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Intro to Clinical Pharm Flashcards | StudBud
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Intro to Clinical Pharm
Intro to Clinical Pharm
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Ch 1-3
Flashcards
88 cards
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Practice quiz
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Questions
88
Answers
1
What is localized edema, most often in the head/face area called?
angioedema
urticaria (hives)
pruritis
hypersensitivity
2
While counting controlled substances, what should be reported
immediately
?
a medication waste has not been completed yet for shift
discrepancy (the count is off)
waste documentation done with witness
partially used vial was returned
3
An advanced directive document contains ___________.
a person that makes financial decisions
a guideline of the incapacitated person's wishes
the person that can make healthcare decisions
a decision of withholding life-saving actions
4
When administering ophthalmic drops, the nurse/patient should
NOT
_____________.
SELECT ALL THAT APPLY.
squeeze eyes shut after administration
rub eyes after administration
administer drops chilled
instill drops onto eyeball
5
When administering a sublingual medication, the patient should ___________.
SELECT ALL THAT APPLY.
place the medication under their tongue
drink water right after administration
expect a slow onset
let the medication dissolve
6
Before administering medication at bedside, what should the nurse have already done?
SELECT ALL.
assess patient's swallow
three checks of the medication
pop the meds out of their packages
ask the patient for two identifiers
7
When administering otic drops, the nurse should _________.
SELECT ALL THAT APPLY.
straighten the ear canal
apply pressure on tragus
touch applicator to the ear canal to ensure insertion
warm the medication to prevent dizziness
8
When a patient does not speak English, we should ____________.
SELECT ALL THAT APPLY.
use family as interpreter
use trained interpreter
ask yes or no questions
speak slower & louder
9
A nurse failing to meet professional standards is guilty of _________.
assault
malpractice
negligence
battery
10
What are these (in the picture) called?
tablets
capsules
vials
ampules
11
Ways to prevent medication administration errors?
SELECT ALL.
do not disturb apparel
automatic medication cart system
bar code system
2 patient identifier system
12
When performing the Mantoux TB skin test, the nurse should __________.
SELECT ALL THAT APPLY.
massage the area after administration
insert needle bevel up
create a 6-10 mm wheal/bleb
stretch the skin taut before inserting needle
13
What is
true
of the herbal supplement, cranberry juice:
SELECT ALL THAT APPLY.
treat UTIs
acidify urine
no sugar added is preferred
inhibits bacteria from attaching to urinary tract wall
14
The purpose of enteric coated medication is....
prevents dissolving of med in stomach acid
release their contents steadily over a long period
dissolves in an acidic environment
delivers a drug with a delay
15
What is the more carefully monitored class of drugs?
prescription
controlled substances
alternative medicine
nonprescription
16
Which of the following is true of the herbal supplement, St John's wort?
SELECT ALL.
is regulated by the FDA
can alter effectiveness of oral contraception
used to treat depression
has no adverse effects
17
What is the largest category of drugs?
alternative medicine
controlled substances
prescription
nonprescription
18
What is the best site for IM injections on infants or small children?
dorsogluteal
vastus lateralis
deltoid
ventrogluteal
19
Patient is having an allergic reaction, what is the priority?
headache
blood in stool
vision problems
difficulty breathing
20
When wasting excess controlled substances, what should a nurse do?
put excess medication in sharps container
save excess medication for next dose administration
return excess to medicine cabinet
have another nurse witness medication waste
21
Just being near a patient
without
verbal communication is.....
presence technique
active listening
22
What specific group does the Accelerated Program target?
rare diseases
communicable diseases
life-threatening diseases
pediatric diseases
23
The FDA declares nonprescription medications as safe with what stipulation?
if it states it is "all natural"
if recommended by physician
if the bottle states that it is safe.
if taken as directed
24
What are signs & symptoms of an allergic reaction?
Select all that apply.
itching
wheezing
shortness fo breath
urticaria (hives)
25
What agency monitors prescription drugs?
FDA
DEA
MedWatch
Drug Strike Force
26
As a nurse, would you expect to ever administer or count substances such as heroin or ectasy?
no
yes
27
Patient lose their hearing of ______ pitched sounds first.
low
high
28
When administering subcutaneous injection, the nurse/ patient should __________.
SELECT ALL THAT APPLY.
insert the needle at a 15 degree angle
aspirate for presence of blood
massage the area after administering
inject 0.5- 1 mL of medication
29
When administering medication to pediatric patients, the best method is:
SELECT ALL THAT APPLY.
sit patient up
explain what you'll be doing
administer medication into buccal cavity
mix medication into their formula
30
What do we NOT massage after injection?
Select all that apply.
blood thinners
Mantoux TB test
anticoagulants
31
What agency is responsible for approving new drugs?
Drug Enforcement Agency (DEA)
Food & Drug Administration (FDA)
MedWatch
32
An antagonist medication does what?
binds with receptor & does not stimulate it.
binds with receptor & stimulates it
33
Which of these are objective data?
SELECT ALL THAT APPLY.
patient stated weight
fever
pulse
family history
34
Controlled substances should be checked every shift. Which of the following
would be
expected to be counted?
anabolic steroids
marijuana
opioids
narcotics
35
When an oral drug is absorbed & goes to liver where it is inactivated by enzymes is called?
cumulative drug effect
first pass effect
bioavailability
half life
36
When administering otic medications, the nurse should/can:
SELECT ALL THAT APPLY.
touch the applicator to the ear to stabilize
keep head tilted or patient lying for 5 min after admin
wait 10 minutes between ear/ otic drops
use a cotton ball loosely in external ear canal
37
The organization that deals with nurse
disciplinary
action is _________
State Board of Nursing
State
National Board of Nursing
Federal Board of nursing
38
What agency monitors prescription drugs?
Food & Drug Administration (FDA)
MedWatch
Drug Enforcement Agency (DEA)
39
With otic drops, there is a difference when straightening the ear canal of children < 3 years of age. Which is it?
pull auricle up & out
pull auricle down & in
pull auricle up & in
pull auricle down & out
40
Nurse is administering a nicotine transdermal patch, what needs to be written on it?
SELECT ALL
dose
initials
date
time
41
When administering a suppository, the nurse should ________.
SELECT ALL THAT APPLY.
insert just past internal sphincter
use clean gloves
lubricate finger
have patient in Sims position
42
When administering a medication via ID injection.....
SELECT ALL THAT APPLY.
cleanse the area in a circular motion
massage the site
aspirate before administering
insert the needle at a 90 degree angle
43
What organization determines which meds require prescriptions and which can be obtained OTC?
ADA
FDA
DEA
State Nurse Board of Nursing
44
The best way to educate patients is __________.
SELECT ALL THAT APPLY.
short sessions
use medical terms
2-3 main points
45
Groups with higher risk of limited health literacy are ___________.
SELECT ALL THAT APPLY.
elderly
learning disabled
low income
unemployed
46
If a nurse leaves the facility without handing her patients off to another qualified person, she has committed ________.
delegation
mandatory reporting
patient abandonment
competence
47
When administering enoxaparin (Lovenox) SQ injection, the nurse notices an air bubble in the needle. What should she do?
remove the air bubble
keep the air bubble
48
When preparing medication from an ampule, nurse should ____________.
SELECT ALL THAT APPLY.
tap the top to get med into bottom
rest filter straw/needle against the edge of ampule
break the top at face level
remove the filter straw to administer the medication
49
Which of the following is the
most
rapid onset medication route?
oral
transdermal
subcutaneous
intravenous
50
What are the priority assessments for suspected anaphylactic shock/reaction?
SELECT ALL THAT APPLY.
tachycardia
nausea
urticaria (hives)
generalized edema
51
When administering ophthalmic drops, the nurse should:
warm eye drops in microwave
administer drops chilled
have patient look down while administering
apply pressure to the inner canthus after administering
52
Communication with our patients may be influenced by __________.
SELECT ALL THAT APPLY.
cultural differences
literacy level
primary language
none of the above
53
What is the
priority
assessment when an allergic reaction is suspected?
headache
airway
pulses
swallow
54
Written
defamation of character with intent to harm is called ____________.
gossip
libel
honesty
slander
55
Which has a definition of "an undesirable drug effect?"
allergic reaction
anaphylactic shock
drug toxicity
adverse reaction
56
Which are parts of the pharmacokinetic phase?
secretion
targeted therapy
metabolism
absorption
57
What is required when wasting controlled substances?
Select all that apply.
documenting/ charting the waste
dispose of the medication properly
a second nurse to witness
58
Nursing diagnoses statements include ____________.
SELECT ALL THAT APPLY.
problem
signs/ symptoms
causes
nursing diagnosis
59
Upon administering a suppository, the patient should be in what position?
prone
supine
high fowlers
Sims
60
T/F: We can crush extended release medications.
True
False
61
Which of the following are rights of medication administration?
SELECT ALL THAT APPLY.
maiden name
room number
right route
right medication
62
T/F: We should massage the injection site.
False
True
63
Which of these are subjective data?
SELECT ALL THAT APPLY.
blood pressure
reported length of symptoms
pain
lab values
64
A nurse's # 1 role for the patient is to ___________.
advocate
emotional support
care giver
care manager
65
What preparing medication from an ampule, the nurse should
NOT
_____________.
Select all that apply.
break top at face level
keep filter straw/needle in the center of the ampule opening
Use filter straw/needle to administer medication
shake the ampule
66
What specific group does the Orphan Drug Program target?
rare diseases
pediatric diseases
communicable diseases
life-threatening diseases
67
Ways to reduce the risk of aspiration are ___________.
SELECT ALL THAT APPLY.
lie down right after eating
small bites
sit patient upright
no straws
68
Holding someone against their will without cause is called _______.
against medical advice (AMA)
false imprisonment
patient abandonment
assault
69
If you suspect an allergic reaction, what is your
priority
?
airway
altered mental status
breathing
circulation
70
Nurse practice acts are determined by what organization?
DEA
state
national nursing board
OSHA
71
Listening closely, showing interest & not interrupting is....
active listening
presence technique
72
Where should a sublingual medication be administered?
inner canthus of the eye
between the teeth & cheek
under the tongue
in the ear canal
73
Withholding the truth from patients is not using ____________.
slander
autonomy
veracity
battery
74
Typically, what percentage of people remember instructions given by the primary health care provider?
65%
80%
20%
10%
75
______ & _______ function make require smaller doses of medication due to excretion issues.
respiratory
liver
kidney
cardiac
76
Where in the body are enteric coated tablets dissolved?
small intestine
oral
stomach
large intestine
77
When administering a metered dose inhaler, the patient should __________.
SELECT ALL THAT APPLY.
exhale before placing inhaler in mouth
hold breath for 5-10 seconds after administration
exhale while depressing cannister
shake the inhaler before use
78
According to Maslow's hierarchy of needs, which is the priority?
psycholoigical needs
physiological needs
79
What is enteric coating on a medication for?
to prevent the med from dissolving in the stomach
dissolve the medication without delay
slow the metabolism of the medicaiton
maintain a constant therapeutic level of medication
80
When administering a transdermal patch, the nurse should __________.
SELECT ALL THAT APPLY.
rotate sites for patches
remove the old patch before applying a new one
apply to a hairless place
fold the old patch sticky sides together
81
The nurse-patient relationship is based on ___________.
SELECT ALL THAT APPLY.
dignity
respect
advocating
trust
82
When administering ophthalmic medications, the nurse should ________.
SELECT ALL THAT APPLY.
tell patient to gently close eye without squeezing
instill drop into lower conjunctival sac
gentle pressure to inner canthus after administration
have patient look up at the ceiling
83
What is the first line
medication
to treat anaphylactic shock?
Hydrocortisone
Benadryl
albuterol
Epinephrine
84
Nonmaleficence means ___________.
patient is allowed to make their own decisions
do what's best for the patient
do no harm
be the patient's advocate
85
If a patient questions a medication, the nurse should....
tell them it looks different because of manufacturers
assess for altered mental status
administer the medication as ordered
clarify the medication order for accuracy
86
How often are most transdermal patches changed?
twice a day
daily
weekly
every 72 hours
87
When the body is unable to metabolize & excrete one dose of a drug before the next dose is given, it is called ________.
metabolite
drug idiosyncrasy
half life
cumulative drug effect
88
What population of patients are more at risk for cumulative drug effect?
elderly
young adult
toddler
infants