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Nur 114 > Test 3 > Flashcards

Test 3 Flashcards

1
Q

verify identification using 2 sources (name and date of birth) before administering any medication

A

Right Client

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2
Q

read medication labels and compare them with the MAR 3 times before removing from the container, when removing the amount of the medication, and int he presence of the client before adminstering the medication

A

Right medication

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3
Q

calculate the correct medication _____ to decrease errors ask another nurse to verfiy

A

Right dosage

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4
Q

oral, topical, subcutaneous, intramuscular, intravenous, sublingual, buccal, intradermal, transdermal, epidural, inhalation, nasal, ophthalmic, otic, rectal, vaginal

A

right route

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5
Q

administer medication on ____ to maintain a consistent therapeutic blood level. within 30 mins of ____ critical medications

A

Right time

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6
Q

immediately record pertinent information including the clients response to the medication, document the medication after administration not before

A

right documentation

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7
Q

verify that the drug prescribed is appropriate to treat the patients condition

A

Right reason

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8
Q

collect any essential data before and after administering any medication

A

Right assessment data

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9
Q

inform clients about the medication its purpose what to expect how to take it what to report

A

Right education

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10
Q

any time a medication is given their response should be recorded to make sure it is known to all treating the patient

A

Right response

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11
Q

Document that the client did not want to take the medication. explain consequences

A

Right to refuse

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12
Q

What are the 11 rights of medication administration?

A 
Right patients
Right Route
Right Dose
Right Medication
Right time
Right Documentation
Right Reason
Right assessment data
Right Education
Right Response
Right to refuse
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13
Q

What does ADME stand for?

A

Asorption
Distribution
Metabolize
Excretion

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14
Q

is the change that occurs in a drug into a more or less potent form of the drug, more soluble form, or an inactive form of the drug

A

Metabolism

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15
Q

is the movement of the drug through the circulatory system to its intended action site

A

distributuion

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16
Q

which part of the body receives the highest level level of the drug due to high blood supply

A

liver heart kidneys

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17
Q

is the elimination of a drug or it metabolites through various parts of the body

A

excretion

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18
Q

is the effect the body has on a drug once the drug enters the body,

A

pharmacokinetics

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19
Q

movement of drug from the site of administration to various tissues of the body

A

absorption

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20
Q

are the biochemical changes that occur in the body as a result of taking a drug

A

Pharmacodynamics

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21
Q

is the amount of time it takes for the drug to demonstrate a therapeutic response

A

onset of action

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22
Q

is the concentration of drug in the blood serum that produces the desired effect without causing toxicity

A

therapeutic range

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23
Q

the amount the time it takes for 50% of the serum concentration of a drug to be eliminated from the body.

A

half life

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24
Q

Parts of a medication order (7)

A

Patient’s name and a secondary identifier (DOB, medical record number)
Date and time the order is written
Name of drug to be administered
Dosage of the drug
Route by which the drug is to be administered
Frequence of administration of the drug
Signature of the prescribing provider

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25
Q

PRN means?

A

as needed

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26
Q

a single order which is carried out immediately

A

stat order

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27
Q

PO means?

A

by mouth

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28
Q

IM

A

intramuscular

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29
Q

IV

A

intravenous

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30
Q

qd

A

once a day

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31
Q

b.i.d

A

twice a day

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32
Q

t.i.d

A

three times a day

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33
Q

q.i.d

A

four times a day

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34
Q

parenteral route means?

A

injecting drug into

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35
Q

procedures for giving non parenteral medications (7)

A

verify order using 5 rights
check chart for allergies
assess client 2 way identifier
ask client to verify any allergies
perform any specific assessments, verify ability to take medication orally
identify how client takes meds - h20 crushed in food juice
obtain appropriate meds

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36
Q

Rectal and Vaginal medications are called?

A

Suppositories

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37
Q

Medication used for the nose are (2)

A

nasal and inhaler

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38
Q

liquid medication can come in the form of (3)

A

suspensions, elixir, syrup

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39
Q

medication for the eyes are called

A

ophthalmic

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40
Q

medication for the ears are called

A

otic

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41
Q

an oral coated tablet or capsule which prevents stomach irritation

A

enteric coated

42
Q

drug manufactured with coating that slows metabolism until in a certain part of the body or is released slowly and continously rather than immediate

A

extended release

43
Q

medication that is applied directly to skin for iffusion into skin and subsequently into the bloodstream

A

transdermal

44
Q

What is the side effect for digoxin? (5)

A

yellow green halo for eyes, nausea, anorexia, vomiting arrythmias

45
Q

what is the assessment for digoxin?

A

apical and radial pulse blood pressure electrolytes level

46
Q

what is digoxin used for?

A

arrythmias

47
Q

When would you hold administration of digoxin?

A

Apical pulse lower than 60 bpm

48
Q

what kind of medication is furosemide?

A

loop diuretic

49
Q

what assessment do you need for furosemide?

A

BP, potassium levels/content, fluid status

50
Q

what are the side effects for furosemide? (3)

A

increased urination, orthostatic hypertension, hypokalemia

51
Q

what are the side effects of acetametophin

A

jaundice , stomach ulcer

52
Q

what kind of medication is acetaminophen?

A

antipyretic /relieves pain reduces pain

53
Q

what assessment do you need for acetaminophen?

A

check for liver function

54
Q

what kind of medication is metropolol?

A

beta blocker (slows hr)

55
Q

whats the side effect of taking metropolol?

A

bradycardia

56
Q

what assessments do you need for metropolol?

A

BP and apical pulse

57
Q

when would you hold metropolol?

A

apical pulse below 50 bpm

58
Q

the level of a drug that leads to permanent damage or death

A

toxicity

59
Q

the highest plasma concentration of the drug when absorption is complete

A

peak

60
Q

secondary harmful effects that lead to injury or damage

A

adverse effects

61
Q

alterations in pharmacokinetics in the older adult (6)

A 
decrease in protein binding site
decreased gastric mobility
decreased liver function
decreased kidney function
increased adipose tissue
body water and muscle mass decrease
62
Q

Absorption distribution metabolism excretion is all apart of ?

A

Pharmacokinetics

63
Q

Onset of action , peak, half-life, duration is?

A

Pharmacodynamics

64
Q

Pain that is less than 6 months

A

Acute

65
Q

Pain that is more than 6 months

A

Chronic

66
Q

vital sign changes is related to what kind of pain?

A

acute pain

67
Q

no vital sign changes is related to what type pf pain?

A

chronic pain

68
Q

what are the signs and symptoms of pain?

A 
vital sign changes
grimacing
diaphoresis
body positioning
withdrawn
craddling area
patients statement of pain
69
Q

what is the the assessments for pain?

A

PQRST, vital signs objective and subjective data, effects on adl

70
Q

P stands for?

A

precepitation cause

71
Q

Q stands for?

A

quality

72
Q

R stands for?

A

region

73
Q

S stand for

A

severity

74
Q

T stands for ?

A

timing

75
Q

what are interventions for acute pain?

A

stabalize vitals, administer pain meds, monitor vitals

76
Q

What are some pharmacological vs nonpharm methods for acute pain?

A

meds as ordered, acupuncture, heat and cold therapy, dim lighting, massages , calm enviornment

77
Q

what does heat therapy do?

A

increases blood flow and relaxes muscles

78
Q

what does cold therapy do?

A

reduce swelling and inflammation and constricts blood vessels

79
Q

what is the most common cause of legal blindness?

A

Macular degeneration

80
Q

loss of peripheral vision

A

glacoma

81
Q

loss of central vision

A

macular degeneratio

82
Q

cloudy lens

A

cataeacts

83
Q

spotty vision

A

diabetic retinopathy

84
Q

loss of near vision due to age

A

presbyopia

85
Q

P in PERRLA

A

PUPILS

86
Q

E IN PERRLA

A

EQUAL

87
Q

BOTH R’S IN PERRLA

A

ROUND AND REACTIVE

88
Q

L IN PERRLA

A

LIGHT

89
Q

A IN PERRLA

A

ACCOMODATION

90
Q

EOM stands for

A

extraocular musclle functions test

91
Q

loss of high frequence

A

presbycusis

92
Q

temporary outer and or middle ear loss

A

conductive hearing

93
Q

involves damage to the inner ear cochlea and fibers of the eight cranial nerve

A

sensorineural hearing loss

94
Q

occurs when there is too much stimuli for the brain to porcess at once

A

sensory overload

95
Q

is the loss of one of the senses

A

sensory deprivation

96
Q

which crainial nerve is affected with hearing loss?

A

cranial nerve 8

97
Q

which cranial nerves is affected with vision?

A

2 , 3 , 4 , 6

98
Q

cranial nerve 2 is ?

A

optic

99
Q

cranial never 3 is?

A

occulomotor

100
Q

cranial nerve 4 is

A

trochlear

101
Q

cranial nerve 6 is ?

A

abducens

102
Q

cranial nerve 8 is?

A

vetibulacohlear

Nur 114 (9 decks)

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