Med Admin 2+3 2.0

Question 1

An order for a drug to be given as needed based on a nurse’s judgement of safety and patient needed

Answer 1

as needed or “PRN” drug order

Question 2

A special designation from the FDA that the drug has a higher-than-normal risk for causing serious and even life threatening problems in addition to its positive benefits for some people

Answer 2

black box warning

Question 3

drugs that are highly regulated because they are commonly abused. Also known as “scheduled drugs”

Answer 3

controlled substances

Question 4

A one-time drug order to be given immediately

Answer 4

emergency or “stat” drug order

Question 5

drugs that have the potential to cause significant harm to patients

Answer 5

high-alert drugs

Question 6

the nurse’s authority as defined by the state nurse practice act. it involves the nurse’s judgment and actions while performing professional duties. All nurses must know what is legal in regard to drugs in the state they practice in

Answer 6

legal responsibility

Question 7

the state law that licenses LPN, RN, nurse anesthetists, nurse practitioners, and nurse midwives. It describes the minimal educational preparation and professional requirements needed to perform specific functions, including drug administration, to protect the public safety

Answer 7

nurse practice act

Question 8

category of drugs identified by federal legislation as having low risk to patients and may be purchased without prescription; have low risk for abuse; and are safe when directions are followed

Answer 8

over-the-counter (OTC) drugs

Question 9

the actual physical symptoms that occur with drug withdrawal

Answer 9

physical dependence

Question 10

category of drugs regulated by federal legislation because they are dangerous and their use must be controlled; may be purchased only when prescribed. Examples are antibiotics or oral birth control pills

Answer 10

prescription drugs

Question 11

the authority designated by an individual state that determines who is legally permitted to write an order or prescription for drugs

Answer 11

prescriptive authority

Question 12

The obligation of nurses to act appropriately, ethically, and to the best of their ability as a healthcare provider

Answer 12

professional responsibility

Question 13

feeling of anxiety, stress, or tension when a patient does not have a medication

Answer 13

psychologic dependence

Question 14

a one-time order to be given at a specified time

Answer 14

single drug order

Question 15

a drug order that indicates that the drug is to be given until discontinued or for a certain number of doses

Answer 15

standing drug order

Question 16

Drugs enter the body and pass into the circulation to reach the part of the body it needs to affect through the processes of diffusion, osmosis, and filtration

Answer 16

absorption

Question 17

when two drugs are given together and either make one drug stronger or make the action of the two drugs more powerful

Answer 17

additive effect

Question 18

severe symptoms or problems that can cause great harm

Answer 18

adverse reaction

Question 19

drugs that work by activating or unlocking cell receptors causing the same actions as the body’s own chemicals

Answer 19

agonist

Question 20

an antigen-antibody response that can cause hives, rashes, itching, or swelling

Answer 20

allergy

Question 21

a severe life-threatening form of an allergic reaction

Answer 21

anaphylactic reaction

Question 22

drugs that attach at a drug receptor site but do not activate or unlock the receptor

Answer 22

antagonist

Question 23

drug products that are chemically the same or identical

Answer 23

bioequivalent

Question 24

the transformation or altering of a drug into either active or inactive chemicals after it has been absorbed

Answer 24

biotransformation

Question 25

the proprietary name that a manufacturer gives to a specific drug. Also known as a trade name

Answer 25

brand name

Question 26

Drug placement against the cheek

Answer 26

buccal

Question 27

the names of the chemicals that actually form the drug

Answer 27

chemical name

Question 28

the drug does what it is supposed to do

Answer 28

desired action

Question 29

movement of a drug in the body to reach its site of action by way of the blood and lymph system

Answer 29

distribution

Question 30

when one drug changes the action of another drug

Answer 30

drug interaction

Question 31

giving a drug by way of the gastrointestinal system; oral, feeding tube, sublingual, and rectally

Answer 31

enteral (route)

Question 32

After they are consumed, drugs are inactivated in the liver before being distributed to other parts of the body

Answer 32

first-pass (effect)

Question 33

the most common drug name used by the manufacturer in all countries.

Answer 33

generic name

Question 34

the time it takes the body to remove 50% of the drug from the body

Answer 34

half-life

Question 35

adverse drug effects that can result in liver damage

Answer 35

hepatotoxic

Question 36

an exaggerated response to a drug. an allergy is an example

Answer 36

hypersensitivity response

Question 37

responses to a drug that are peculiar and unpredicted

Answer 37

idiosyncratic response

Question 38

giving a drug by the way of an injection deep into the muscle

Answer 38

intramuscular (IM)

Question 39

giving a drug by the way of an injection into a vein or giving the drug into tubing that is connected to a catheter that is inserted into a vein

Answer 39

intravenous (IV)

Question 40

adverse drug effects that can result in kidney damage

Answer 40

nephrotoxic

Question 41

giving a drug by way of an injection or an infusion underneath the skin

Answer 41

parenteral (route)

Question 42

drugs that attach to the receptor site but produce only a partial effect rather than a full effect

Answer 42

partial agonist

Question 43

giving a drug by way of absorption through the skin. Topical creams, patches, or devices under the skin are common examples

Answer 43

percutaneous (route)

Question 44

the effects of a drug on body function (what a drug does to the body)

Answer 44

pharmacodynamics

Question 45

the metabolism of a drug within the body (what the body does to a drug)

Answer 45

pharmacokinetics

Question 46

the use of drugs in the treatment of disease

Answer 46

pharmacotherapeutics

Question 47

drugs that must be metabolized before they are active

Answer 47

prodrug

Question 48

Small "lock-like" areas of cell membranes that control what substances either enter the cell or change its activity

Answer 48

receptor site

Question 49

mild but annoying responses to the drug. Nausea and headache are examples

Answer 49

side effect

Question 50

the ability of a drug to dissolve in body fluids

Answer 50

solubility

Question 51

drug placement into fatty tissue

Answer 51

subcutaneous

Question 52

drug placement under the tounge

Answer 52

sublingual

Question 53

the effect of two drugs taken at the same time is greater than the sum of the effects of each drug given alone

Answer 53

synergistic effect

Question 54

the proprietary name that a manufacturer gives to a specific drug. Also known as a brand name

Answer 54

trade name

Question 55

What does a legal prescription order contain? (7)

Answer 55

``` #1 date #2 name of drug #3 route of administration #4 dose #5 frequency #6 duration #7 signature of prescriber ```

Question 56

What is PINCH?

Answer 56

``` P is for potassium I is for insulin N is for narcotics C is for cancer chemotherapy drugs H is for heparin or any drug that interferes with blood clotting ```

Question 57

Action a nurse need to take to waste a controlled substance?

Answer 57

two nurses must sign the inventory report and describe the situation

Question 58

Fastest route?

Answer 58

intravenous/inhalation

Question 59

Is the tendency of the molecules of a substance (gas, liquid, or solid) to move from a region of high concentration to one of lower concentration

Answer 59

diffusion

Question 60

is the diffusion of fluid through a semipermeable membrane; the flow is primarily from the thicker or more concentrated solution to the thinner or less concentrated solution

Answer 60

osmosis

Question 61

is the passage of a substance through a filter or through a material that prevents passage of certain molecules

Answer 61

filtration

Question 62

About liver disease impairing biotransformation of medication

Answer 62

liver disease may impair the transformation of the inactive form of the prodrug into an active form of the drug

Question 63

About the affects of grapefruit juice and the absorption of many drugs

Answer 63

grapefruit juice affects (usually reduces) the absorption