quiz 7

Question 1

Six rights

Answer 1

-right drug
-right dose
-right route
-right time
-right patient
-right documentation

Question 2

Bioavailability

Answer 2

key indicator of drug absorption eg. IV meds has 100% bioavailability. Oral adm of morphine has 25%

Question 3

How do drugs enter the body?

Answer 3

Pharmacokinetics

Question 4

Drug standards that must be met by manufacturers

Answer 4

-purity
-potency
-bioavailability
-efficacy
-safety

Question 5

Purity

Answer 5

relative amount of drugs required to produce side effects

Question 6

Ear drops directions to 2 year old girl

Answer 6

pull earlobe downwards to straighten canal

Question 7

Medications that cannot be crushed

Answer 7

-Sublingual medications,
enteric-coated medications, and sustained-release preparations.

Question 8

Renewal of narcotic orders by Physician- mis it 24 or 48 hours?

Answer 8

Opiate analgesics generally have a 48- or 72-hour limit.

Question 9

Needle gauge for IM injections

Answer 9

21 to 23 gauge for intramuscular injections

Question 10

unit dose system

Answer 10

Provides premeasured, prepackaged, prelabeled
dose.
⬤ Safest because dose prescribed is dose dispensed.
⬤ May be dispensed from mobile cart, or the fixed
medication preparation center.

A significant advantage of this type of system is that a username and password or biometric identification system (fingerprint) is used to enter the system. This eliminates the problem of having to find the nurse who has the keys to the locked cabinet, and increases efficiency.

Question 11

One year old patient preferred injection site

Answer 11

vastus lateralis muscle for infants

Question 12

Z-track technique

Answer 12

May be used any time an intramuscular injection is given
Used for deep IM injections of drugs such as iron dextran or Vistaril
Reduces pain caused by irritating drugs leaking into subcutaneous tissue
Seals the medication in the muscular layer

**The Z-track technique reduces pain caused by irritating drugs such as iron where a smallest needle to be used and inject the medication slowly.

Question 13

Sites for intramuscular injections

Answer 13

-Dorso gluteal
-ventrogluteal,
-deltoid
-vastus lateralis
-rectus femoris

Question 14

Serious abnormality in the stool

Answer 14

blood

Question 15

Groups of people who easily gets dehydrated

Answer 15

babies and infants & elderly

Question 16

Occult

Answer 16

sample

Question 17

Symptoms of GI bleeding

Answer 17

Low Bp, SOB, Decreased blood volume

Question 18

Bowel training

Answer 18

Couple of months or longer

Question 19

Uses of drugs

Answer 19

Treatment
Palliation
Diagnosis
Cure
Prevention of disease
Maintenance is not in this category***

Question 20

Medication errors except patients preferences

Answer 20

Medication errors can occur in several steps during the administration process:
* Order interpretation
* Patient identification
* Administration route
* Dosage
* Documentation errors

The nurse who discovers the error is the one to report it and fill out the report. Therefore, the nurse who made the error may not be the same nurse who reports it and fills out the occurrence form.

Question 21

Opticians do not prescribe medication.

Answer 21

Ophthalmic (eye) medications may be in the form of drops, ointment, or eye disk.
Give eye medications starting at the inner canthus.
The word ophthalmic must be clearly visible on container.