QUIZ 1: ASSISTING IN DRUG ADMINISTRATION

Question 1

a substance administered for the diagnosis, cure, treatment or relief of a symptom or prevention of disease. It is also called DRUG.

Answer 1

MEDICATION

Question 2

written direction and administration of a drug.

Answer 2

PRESCRIPTION

Question 3

Study of the effects of drugs on living organisms.

Answer 3

PHARMACOLOGY

Question 4

Book containing a list of products used in medicine, with descriptions of the products, chemical tests for determining identity and purity, and formulas and prescriptions.

Answer 4

PHARMACOPEIA

Question 5

Drugs may have natural sources or may be synthesized in the laboratory.

Answer 5

DRUG STANDARD

Question 6

Drugs can be ____

Answer 6

plant derived, mineral derived, animal derived or human derived.

Question 7

_____ have been developed to ensure uniform quality.

Answer 7

Drug standards

Question 8

FDA

Answer 8

Food and Drug Authority

Question 9

BFAD

Answer 9

Bureau of Food and Drugs

Question 10

A person shall be deemed to be practicing nursing within the meaning of RA No. ____ when he/she singly or in collaboration with another, initiates and performs nursing services to individuals, families and communities in any health care setting.

Answer 10

9173

Question 11

exists in a person who has unusually low physiologic response to a drug and requires increased dosage to maintain a given therapeutic effect.

Answer 11

Drug Tolerance

Question 12

is the increasing response to repeated doses of a drug that occurs when the rate of administration exceeds the rate of metabolism or excretion.

Answer 12

Cumulative Effect

Question 13

is unexpected effect to individual, under response and over response to a drug

Answer 13

Idiosyncratic effect

Question 14

A ______ occurs when the administration of one drug before, at the same time as, or after another drug alters the effect of one or both drugs.

Answer 14

drug interaction

Question 15

______ (disease caused unintentionally by medical therapy) can be a result of drug therapy. Hepatic toxicity resulting in biliary obstruction, renal damage, and malformations of the fetus as a result of specific drugs taken during pregnancy are examples.

Answer 15

Latrogenic disease

Question 16

improper use of common medications in ways that lead to acute and chronic toxicity.

Answer 16

DRUG MISUSE

Question 17

inappropriate intake of a substance either continuously or periodically.

Answer 17

DRUG ABUSE

Question 18

is a person’s reliance on or need to take a drug or substance

Answer 18

Drug dependence

Question 19

is due to biochemical changes in body tissues especially the nervous system

Answer 19

Physiologic dependence

Question 20

is emotional reliance on a drug to maintain a sense of well being. Is the improper use of common medications in ways that leads to acute and chronic toxicity.

Answer 20

Psychological dependence

Question 21

denotes a mild form of psychological dependence

Answer 21

Drug habituation

Question 22

street drugs; are those sold illegally; taken because of their mood altering effect.

Answer 22

ILLICIT DRUGS

Question 23

manufacturer’s name of the drug.

Answer 23

BRAND NAME

Question 24

given before a drug becomes official.

Answer 24

GENERIC NAME

Question 25

Eg. antipyretic, antihypertensive, anticholinergic.

Answer 25

CLASSIFICATION

Question 26

identifies the structure and composition of the drug. e.g. tablet, suspension, syrup, injectables.

Answer 26

MEDICATION FORM-

Question 27

refers to the dosage weight or amount of drug provided in a specific unit of measurement.

Answer 27

DOSAGE STRENGTH

Question 28

Refers to the full quantity contained in a package, bottle or vial.

Answer 28

TOTAL VOLUME

Question 29

refers to both dosage strength and form.

Answer 29

SUPPLY DOSAGE

Question 30

refers to the site of the body or method of drug delivery into the patient.

Answer 30

ADMINISTRATION ROUTE

Question 31

refers to the drugs that dispensed in powder form and , tomust be reconstituted for use.

Answer 31

DIRECTIONS FOR MIXING OR RECONSTITUTING

Question 32

Warnings printed on the packaging.

Answer 32

LABEL ALERTS

Question 33

Federal law requires all medications packages to be identified with a lot or control numbers.

Answer 33

LOT OR CONTROL NUMBER

Question 34

federal law requires that every prescription medication has a unique identifying number.

Answer 34

NATIONAL DRUG CODE (NDC)

Question 35

Serve to document drug dosing for recordkeeping and stock reorder.

Answer 35

BAR CODE SYMBOLS

Question 36

are the two official national lists of approved drugs. Placed after the generic drug name. “Generic Drug Name, USP”

Answer 36

UNITED STATE PHARMACOPEIA and NATIONAL FORMULARY

Question 37

package in a single capsule / tablet separately in a blister pack

Answer 37

UNIT DOSE LABEL

Question 38

combination of two or more drugs in one form

Answer 38

COMBINATION DRUGS

Question 39

___ is the process by which a drug passes into the blood-stream. Unless the drug is administered directly into the bloodstream.

Answer 39

Absorption

Question 40

____ is the transportation of a drug from its site of absorption to its site of action. When a drug enters the bloodstream, it is carried to the most vascular organs —that is, liver, kidneys, and brain.

Answer 40

Distribution

Question 41

____, also called detoxification or metabolism, is a process by which a drug is converted to a less active form. Most ____ takes place in the liver, where many drug-metabolizing enzymes in the cells detoxify the drugs.

Answer 41

Biotransformation

Question 42

____ is the process by which metabolites and drugs are eliminated from the body. Most drug metabolites are eliminated by the kidneys in the urine; however, some are excreted in the feces, the breath, perspiration, saliva, and breast milk.

Answer 42

Excretion

Question 43

indicates that the medication is to be given immediately and only once

Answer 43

Stat Order

Question 44

is for medication to be given once at a specified time

Answer 44

Single Order or One Time Order

Question 45

may or may not have termination date, may be carried out indefinitely

Answer 45

Standing Order

Question 46

permits the nurse to give medication when, in the nurse’s judgement, the client requires it.

Answer 46

PRN or as Needed

Question 47

apply indefinitely until the prescriber writes an order to alter or discontinue the medication

Answer 47

Standard Written Orders

Question 48

are protocols that hospitals use for discontinuing medications after a certain length of time.

Answer 48

Automatic Stop Date

Question 49

are those written on a standard

Answer 49

Written orders

Question 50

given orally

Answer 50

Verbal orders

Question 51

The medication given was the medication ordered.

Answer 51

RIGHT MEDICATION

Question 52

The dose ordered is appropriate for the client. Give special attention if the calculation indicates multiple pills/ tablets or a large quantity of a liquid medication. This can be an indication that the math calculation may be incorrect. Double-check calculations that appear questionable. Know the usual dosage range of the medication. Question a dose outside of the usual dosage range.

Answer 52

RIGHT DOSE

Question 53

Give the medication at the right frequency and at the time ordered according to agency policy. Medications should be given within the agency guidelines.

Answer 53

RIGHT TIME

Question 54

Give the medication by the ordered route. Make certain that the route is safe and appropriate for the client.

Answer 54

RIGHT ROUTE

Question 55

Medications is given to the intended client. Check the client’s identificatien band with each administration of a medication. Know the agency’s name alert procedure when clients with the same or similar last names are on the nursing unit.

Answer 55

RIGHT CLIENT

Question 56

Explain information about the medication to the client (e.g., why receiving, what to expect, any precautions).

Answer 56

RIGHT CLIENT EDUCATION

Question 57

Document medication administration after giving it, not before. If time of administration differs from prescribed time, note the time on the MAR and explain the reason and follow-through activities (e.g., pharmacy states medication will be available in 2 hours) in nursing notes. If a medication is not given, follow the agency’s policy for documenting the reason why.

Answer 57

RIGHT DOCUMENTATION

Question 58

Adult client have the right to refuse any medication. The nurse’s role is to ensure that the client is fully informed of the potential consequences of refusal to the health care provider.

Answer 58

RIGHT TO REFUSE

Question 59

Some medications require specific assessments prior to administration (e.g., apical pulse, blood pressure, lab results). Medication orders may include specific parameters for administration (e.g., do not give if pulse less than 60 or systolic blood pressure less than 100).

Answer 59

RIGHT ASSESSMENT

Question 60

Conduct appropriate follow-up (e.g., was the desired effect achieved or not? Did the client experience any side effects or adverse reactions?).

Answer 60

RIGHT EVALUATION

Question 61

Read the MAR and remove the medication(s) from the client’s drawer. Verify that the client’s name and room number match the MAR.
Compare the label of the medication against the MAR.
If the dosage does not match the MAR, determine if you need to do a math calculation.
Check the expiration date of the medication.

Answer 61

FIRST CHECK

Question 62

While preparing the medication (e.g., pouring, drawing up, or placing unopened package in a medication cup), look at the medication label and check against the MAR.

Answer 62

SECOND CHECK

Question 63

Recheck the label on the container (e.g., vial, bottle, or unused unit-dose medications) against the MAR before returning to its storage place OR before giving the medication to the client.

Answer 63

THIRD CHECK

Question 64

Basic unit of volume - minim means

Answer 64

“ the least”