Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

D3 & D4 > Exam #4 > Flashcards

Exam #4 Flashcards

1
Q

Components of a drug prescription order.

A

Patient’s full name, drug name, dosage, route, frequency, date & time written, doctor’s signature.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Types of orders.

A

Routine or scheduled, as needed (PRN), one time (X1), Stat, protocol orders.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

This type of order must indicate frequency and symptom or condition treating.

A

PRN.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

This order must be administered within 15 minutes.

A

Stat.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

These type of medications MUST be renewed to be continued.

A

Opiates, sedatives, antibiotics.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

This type of order provides certain medications that can be given under certain circumstances for emergency situations.

A

Protocol.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Abbreviation-to be given immediately.

A

Stat.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Abbreviation-before meals.

A

ac

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Abbreviation-twice a day.

A

bid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Abbreviation-four times a day.

A

qid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Abbreviation-three times a day.

A

tid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Abbreviation-hour.

A

H

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

This type of medication administration system provides a bunch of medications.

A

Supply stock

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

This type of medication administration system provides enough doses for several days.

A

Individual prescription system

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

This type of medication administration system provides drugs packed in individual doses for each patient.

A

Unit dose system

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What type of medications must be locked away?

A

Opiates, hypnotics.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What type of medications end in “Dipines?”

A

Calcium channel blockers (CCB)-to lower BP.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What type of medications end in “Statins?”

A

Antilipemics-to lowe cholesterol.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What type of medications end in “Olols, alols?”

A

Beta blockers (BB)-to lower BP & antianginal.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What type of medications end in “Prils?”

A

ACE inhibitors-to lower BP.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What does an anticoagulant do? Give examples.

A

keeps blood from clotting-heparin, coumadin.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What does an antiplatelet do? Give examples.

A

keeps platelets from clumping together-clopidogrel.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What does a diuretic do? Give examples.

A

increases urine output thereby decreasing edema-furosemide, bumetanide.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What does an antitussive do? Give examples.

A

relieve cough-codeine, dextromehtorphan.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

What does an anticholinergic do? Give examples.

A

reduce spasms and stomach secretions-propantheline.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

What does a cathartic do? Give examples.

A

promote bowel movements-bisacodyl, senna.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

What are factors affecting drug therapy?

A

Age (infants have lower tolerance due to organ immaturity), older adults (comorbidities, multi-pharmacy, decreased organ function, drug toxicity due to lower albumin levels, dehydration, limited finances, swallowing issues, non-compliance), weight (the less the patient weighs, the more concentrated the drug will be in tissue), route (skin, oral, SQ-slower absorption. respiratory-quick absorption. IV -most rapid. IM-aqueous is quicker than oil), polypharmacy, drug pharmacokinetics affect metabolism, distribution, excretion, absorption), drug onset, peak, duration, presence of food.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Highest drug concentration.

A

Peak

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Lowes drug concentration.

A

Trough

30
Q

When drug takes effect.

A

Onset.

31
Q

Reasons for medical errors.

A

Using unnaproved abbreviations, rushing during medication preparation, illegible handwritten drug prescriptions, wrong dosage, wrong calculations, drug or food interactions, drugs with similar names, lack of drug knowledge, wrong patient, allergies, not conducting 6 rights.

32
Q

What is and how many times are checks conducted prior to administering medications?

A

Right drug, dose, route, time-all checked at least three times.

33
Q

What are special considerations when administering oral medications?

A

Sitting up high, noting intake and output, drug interactions, swallowing ability.

34
Q

What do you do when administering a lotion medication?

A

Place cap upside down, pour lotion on applicator and apply, pat lightly, repeat until area is covered.

35
Q

What do you do when administering antiangina medication?

A

measure correct amount on paper measuring guide, do not rub, wipe off old dose, rotate sites, tape in place.

36
Q

What type of shot is used for TB?

A

Intradermal (ID)

37
Q

What gauge needle sizes and where is a TB shot given?

A

25, 27 , 29 gauge-forearm.

38
Q

What size needle is used for TB?

A

1/4-1/2 inch needle.

39
Q

How is the needle inserted for TB?

A

hold skin taut, bevel up at a 5-15 degree angle.

40
Q

What gauge needle sizes and where for SQ?

A

25-27 gauge-upper portion of outer arm, anterior surface of thigh, abdomen.

41
Q

What size needle is used for SQ?

A

3/8-1/2 inch for 27 gauge or 5/8 inch for 25 gauge.

42
Q

How is the needle inserted for SQ?

A

bunch up skin at a 45-90 degree angle. Angle is based on amount of tissue that can be pinched.

43
Q

What size needle for IM?

A

1-3 inches.

44
Q

How is needle inserted and where for IM?

A

at 90 degree angle at deltoid, ventrogluteal, vastus lateralis, rectus femoris.

45
Q

What are special considerations when administering IM in older adults?

A

may need shorter needle due to muscle atrophy, vastus lateralis and ventrogluteal sites are preferred.

46
Q

What is the Z-track injection used for?

A

to prevent leakage of injection into SQ tissue when giving an IM injection.

47
Q

What size needle is used for Z-track injections?

A

at least 1 1/2 inch needle and a second needle.

48
Q

How do you do the Z-track injection method?

A

with non-dominant hand, press side of hand down and retract skin to side, cleanse, and insert needle at a 90 degree angle, maintaining traction, slowly inject medication, wait 10 seconds before removing needle.

49
Q

What part of a syringe and needle must be kept sterile?

A

Needle shaft.

50
Q

What type of needle must be used when withdrawing medication from an ampule?

A

Sterile filtered needle.

51
Q

What must you ensure you do after withdrawing medication from an ampule or a vial?

A

Expel air bubbles.

52
Q

What do you do to multiple dose vials?

A

Label with date, time, initials of when it was opened and refrigerate.

53
Q

What is the purpose of an MDI spacer?

A

to ensure medication is delivered to bronchioles.

54
Q

How do you administer an MDI?

A

Shake medication canister, attach to spacer, advice patient to create a seal around mouthpiece with lips, exhale, depress canister, breathe in slowly, hold breath for 10 seconds, exhale through nose, wait at least 1 minute before repeating second dose if needed.

55
Q

What is the process for open mouth MDI technique?

A

bottom of canister pointing up, place mouthpiece 1-2 inches in front of mouth and depress canister as you inhale, hold breath for 10 seconds.

56
Q

What is the process for closed mouth MDI technique?

A

same as open mouth technique but create seal with lips.

57
Q

How long should you wait before inserting a vaginal suppository after a vaginal irrigation?

A

1 hour

58
Q

Process for vaginal creams?

A

insert applicator 2-4 inches, press plunger, remove applicator, remain recumbent for at least 10 minutes.

59
Q

What type of medications cannot be crushed or administered via an NG?

A

SL, buccal, enteric coated, SR, carcinogenic.

60
Q

What and how much do you mix when administering medications via an NG?

A

Mix medications with 30 mL warm water.

61
Q

When do you irrigate the NG?

A

Irrigate before administering medications with 30 mL water, give meds, follow with 15-30 mL after first medication, follow last medication with 30-60 mL water.

62
Q

How many mL can be safely injected into the ventrogluteal, vastus lateralis, and rectus femoris?

A

3 mL in adults and only 2 mL in older adults.

63
Q

What is the process when mixing insulins?

A

Check vial expiration dates, check color and appearance of insulin, mix by rotating vial in palm of hands, roll cloudy (long acting insulin) to mix contents, clean tops of vials with alcohol swabs, put air into syringe and inject into long acting insulin vial and repeat process in second vial, withdraw insulin from short acting insulin and then withdraw from long acting insulin (Do not let medications enter other vials).

64
Q

What are the six rights?

A

Right drug, dose, route, time, patient, documentation.

65
Q

What are nursing implications regarding medications?

A

Know what the drug is being used to treat, any allergies, any contraindications, VS, labs, side effects, onset, peak, duration, ability to take medication.

66
Q

Name given by company who produced medication.

A

Trade name.

67
Q

Alternate name not protected by trademark.

A

Generic name.

68
Q

Secondary effects of medications that may be undesirable or desirable.

A

Side effects.

69
Q

Secondary effects of medications that are undesirable with serious consequences.

A

Adverse effects.

70
Q

Drug calculations are very important in the age population?

A

Infants

D3 & D4 (4 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions