olympics 1 Flashcards
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
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
which is the name undue which a drug is listed by the U.s Food and drug administration (FDA)
official
what do drug blood levels indicate
they determine if he amount of drug in the body is in a theraputetic range
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
what some will the trough blood level to be drawn if the nurseadmisinsteres the intravenous medication dose at 9AM
8;30
digoxin Is in a 0.125mcg convert to MCG
125
which factor affect drug action ( SADA)
age , body weight , metabolic rate illness
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
which factor in a patient would influence GI absorption of medications (SADA)
stomach Pg, , Blood flow to gastic mucosa
which medication route provides the moist rapid onset of a medication , but also poses the greatest risk to adverse effects
Intravenous ( IV)
the nurse is administering lomotil a schedule V drug which statement is true about this drug classification
abuse potential for this drug is low
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
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
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
Patient has a head ache and need otc meds which form will work the fastest
A powder
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
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
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
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
which is the best description of when drug interactions occur
on the alteration of the effect of one dry by another drug
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
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
convert 75 mcg into milligram strength dont round
0.075mg
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
2
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
4
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
