olympics 1 Flashcards by miguel garcia

the. use is reviewing medication errors which situation is an example of a mediaction error

a patient received a double dose cause its not cut in half

How well did you know this?

Not at all

Perfectly

the nurse is administering medication to a patient who is in renal failure resulting from end stage renal disease. the nurse is aware that patients with kidney failure what pharmacokinetic phase would occur

excretion

How well did you know this?

Not at all

Perfectly

which is the name undue which a drug is listed by the U.s Food and drug administration (FDA)

official

How well did you know this?

Not at all

Perfectly

what do drug blood levels indicate

they determine if he amount of drug in the body is in a theraputetic range

How well did you know this?

Not at all

Perfectly

before giving a drug to patient which steps should you take to ensure safe drug administration (SADA)

2 forms of identiafcation
ask patient drug allergies
check drug before moving it Fromm dosage cart
check the dose and check the drug

How well did you know this?

Not at all

Perfectly

what some will the trough blood level to be drawn if the nurseadmisinsteres the intravenous medication dose at 9AM

8;30

How well did you know this?

Not at all

Perfectly

digoxin Is in a 0.125mcg convert to MCG

125

How well did you know this?

Not at all

Perfectly

which factor affect drug action ( SADA)

age , body weight , metabolic rate illness

How well did you know this?

Not at all

Perfectly

the nurse transcribes an order to administer valium 10mg iv stat this order is interpreted by the nurse to mean it should be a provided how ( SADA)

immediately , one time only , intravenously

How well did you know this?

Not at all

Perfectly

which factor in a patient would influence GI absorption of medications (SADA)

stomach Pg, , Blood flow to gastic mucosa

How well did you know this?

Not at all

Perfectly

which medication route provides the moist rapid onset of a medication , but also poses the greatest risk to adverse effects

Intravenous ( IV)

How well did you know this?

Not at all

Perfectly

the nurse is administering lomotil a schedule V drug which statement is true about this drug classification

abuse potential for this drug is low

How well did you know this?

Not at all

Perfectly

the nurse is preparing to care foe a patient who will be taking to antihypertensive medication which action by the nurse is part of assent step of nursing process

question the patient about over the counter medication

How well did you know this?

Not at all

Perfectly

the nurse administer 50 mg at 6 am that has half life of 8 hours what time will it be when 25 mg of the drug has been eliminated from the body

2pm

How well did you know this?

Not at all

Perfectly

you are caring for a patient with liver failure who will be Starting on anticoagulant for the treatment of deep vein thrombosis what effect will prolly happen

the anticoagulant will be prolonged and pose a risk for bleeding

How well did you know this?

Not at all

Perfectly

Patient has a head ache and need otc meds which form will work the fastest

A powder

How well did you know this?

Not at all

Perfectly

the nurse recognizes that which factor would contribute to digoxin toxicity in a 92 year old patient ( SADA_

prolonged half life go the drug digoxin , improved renal function

How well did you know this?

Not at all

Perfectly

a drug dose 800mg has a half life of 5 hours identify how much drug will remain in the body after one life

400 mg

How well did you know this?

Not at all

Perfectly

whichh action owill the nurse take if a dosage is unclear on a health care patient order

contact the health care provider to clarify the correct dosage

How well did you know this?

Not at all

Perfectly

what information should be included in the teaching plan for a young woman who has to begun on a 10 day course of orlaal antibiotics therapy for an infection

antibiotics interact with birth control ills making them less effective

How well did you know this?

Not at all

Perfectly

which is the best description of when drug interactions occur

on the alteration of the effect of one dry by another drug

How well did you know this?

Not at all

Perfectly

the nurse has been mo tiring the patient progress on a new drug regimen sine the first dose and documenting at the patient therapeutic response to the medication . which phase of the nursing process do these actions illustrate

evaluation

How well did you know this?

Not at all

Perfectly

when administering drugs the nurse remembers that the duration of a action drugg is defined as which of these

the time period at which drug concretion is sufficient to cause therapeutic response

How well did you know this?

Not at all

Perfectly

convert 75 mcg into milligram strength dont round

0.075mg

How well did you know this?

Not at all

Perfectly

which of the following nursing actions is an example of evaluating patient response to drug therapy

taking the temperature of a patient an hour after giving an antipyretic

6 routes of med adminstertion

right drug , right route , right dose , right time ,right patient

which of th following routes of excretion of drug metabolites from the body (SADA)

feces ,urine, breast milk

a nurse is giving an enteral medication the patient ask why this method is preferable for this how will the use apply

this route is safer less expensive nd more conveint

when taking a telephone order for medication which action by the nurse is most approbate

repeat the order to prescriber before having up the telephone

the nurse is adminseting parental drugs which statement is true regarding parental drugs

parental drugs bypass the first effect

the nurse asses who blood level to determine the mount of circulating medication in a patient drug

drug

when obtain a patient health history which assent data would the nurse identify as having th e most effect on the drug metabolism

history of liver disease

a patient has been raving IV penicillin for pneumonia for sevrel Fays and begins to complain of general itching the nurse auscaltitates bilateral wheezing and notes a temperature of 38.5 degrees which is the correct action by the nurse

hold the next dose and notify the prescriber of the symptoms

when given a schedules morning medication th patient states" haven't seen the pill before

"let me check the on the order first before you take it

the nursing assessment identifies that the client is nauseated and can not Tylenol orally which is regarding the substation of this medication to suppository form

it is contradicted without an order from the health are provider

you have given the antibiotic penicillin as presribed to a patient with no reported drug allergies thirty minutes after receive the drug the patent notified you that he .she has developed swelling of the lips what is your best first action

report the finding to the RN or health care provider and remain with patient

the nurse will be injecting a drug into the superficial skin layers immedicalty underneath the epidermal layer of skin which route does this describe

intradermal

a patent tells the nurse that the has been presveube has caused a lot of stomach discomfort in the past what will the nurse ask the prescriber wh

whether an enterc coated for of the drug is available

which statement s true about the OTC drug

they are sold without a prescription

when would it be appropriate to withhold a drug instead of giving it oi a patient

when any part of the drug order is unclear

what is the proccess by which molecule move from a region of higher conception to one lower concentration

diffusion

the nurse planning patient teaching regarding drug names would include which statement (SADA)

the official name is the name under which listed by the FDA , Brand names are waste rot pronounce spell and remember , the first letter of the generic name is not capitalized

a patient receives a drug that has a narrow therapeutic range the nurse administering this medication will expect to do what

monitor plasma drug lvls

a nurse is preparing ti administer medication which patient would the nurse consider to have predisposition to an adverse reaction

a 30 year old man with kidney disease

the patient is to receive oral guaigensins ( mucinex) twice a day today the nurse was busy and gave medication 2 hours after the scheduled dose was due what type of problem does this represent

right time

the nurse assess hives in a patientt started on a new medication what is the nurse prior action

notifyy physical of allergic reaction

which lab test ouch be used to asses liver and or renal function before adminseting medication (SATA)

LDH,ADH,CR,BUN

the mediation order reads " give ondansetron (zofran 4mg 20 minutes before begging a check therapy to prevent nausea " he nurse notes that the route is missing from the order what is the nurses best action

contact the prescriber to clarify the route of the medication order

metering dermal is a narcotic whither high potential fir a physical drug dependency under which classification does drug approach fall

an adult male patient is 1 dY Post operative from a total hip replacement on a pain Cale 1-10 what meds should e give em

6 mg morphine sulfate intravenously

what would the FDA to expired drug development and approval for an outbreak of smallpox for which there is no know treatment t

fast track the inverstigonal drug

when reviewing pediatric medicainon adminstrition the nurse recognizes that which type of medication error is most common with children

dosing errors

the nurse is teaching an elderly patient with difficulty swallowing about his medication which explanation which explanation by the nurse is the most help full

tablets that are scored can be broken half

a 62 year old patient with liver diesel asks you why he is receiving intravenously rather than by out what is your best response

your liver disease impair the transofmariton of a drug into its active form

what drugs can cause birth defects

tetraogens

the patient is experience chest pain and needs o take a sublingual form of nitroglycerin where does the nurse instruct the patient to place

under the tongue

a patient claims to get better effects with a. tablet of brand X of a drug than with a tablet of brand Y both brands content he same amount of active ingredient what does the nurse know to be most likely

tablets can differ In composition and can have differing rates of disintegration and dissolution which can alter the drug effect sin the body

a patient who is beggingng a new cholsetrol lowering drug tells you he wants to drink grapefruit

taking grapefruit juice can reduce the effective ness of the drug

you are about to give the prescribed drugs to a patient in your care when you approach the [atient with the drugs the patient refuses to take one of the drugs. best action to take

notify the charge nurse or provider

which is an example o an interdependent nursing action

administer demerol 50mg IM every 4 hours PRN

after giving instructions to an expectant mother about taking medication during pregnancy which patient statement indicated the need for further teaching

I will limit my alcohol intake to only one glass of wine weekly

a patient is given a prescription for Zithromax and ask the nurse why its 2x the amount then the next. what's the correct response

a large initial dose helps to get the drug to optima levels in the body faster

the nurse is administering to antibiotic IM which blood level determines the lowest amount of medication present in patient

trough

the nurse is reviewing pharmacolgy terms for group of newly p grad nurses which statement defines a drugs half life

the time it takes for one half of the original amount of a drug to be removed froimt eh body

what is he process by which drug is transported by circulating body fluid to the receptor sites

distrubiton

which drug route would you expect to be the most rapidly absorbed

intravenous injection

the nose can prevent medication errors by flowing which principles (SATA)

Use two patient identified before giving medicating always following the right of medication adminstertion minimize the use of verbal and telephone orders

the patient 400mg of an oral drug at noon this drug has ah alf life of 2 h at what time will 100 mg remain

which action will the nurse take when it is determined that the narcotic count is incorrect while boating a medication from the narcotic area

report the discrenspancy to the charge nurse

the nurse is reviewing a list of verbal medication order which is the nurse notation of the dose of the drug ordered

levothryoxine 0.75 mg

what will the nurse need to determine first in fort to mic two drugs in the same syringe

compatibly of drugs

what is the primary purpose of the nursing assessment

exploring the patient responses to health problems

which route enables drug absorption more rapidly that the subsetroute

IV route IM route , INhaleationsublingual

the nurse determines that a presrcinves medication has not been administered as ordered on the previous shift what will the nurse do

complete an incident report

duringa period of time when the coupitirxed medication order system was down the prescribe wrote admission and the nurse is transcribing them the nurse can't read what it says what should it. mean

contact the prescriber to clarify the order

which statements about variables hat influence drug action is.are true

body weight can affect the theraptuci response od a medication., chronic smoker may metabolize drugs more rapidly than nonsmokers , a patient attitude and exception affect to amedciation

a physician order indicates to administer a medication to patient via percouanteous route the nurse can acnitciapte that the patient will receive the medication

topically

what is the nurse primary source of information when obtain a patient history

the patient

when telling patient about a new drug that has been prescribed the patient asks you to explain the difference a side effectt and andadverese reaction what is your best response

side effects re mild and adverse effects are severe

the nurse has determine the the pain medication give n to a patient a hour ago has Beene effective the nurse is using which step of the nursing process

evaluation

a resident in along term care faculty reports difficulty swallowing enteric coated aspiring and ask the nurse to crush it prior to administration whats he most appropriate thing to do

hold the medication and notify the physician

which route of drug excreation

GI tract feces , Genitourinary GU , Urine respirator system exhalation

a patient developed hives and itching after receiving a drug for the dirs time. which instruction by the nurse is accurate

stop the medication and encoueg the patient to wear an alert braclet for the allergy

a patient who has advanced cancer is receiving opioid medication around the clock to keep him comfortble as he nears the end of his life which term best describes this therapy

palliative therapy

the nurse is perfuming an example of an assmengt if Newley admitted patient which I an example of subjunctive data

the patient reports that he uses herbal product gingko

which patient require special consideration for medication adminsteriton

a 29 year old pregnant woman , a 2 month old baby an 82 year ild nurse

which nursing action is not appositive when giving drugs to a patient

leaving the drug at the patient bedside take when he/she awakens

you are giving an oral due go the piton for this drug by the body which mechanisms the first to be involved

abosrbtion

when given an intra venous meds the patient states " o usually take pills why does this have to be given in the arm"

the action of medication will begin sooner when given intravenously

patient becomes hypo tensive after taking rug. what effect is he experiencing

an adverse effect of the drug

what is the difference between the generic and the trade names

the trade name is one that is registers to a specific drug manufacture

prior to the adminstriaon of a nephritic drug the nurse determines that the kidney lab data are within normal range, what part of ADPIE is this

assmesnst

the patient is revving two different drugs art current diagnosis and dosage form both drugs have he same concentration of the active ingredient which term is used to identify principle

bioequivalent

which medication order requires nursingg judgment and mean administer if need

morphine 4 MG iv every 4 hours PRN

which is always true regarding the generic name for drug

its the same in any country

when administering a new medaction to a patient the nurse read that it is highlyy protein bound assuming that the patent albumin levels are normal the nurse would expect which result asa compared to a medication that is not highly protein bound

the duration of action the medcication will be longer

where would the procedures and tramtnets be directed by the health care provider be found

physicians order form

a nurse is conducting a counting education call on pharmacologyt to evaluate the learning odf nurse in the class. which drug name gives information about the drug pharcolgic classification is??

amoxicillin

1omg PO every ^6 hours the half life drug is approximly 6 hours the nurse is preparing to administer the first tdoeseat 8am ontuesday when will the serum drug pakteuo

8 am

which action should you takee to ensure that your are giving a drug to the rich tpatient

asking the patient to state their name and birthdate and then checking the patients identification bracelet

fir which reasons is/are elerdlt patient at increase risk for drug interactions and toxicity (SATA)

they have higher incident of malnourishment. They have increase sue of multiple mediation hepatic function is reduced

what are the possible responses a patient can have drug action (SATA)

desired action ,adverse effects , side effects

which life thwarting illnesss may occur as result of aspiring (salicylate ) admisntrionduring viral illness to patient younger then 20 years of age

reyes syndrome

olympics 1 Flashcards

(104 cards)