is at the lowest concentration, indicating rate of elimination is called __
trough level
43
the amount of time it takes for 50% of blood concentration of a drug to be eliminated from the body is called __
half life
44
__, __, __, and __ are the 4 types of med orders
standing order; prn order; single/one-time order; stat order
45
order carried out until cancelled by another order
standing order
46
as needed order
prn
47
order carried out immediately
stat order
48
parts of a med order include: __, __, __, __, __, __, and __
patient's name; date & time; name of drug; dose; route; frequency; signature of person writing order
49
__, __, and __ are the routes of administration
oral; parenteral; topical
50
most common route of admin: enteral (enteral tube), sublingual (under tongue), buccal (btwn cheek & gum)
oral
51
route of admin that includes IV, SQ, ID, IO, etc
parenteral
52
route of admin that includes the skin, vaginal, and rectal skin/mucous membranes
topical
53
most policy requires meds to be given within __ before or after ordered time
30 mins
54
the 3 checks of med admin
remove from drawer, placing in med cup, at bedside
55
what are 5 other rights of med admin?
assessment data, documentation, education, refusal, and response
56
controlled substances are __, __, __, and __
kept in a locked location; tracked; reconciliation done on regular schedule per agency policy; any narcotic not administered must be discarded with another nurse who witnesses the wastes and signs for it
57
you need to know __, __, __, __, __, __, __, and __ for med prep
what type of med; purpose of med; dose; route, relevant labs; clinical assessment; expected clinical response and nursing implications; patient teaching
58
the 6 steps in administering meds are __, __, __, __, __, and __
identify pt; explain what you are giving and the side effects; admin med; pt takes med; document drug administered; evaluate pt response
59
pt is on precautions, gown is worn, med affected by you or can affect you are reasons why you should __ for oral admin
wear gloves
60
__ has the longest absorption time of all parenteral routes
intradermal injection
61
you should avoid 2" near umbilicus or belt line with __
heparin
62
injected at a 90 degree angle and you should not expel air from the prefilled syringe for this drug
lovenox
63
client looks up, aim for lower conjunctival sac, don't touch eye for this med
eye drops
64
__ suppositories are taken in the lithotomy position for 5-10 mins
vaginal
65
__ suppositories are taken in the sims position for 5 - 30 mins and may have systemic effects
rectal
66
diagnostic test/procedures, need changes, allergy discovered are examples of __
intentional omissions
67
this is considered a medication error
unintentional
68
you must determine reason, report immediately if essential to therapy, and document why and who was contacted for this situation
refusal
69
next steps for med errors include: __, __, __, and __
check pt's condition; notify nurse manager and pcp; write description; complete form
70
three checks, correct pt identification, pharmacists on clinical units, and med reconciliation are __
strategies to reduce errors

fundamentals of nursing (17 decks)

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