Medication Administration Practices and Considerations, Exams of Nursing

Download Medication Administration Practices and Considerations and more Exams Nursing in PDF only on Docsity! Med Aide quizzes and tests from all units True or False? Med aides may only give a PRN if the nurse has specifically delegated the task for the specific resident and drug? True. Med aide can't assess the need for a PRN, this must be done by a nurse Med aides can't do what? Give first doses of new meds Factors affecting drug actions include what? Weight, age, metabolic rate, and tolerance What are the six rights of med administration? The right drug, the right person, the right documentation, the right route, the right dose, and the right time Before you work as a med aide, you? Must pass course exams, complete and demonstrate skills As a med aide in your facility, you should what? Work within the legal limits of your role You tell a patient about your personal problems. This is a what? boundary violation A nurse asks you to do something beyond the legal limits of your role. You do what? Refuse to follow the nurses order and explain why You're not sure whether you should give a certain drug, You should do what? Ask the Nurse In order to assess a person, the nurse decides to give the person the oral drugs that you usually give. You do what? Understand this is the best decision for the person at the time. The nurse asks you to perform a task that is in your job description. You have not done this task before. You do what? Tell the nurse you have not done the task before and ask for help When you agree to perform a delegated task. You what? Must complete the task safely A nurse asks you to perform a task. You do the following except what? restate or clarify what is expected of you, know how to contact the nurse if theres an emergency, document the care given, or do the task even though you have not been trained? Do the task even though you have not been trained Fraud You scold an older person for refusing to take ordered drugs This is what? Verbal abuse Violating or failing to comply with the Controlled Substance Act can result in a what? Fine and Prison term Pain and nausea are examples of what? Subjective Data What observations should you report at once? Complaints of sudden severe pain Cancer and diabetes are examples of what? Medical Diagnosis A person is eating. How long should you wait before taking an oral temperature? 15 to 20 minutes A person has a blood pressure of 118/78. This is what? Within normal range Good communication occurs when you what? Give information in a logical and orderly manner A drug is ordered for 1700. The time to give the drug is what? 5:00 PM Symptoms are an example of what? Subjective Data Which of the following is not objective data? A persons respiratory rate, the color of a persons urine, a persons blood pressure, or pain felt by a person? Pain felt by a person When should you record that you gave a person a drug? After giving the drug You are giving a person his drugs. What observation should you report at once? The person refused to take a drug The basic unit of body structure is what? A cell The integumentary system ? Covers the body The white of the eye is the what? Sclera The external or (outer part) is called the what? pinna or auricle Digestion begins where? In the oral cavity The master gland is the what? Pituitary A blood vessel that carries blood away from the heart is what? Artery A person feels the need to urinate when the bladder contains how much? About 250 mL of urine The thyroid hormone regulates what? Metabolism Which statement about insulin is false? It is secreted by the pancreas, it is needed for sugar to enter the cells, it regulates the amount of sugar in the blood available for use by the cells, or it is secreted by the stomach? It is secreted by the stomach Med Aide quizzes and tests from all units True or False? Med aides may only give a PRN if the nurse has specifically delegated the task for the specific resident and drug? True. Med aide can't assess the need for a PRN, this must be done by a nurse Med aides can't do what? Give first doses of new meds Factors affecting drug actions include what? Weight, age, metabolic rate, and tolerance What are the six rights of med administration? The right drug, the right person, the right documentation, the right route, the right dose, and the right time Before you work as a med aide, you? Must pass course exams, complete and demonstrate skills As a med aide in your facility, you should what? Work within the legal limits of your role You tell a patient about your personal problems. This is a what? boundary violation A nurse asks you to do something beyond the legal limits of your role. You do what? Refuse to follow the nurses order and explain why You're not sure whether you should give a certain drug, You should do what? Ask the Nurse In order to assess a person, the nurse decides to give the person the oral drugs that you usually give. You do what? Understand this is the best decision for the person at the time. The nurse asks you to perform a task that is in your job description. You have not done this task before. You do what? Tell the nurse you have not done the task before and ask for help When you agree to perform a delegated task. You what? Must complete the task safely A nurse asks you to perform a task. You do the following except what? restate or clarify what is expected of you, know how to contact the nurse if theres an emergency, document the care given, or do the task even though you have not been trained? Do the task even though you have not been trained Fraud You scold an older person for refusing to take ordered drugs This is what? Verbal abuse Violating or failing to comply with the Controlled Substance Act can result in a what? Fine and Prison term Pain and nausea are examples of what? Subjective Data What observations should you report at once? Complaints of sudden severe pain Cancer and diabetes are examples of what? Medical Diagnosis A person is eating. How long should you wait before taking an oral temperature? 15 to 20 minutes A person has a blood pressure of 118/78. This is what? Within normal range Good communication occurs when you what? Give information in a logical and orderly manner A drug is ordered for 1700. The time to give the drug is what? 5:00 PM Symptoms are an example of what? Subjective Data Which of the following is not objective data? A persons respiratory rate, the color of a persons urine, a persons blood pressure, or pain felt by a person? Pain felt by a person When should you record that you gave a person a drug? After giving the drug You are giving a person his drugs. What observation should you report at once? The person refused to take a drug The basic unit of body structure is what? A cell The integumentary system ? Covers the body The white of the eye is the what? Sclera The external or (outer part) is called the what? pinna or auricle Digestion begins where? In the oral cavity The master gland is the what? Pituitary A blood vessel that carries blood away from the heart is what? Artery A person feels the need to urinate when the bladder contains how much? About 250 mL of urine The thyroid hormone regulates what? Metabolism Which statement about insulin is false? It is secreted by the pancreas, it is needed for sugar to enter the cells, it regulates the amount of sugar in the blood available for use by the cells, or it is secreted by the stomach? It is secreted by the stomach Open capsules and sprinkle contents on small amounts of food An older person is at risk for drug interactions or drug toxicity because of what? Chronic illnesses When assisting an older person with taking her drugs, you should what? Report swallowing difficulties to the nurse The process by which a drug is transferred from its site of body entry to blood for distribution is what? Absorption The elimination of a drug from the body is called what? Excretion The process by which the body inactivates drugs is what? Metabolism A tablet is too large for a person to swallow. What do you do? Ask the nurse's permission to crush it As kidney function decreases, the doctor may what? Decrease drug dosages Therapeutic drug monitoring is what? Done to measure a drugs concentration in body fluids You assist with monitoring the effects of drug therapy by doing what? Reporting abnormal vital signs at once To assist an older person with drug therapy, you should what? Use drug organizers and calendars to help the person know when to take drugs Drug distribution is likely to be greater in what? Infants Therapeutic drug monitoring is done to measure what? A drugs concentration in the body A tablet is scored. This means what? The tablet can be broken in half A doctor begins to give you a telephone order. You do what? Politely give your name and title and ask the doctor to wait for a nurse Your moms friend is a client where you work. You're not giving care to that person, but you read the persons chart. This is called what? Invasion of Privacy A person asks you for his or her chart. What do you do? Report the request to the nurse After giving the drug, you record it on the what? MAR Which order requires the drug to be given at once and only one time? STAT order Which order allows the nurse to decide when to give the drug based on the persons needs? PRN order One tablespoon is how many teaspoons? Three The following statements are about prescription labels. Which is false? Always read the label carefully, If a label is not complete tell the nurse at once, check the expiration date, or you may give the drug after the expiration date You may give the drug after the expiration date A drug is ordered q.i.d. the drug should be given when? 4 times a day Dispose of it according to policy The right dose is what? The amount of drug to give To prevent infections you should do what? Practice hand hygiene before and after giving drugs A drug order is written as PO. You do what? Give the drug as ordered One tsp equals what? 5 mL You are giving liquid drugs. You do what? Give cough syrup last You are giving a buccal tablet. The tablet is what? Placed between the cheek and molar teeth Another term for lozenge is what? Troche Which of the following drug orders would you question? 50 mg by mouth, 50 mg PO, 50 mg orally, or 50 mg per os? 50 mg per os A person is receiving a time-released capsule This means what? There is a continuous release of the drug Enteric-coated tablets dissolve in the what? Small intestines Before giving a suspension, you do what? Shake the bottle An ointment is in a jar. What should you use to remove the amount ordered? A sterile tongue blade When applying a topical drug, you do all the following except what? Apply the dose to clean dry skin, wear gloves, practice hand hygiene before and after the application, or document before applying the drug? Document before applying the drug You need to give a person two different eye drugs. How long should you wait between the drugs? Usually 1 to 5 minutes How long does a person remain in the side-lying position after receiving ear drops? Usually 5-10 minutes When giving an eye medication, you what? Give eye drops at room temperature After receiving a rectal suppository, a person is usually in the what position? Sims position for 15-20 minutes A rectal drug is inserted where? About 1 inch into the rectum Many of the drugs used for mental health issues can cause side effects that are a great concern. One of the most severe side effects is the development of involuntary body movements. The type of drug that is most likely to cause these is what? Anti psychotic agents True or False? The majority of the mental health drugs (anti anxiety agents, anti depressants, and anti psychotics) should never be stopped abruptly. True. They need to be tapered gradually Common side effects of narcotic pain medications include all of the following except what? drowsiness, pain relief, constipation, or diarrhea? Diarreah A person has been started on selective serotonin re-uptake inhibitor. You expect to see drug effects in what? 2 to 4 weeks Many of the drugs used to treat mental health disorders affect the what? Central Nervous System Anti-psychotic drugs often cause what? Involuntary body movements Phenytoin (Dilantin) is given with what? Food or milk A person with an allergic reaction to a drug develops what? Rash and itching Anti-convulsant therapy is the main treatment for what? seizures A person is taking gabapentin (Neurontin) and an antacid. When will you give gabapentin (Neurontin)? 2 hours after the antacid Which is a benzodiapine? check Clorazepate (Tranxene) Opiate agonists are used to what? Relieve acute or chronic moderate to severe pain A person taking oxycodone (Percodan) has a respiratory rate of 8 per minute. You what? Report this to the nurse at once and record it int he medical record A person taking a salicylate should take it with what? Food or milk Who decides whether a person is having pain? The person A person taking an opiate agonist has constipation. You do the following except what? Measure vital signs Acetaminophen (Tylenol) is used for all the following except what? Fever, headache, muscle pain, and inflamation? Inflamation Opiate agonists can cause euphoria. Euphoria is what? An exaggerated feeling of well-being Gemfibrozil (Lopid) is given when? 30 minutes before the morning and evening meals LDL is called what? The bad cholesterol The daily dose of atorvastatin (Lipitor) is what? 10 to 40 mg Which drug is a fibric acid? Gemfibrozil (Lopid) Common side effects from anti-lipemic drugs are what? Nausea and abdominal discomfort Niacin acts as an anti-lipemic bevause it what? Limits the livers ability to produce LDL Statins lower LDL and total cholesterol levels because they what? Block the enzyme needed to produce cholesterol Before giving most anti-hypertensive agents, you measure the what? Apical pulse Digoxin (Lanoxin) is usually given if the apical pulse is what? Between 60 and 100 beats per minute A platelet aggregation inhibitor prevents what? Platelets from clumping Nitrates relieve angina by what? Dilating coronary arteries A person has nitroglycerin (Nitrostat) sublingual tablets. The person should what? Carry the drug with them at all times Lanoxin is used in the treatment of heart failure. It does what? Increases the force of heart muscle contraction Ascites is the abnormal accumulation of fluid in the what? Peritoneal cavity The purpose of a diuretic is to what? Increase the loss of water from the body The effects of loop diuretics last about what? 6 hours Diuretics are given when? In the AM What may signal dehydration and electrolyte imbalance from diuretics? Changes in alertness and confusion An embolus is what? A small part of a thrombus that breaks off and travels through the vascular system until it lodges in a blood vessel What drug is not a platelet inhibitor? Dipyridamole (Persantine), Ticlopidine (Ticlid), Clopidgrel (Plavix), or Warfarin (Coumadin)? Warfsrin (Coumadin) A blood clot is called what? A thrombus Aspirin is what? a platelet inhibitor Anti-coagulant drugs do what? Prevent new clots When giving pseudoephedrine (Sudafed), you should what? Measure vital signs Broncho-dilators are used for what? In the treatment of COPD Drugs that cause vaso-constriction of the nasal mucosa are what? Decongestants A term for antitussive is what? Cough Suppresant The most common side effect from antihistamines is what? Sedation A person uses an inhalent cortico-steroid. You observe for what? Mouth infections Expectorants? Liquify mucus Nasal decongestants promote what? Sinus drainage Antihistamines cause what? Dry, thick secretions of the mouth, nose, throat, and bronchi Before the onset of nausea Benziodiapines reduce nausea and vomiting. They also do what? Reduce anxiety associated with chemotherapy A person is taking a stimulant laxative by mouth. This type of laxative acts within what time? 6-10 hours Which laxative is a fecal softener? Colace Which is a phenothiazine used to control vomiting? Prochlorperazine (Compazine) Drugs that lower the blood glucose level are what? Hypo-glycemic agents Drugs used to suppress the production of thyroid hormones are what? Anti-thyroid agents Low sugar in the blood is what? Hypoglycemia Hypoglycemia is caused by what? Too much insulin or diabetic drugs Which drug is a first-generation sulfonylurea? Chlorpropamide (Diabinase) Blood glucose is highest when? After meals Metformin (Glocophage) is what? An oral anti-diabetic agent Sulfonylurea agents lower blood glucose by doing what? Stimulating the release of insulin The gluco-corticoids do what? Regulate carbohydrate, protein, and fat metabolism Gluco-corticoids are given for what? For their anti-inflammatory and anti-allergenic effectd Hormones that maintain fluid and electrolyte balance are called? Mineralo-corticoids Hormones secreted by the adrenal cortex of the adrenal gland are called what? Cortico-steroids A person has a history of mental health problems. Behavior changes may occur when taking what? Cortico-steroids Antiviral drugs are used to treat what? Herpes Serious complications of oral contraceptives are what? Dizziness and leg pain Tamsulosin (Flomax) is used to treat benign prostatic hyperplasia. It does what? Causes muscles to relax to allow greater urine flow Nitrofurantoin (Macrodantin and Furadantin)is given when? Is given every 6 hours The following are given to control over-active bladder except what? Darifenacin (Enablex), Tolterodine (Detrol), Solifenacin (Vesicare), or Norfloxacin (Noroxin)? Norfloxacin (Noroxin) A person taking a quinolone antibiotic has hematuria. He or she should drink what? 8 to 12 glasses of water daily Side effects from chemotherapy may include all the following except what? Alopecia, Stomatitis, Bleeding and Infection, or Burns to the skin? Burns to the skin A person receiving chemotherapy will likely experience what? Diarrhea A person with muscle spasticity and a swallowing problem will most likely be ordered what drug? Balcofen (Lioresal) oral and disintegrating tablets Colchicine does what? Relieves joint pain caused by an acute gout attack Centrally acting skeletal muscle relaxants are used to what? Relieve acute muscle spasm Baclofen (Lioresal) is given to persons with what? Multiple sclerosis and spinal cord injuries Allopurinol (Aloprim) is given with what? With food or milk Centrally acting skeletal muscle relaxants act by doing what? By depressing the CNS What is a direct-acting skeletal muscle relaxant? Dantrolene (Dantrium) After therapy is started, a person receiving colchicine should begin to see symptom relief within how many days? 2-3 days Persons receiving drug therapy for gout should be observed for what? GI symptoms Signs and symptoms of allergic reactions include the following except what? Hives, severe respiratory distress, wheezing and dyspnea, or edema and weight gain? Edema and weight gain Side effects of cephalo-sporins may include what? Diarrhea and vomiting You are giving a person azithromycin (Zithromax), a macrolide. You should observe for what? Nausea and vomiting A person is taking ampicillin (Principen), you should observe for what? Diarrhea Quinolones, such as ciprofloxacin (Cipro), are effective in treating what? Initial and recurrent UTI's A person taking a sulfonamide should do what? Drink lots of water Tetracyclines are given when? 1 hour before or 2 hours after ingesting antacids or dairy products What drug is not an anti-tubercular agent? Demeclocyline (Declomycin) Metronidazole (Flagyl) is used to treat what? Vaginal Infections Vancomycin (vancocin) may cause what? Tinnitus and hearing loss Terbinafine (Lamisil) is used to treat what? Fungal infections of the toenails and finger nails Acyclovir (Zovirax) is used to treat what? Genital Herpes Infection