PHARMACOLOGY CH 6 & 7 QUIZ 3 COMPLETE WITH ANSWERS, Exams of Advanced Education

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PHARMACOLOGY CH 6 & 7 QUIZ 3

COMPLETE WITH ANSWERS

Why are sublingual and buccal medications rapidly absorbed? these drugs pass directly into systemic circulation which medications must be sterile? ophthalmic where does the nurse correctly administer ophthalmic medication? in the lower conjunctival sac which effect would be important for the nurse to address when teaching a patient about the overuse of nose drops? rebound a patient with metastatic cancer is being admitted for pain control. which action will the nurse perform in administering a transdermal patch? label the patch with date, time, dosage, and initials after patch placement what is the rationale for the nurse applying gentle pressure to the inner corner of the eyelid after instilling eyedrops? prevents systemic effects the nurse is instructing a patient to use a corticosteroid inhaler. which statement by the patient indicates the need for further teaching? "i will use this when i'm lying in bed in the morning." a 2-year-old child is hospitalized with the diagnosis of tonsillitis and bilateral otitis media. the nurse is preparing to administer eardrops. when instilling the eardrops, the nurse will pull the earlobe: downward and back the nurse is preparing an otic solution. when instructing the patient in regard to area of administration, the nurse will explain that the solution will be placed: in the ear

place the following steps for administration of nose drops in the correct order. (enter your answer with a comma and space between each lettered option as follows: A, B, C, D, E) A. draw medication into the dropper B. instruct the patient to blow the nose gently C. review practice setting policy D. explain the steps to the patient E. position the patient into supine position with head backward over the edge of bed F. instill medication C, D, B, E, A, F which action will the nurse take when it is determined that the narcotic count is incorrect while obtaining a medication from the narcotic area? report the discrepancy to the charge nurse immediately which action will the nurse take if a dosage is unclear on a healthcare provider's order? contact the healthcare provider to verify the correct dosage which is true regarding the unit dose drug distribution system? the use of single dose packages of drugs dispense to fill each dose requirement as it is ordered. What is medication reconciliation? Comparing the patient's current medication orders to all of the medications actually being taken the nurse determines that a prescribed medication has not been administered as ordered on the previous shift. what action will the nurse take? complete an incident report what must the nurse have before administering any medication? (select all that apply) A. a current license to practice B. a medication order signed by a practitioner licensed with prescription privileges C. knowledge of the medication

D. consultation with a pharmacist E. knowledge of the client's diagnosis A, B, C, E which advantage(s) does the unit dose drug distribution include? (select all the apply) A. there is decreased participation by the pharmacy B. the pharmacists is able to analyze prescribed medications for each client for drug interactions and contraindications C. there is less waste of medications D. the time spent by nursing personnel preparing these medications is increased E. credit is given to the patient for unused medications B, C, E which statement(s) is true regarding computerized prescriber order entry? (select all that apply) A. integrates the ordering system with the pharmacy, laboratory, and nurses' stations B. provides instant access to online information to facilitate patient care needs C. facilitates review of ordered medications for potential drug interactions D. facilitates review of drugs for appropriateness of dosages E. alleviates the need to perform mathematical computations A, B, C, D which lab test(s) would be used to assess liver and/or renal function before administering medications? (select all that apply) A. CBC B. LDH C. ALT D. Crs E. BUN F. aPTT B, C, D, E the nurse transcribes an order to administer Valium 10 mg IV stat. this order is correctly interpreted by the nurse to mean it should be provided how? (select all that apply)

A. as needed B. immediately C. one time only D. in divided doses E. intravenously B, C, E what are the benefits of using CPOE technology for healthcare providers? (select all that apply) A. it verifies the patient has received appropriate patient education B. it checks for potential drug interactions C. it checks associated laboratory values D. it checks for the appropriateness of the drug dosages E. it frees pharmacists from filling orders B, C, D what process is used to eliminate medication errors in the healthcare environment as patients transition from one clinical setting to another? medication reconciliation when performing a patch test for allergens, the nurse knows what is important? (select all the apply) A. to know what allergen is causing the symptoms B. to recognize when a wheal has formed C. to cleanse the area for testing with alcohol before applying the patches D. to have emergency equipment available in case of an anaphylactic response E. to ask the patient if he or she has taken any antihistamines or anti- inflammatory agents B, C, D, E a patient is ordered to have eyedrops administered daily to both eyes. into which part of the eye are eyedrops instilled? the lower conjunctival sac a nurse is preparing to administer eardrops to a 5-year-old child. what is the proper technique to use for this patient? pull the earlobe upward and back

the nurse was teaching a patient how to use an inhaler prescribed for asthma. the nurse knows that further teaching is needed after the patient made which statement? "i will take a slow deep breath and let it out quickly." the nurse is preparing to give an oral narcotic drug to a patient as the medication package is opened, the tablet falls onto the floor. which actions does the nurse implement? destroys the tablet in front of another nurse, and both nurses sign the narcotic control record. which medication distribution system is identified as the safest system in current use? computer-controlled dispensing which nursing action should be implemented when a patient suddenly stops taking his/her prescribed heart medication? record the patient's refusal of the medication in the nurse's notes and notify the prescriber which assessment finding indicates a positive patch test reaction? 3- to 5- mm wheal with flare which information does the nurse provide regarding administration when educating a patient about use of a metered-dose inhaler? "hold your breath and exhale slowly following medication administration." what are the seven rights? Right Dose Right Documentation Right Drug (triple check, MAR) Right Patient Right Route Right Time Right of Refusal what are the advantages of the unit-dose system? there is less waste and misappropriation of medications

pyxis system refers to what drug dosage system? Electronic medication dispensing system the nurse understands that using a computer-controlled ordering and dispensing system means what? that the verification and transcription of medication prescriptions are built into the system When should PRN medications be given? after the patient asks for it and the nurse determines it can be safely administered when does the drug prescribed using the term stat need to be given? immediately and one time only medication reconciliation is a process designed to reduce medication errors and involves which steps? (Select all that apply) A. comparing written blanket prescriptions B. reviewing potential adverse drug events C. developing a list of prescribed medications D. developing a list of current medications being taken by the patient E. comparing the lists of current medications with prescribed ones C, D, E what is important for the nurse to remember when applying ointment to a patient's skin? (select all that apply) A. ointments generally cannot be removed easily with water B. ointments are semisolid preparations of medicinal substances in an oily base C. ointments are to be applied directly to the skin or mucous membranes D. ointments must be reapplied frequently because they are absorbed easily E. the use of ointments helps keep the medication in prolonged contact with the skin A, B, C, E the common sites used for application of any transdermal medication disks include which of the areas of the body? (select all that apply) A. chest B. face

C. flank D. upper arms E. axilla A, C, D when administering eardrops to a child younger than 3 years, the nurse should restraint the child, turn the head to the appropriate side, and gently pull the earlobe in which direction? downward and back