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

exam 2: chapter 30 (medication administration) Flashcards

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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
Q

more vascular, the greater the absorption

A

blood flow

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26
Q

__ passes more easily through cell membrane

A

lipid solubility

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27
Q

food may alter absorption; alter gi function

A

local conditions at admin site

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28
Q

loading dose

A

drug dosage

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29
Q

__ includes adequacy of circulation, protein building, and blood-brain barrier

A

distribution

30
Q

blood flow to tissues demonstrates __ in distribution

A

adequacy of circulation

31
Q

drug ability to leave the bloodstream and enter cells demonstrates __ in distribution

A

protein building

32
Q

many drugs cross the selectively permeable membrane demonstrates __ in distribution

A

blood-brain barrier

33
Q

the __ is the primary site of metabolism

A

liver

34
Q

if liver function is DECREASED, then its __ drugs DECREASES

A

ability to metabolize

35
Q

__ the removal of drug or its metabolites

A

excretion

36
Q

the __ excrete the most drugs through urine

A

kidneys

37
Q

the __ excrete gaseous substances

A

lungs

38
Q

developmental considerations, weight, gender, genetic and cultural factors, psychological factors, pathology, environment, and time of admin are all __

A

factors affecting drug actions

39
Q

therapeutic range, peak levels, trough level, and half-life are included in __ and __

A

drug dose; serum levels

40
Q

concentration of drug in blood serum that produces desired effect without causing toxicity is called __

A

therapeutic levels

41
Q

highest plasma level is called the __

A

peak level

42
Q

drug is at the lowest concentration, indicating rate of elimination is called __

A

trough level

43
Q

the amount of time it takes for 50% of blood concentration of a drug to be eliminated from the body is called __

A

half life

44
Q

__, __, __, and __ are the 4 types of med orders

A

standing order; prn order; single/one-time order; stat order

45
Q

order carried out until cancelled by another order

A

standing order

46
Q

as needed order

A

prn

47
Q

order carried out immediately

A

stat order

48
Q

parts of a med order include: __, __, __, __, __, __, and __

A

patient’s name; date & time; name of drug; dose; route; frequency; signature of person writing order

49
Q

__, __, and __ are the routes of administration

A

oral; parenteral; topical

50
Q

most common route of admin: enteral (enteral tube), sublingual (under tongue), buccal (btwn cheek & gum)

A

oral

51
Q

route of admin that includes IV, SQ, ID, IO, etc

A

parenteral

52
Q

route of admin that includes the skin, vaginal, and rectal skin/mucous membranes

A

topical

53
Q

most policy requires meds to be given within __ before or after ordered time

A

30 mins

54
Q

the 3 checks of med admin

A

remove from drawer, placing in med cup, at bedside

55
Q

what are 5 other rights of med admin?

A

assessment data, documentation, education, refusal, and response

56
Q

controlled substances are __, __, __, and __

A

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
Q

you need to know __, __, __, __, __, __, __, and __ for med prep

A

what type of med; purpose of med; dose; route, relevant labs; clinical assessment; expected clinical response and nursing implications; patient teaching

58
Q

the 6 steps in administering meds are __, __, __, __, __, and __

A

identify pt; explain what you are giving and the side effects; admin med; pt takes med; document drug administered; evaluate pt response

59
Q

pt is on precautions, gown is worn, med affected by you or can affect you are reasons why you should __ for oral admin

A

wear gloves

60
Q

__ has the longest absorption time of all parenteral routes

A

intradermal injection

61
Q

you should avoid 2” near umbilicus or belt line with __

A

heparin

62
Q

injected at a 90 degree angle and you should not expel air from the prefilled syringe for this drug

A

lovenox

63
Q

client looks up, aim for lower conjunctival sac, don’t touch eye for this med

A

eye drops

64
Q

__ suppositories are taken in the lithotomy position for 5-10 mins

A

vaginal

65
Q

__ suppositories are taken in the sims position for 5 - 30 mins and may have systemic effects

A

rectal

66
Q

diagnostic test/procedures, need changes, allergy discovered are examples of __

A

intentional omissions

67
Q

this is considered a medication error

A

unintentional

68
Q

you must determine reason, report immediately if essential to therapy, and document why and who was contacted for this situation

A

refusal

69
Q

next steps for med errors include: __, __, __, and __

A

check pt’s condition; notify nurse manager and pcp; write description; complete form

70
Q

three checks, correct pt identification, pharmacists on clinical units, and med reconciliation are __

A

strategies to reduce errors

fundamentals of nursing (17 decks)

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