ST5

Question 1

Combination Medications

Answer 1

• A medication that includes two or more active ingredients combined in a single dosage form
• The medication will list the trade name, followed by the generic names of each drug
• The medication will list the dosage of each drug in order of generic names

Question 2

Types of Medication Response

Answer 2

• Therapeutic effect: Expected or predicted physiological response
Adverse effect: Unintended, undesirable outcome

• Side effect: A predictable secondary, typically undesirable, effect
• Toxic effect: Accumulation of medication in the bloodstream causing undesirable outcome

Question 3

PHARMACOKINETICS AS THE BASIS OF MEDICATION ACTIONS

Answer 3

• Distribution
-Circulation

• Metabolism
- Medications are metabolized into a less-potent or an inactive form.
- Biotransformation occurs under the influence of enzymes that detoxify, break
down, and remove active chemicals.

• Excretion

Question 4

Types Of Medication Action

Answer 4

• Allergic Reaction- unexpected reaction to medication
• Medication Reaction- one medication modifies the action of another
• Medication Tolerance- More medication is needed to reach therapeutic affect
• Medication Dependence- physical and phycological

Question 5

Polypharmacy

Answer 5

-Takes 2 or more medications to treat the same illness
-Takes 2 or more medications of the same chemical class
-Uses two or more medications with the same or
similar actions to treat several disorders
simultaneously
-Mixes nutritional supplements or herbal products with
medications.

Question 6

Types of Orders- Standing or Routine

Answer 6

Administered until the dosage is
changed or another medication
is prescribed

Question 7

Types of Orders- PRN

Answer 7

Given when the patient

requires it

Question 8

Types of Orders- STAT

Answer 8

Given immediately in an

emergency

Question 9

Types of Orders- Prescription

Answer 9

Medication to be taken

outside of the hospital

Question 10

Types of Orders- Single (One Time)

Answer 10

Given one time only for a

specific reason

Question 11

Types of Orders- Now

Answer 11

When a medication is needed

right away, but not STAT

Question 12

Roles and Responsibilities (Medications) - Nurses

Answer 12

• Determines if medication orders are correct
• Closely monitors effects
• Provides patient teaching
• Administers medication
• Determines medication timing

Question 13

Roles and Responsibilities- Pharmacist

Answer 13

Prepares and Distributes Medication

Question 14

Medication Frequency-
Twice a day
Three times a day
Four times a day

Answer 14

Two times= BID or Q12h
Three times= Q8h
Four times= Q6h

Question 15

What to do when medication error occurs?

Answer 15

• First assess the patient’s condition, then notify the health care provider
• When patient is stable, report the incident
• Prepare and file an occurrence or incident report
• Report near misses and incidents that cause no harm
• Even though the patient is stable/okay, be responsible for actions

Question 16

10 Types of Medication Errors

Answer 16

1. Extra Dose
2. Wrong Time
3. Wrong Time
4. Improper Dose
5. Unauthorized Drugs
6. Mislabeling
7. Wrong Form
8. Presciption Error
9. Omission
10. MISC

Question 17

7 Rights of Medication Administration

Answer 17

• Right medication
• Right dose/amount
• Right patient
• Right route
• Right time
• Right documentation
• Right indication/reason

Question 18

T.R.A.M.P.E.D

Answer 18

Time, Route, Amount, Medication, Patient, Expiration, Documentation

Question 19

THE PATIENTS’ RIGHTS OF MEDICATION

ADMINISTRATION

Answer 19

To be informed about a medication
• To refuse a medication
• To have a medication history
• To be properly advised about experimental nature of
medication
• To receive labeled medications safely
• To receive appropriate supportive therapy
• To not receive unnecessary medications
• To be informed if medications are part of a research study

Question 20

Community Medications

Answer 20

• Community medications are common over the counter medications found in nursing homes. (Shared by the floor you are working.
• (TRAMPED) For “P” when looking at the bottle, you will state “this is a community drug”

Question 21

What medications do you never crush?

Answer 21

Extended Release (ER)
Sustained Release (SR) 
Delayed Release (DR)
Enteric Coated (EC)
Timed release (TR)
Controlled Release (CR)