Ch. 20 Medication Administration

Question 1

Medication can be known by at least what three names?

Answer 1

• Chemical name
• Generic name
• Trade or brand name

Question 2

What is the chemical name of a drug?

Answer 2

The molecular structure.

Question 3

What is the generic name of a drug?

Answer 3

The “official” name assigned by the United States Adopted Names Council

Question 4

What is the trade or brand name of a drug?

Answer 4

The name used by the pharmaceutical company that has the right to manufacture them medication

Question 5

Medications may be classified in what several ways?

Answer 5

• Chemical composition
• Clinical actions
• Therapeutic effect

Question 6

What systems of medication distribution are there?

Answer 6

• Unit-dose system
• Automated medication-dispensing system
• Bar code medication administration
• Self-administered medication system

Question 7

Which of the following systems of medication administration involves the pharmacy in pre-packaging and pre-labeling an individual dose?

Answer 7

Unit-dose system

Question 8

What are considered prescription medications?

Answer 8

A legal order for the preparation and administration of a medication by a duly licensed healthcare provider.

Question 9

What are considered nonprescription medications?

Answer 9

“Over the counter” (OTC) medications not needing a prescription

Question 10

Herbs and botanical are what types of products?

Answer 10

plant based

Question 11

*What are medication order components?

Answer 11

• Medication name
• Medication dosage
• Route of administration
• Purpose
• Provider’s signature

Question 12

What is pharmacokinetics?

Answer 12

How a drug moves through the body and is eventually eliminated.

Question 13

What are the actions of pharmacokinetics?

Answer 13

• Absorption: med enters bloodstream
• Distribution: med delivered to target cells/tissue
• Metabolism: drug chemically change in body
• Excretion: removing drug/or metabolites form body

Question 14

What is pharmacodynamics?

Answer 14

The physiological and biochemical effects of a drug on the body. Such as therapeutic and adverse effects.

Question 15

What are pharmacodynamics therapeutic effects?

Answer 15

Desired and intentional effects

Question 16

What are pharmacodynamics advert effects?

Answer 16

• Side effects
• Tolerance
• Allergic reactions
• Toxicity

Question 17

What are drug actions of pharmacodynamics?

Answer 17

• Interactions: med effects altered

- Compatibility: meds become inactive/or precipitate forms

Question 18

The nurse has administered an antihypertensive medication to a patient and found he patient’s blood pressure to be WNL to hours later. This pharmacodynamic effect would be known as?

1. a therapeutic effect
2. a side effect
3. medication tolerance
4. a toxic effect

Answer 18

A. therapeutic effect

Question 19

*What are the six rights of medication administration?

Answer 19

1. Patient: 2 identifiers
2. Medication: appropriate
3. Dose: appropriate
4. Route: safe and appropriate
5. Time: appropriate frequency
6. Documentation

Question 20

Children’s medication dosages are most often calculated using what?

Answer 20

Child’s weight in kg or body surface area.

Question 21

The nurse ir preparing to administer medication through a nasogastric tube that is connected to suction. To administer the medication accurately, the nurse would…

1. Aspirate the nasogastric tube after medication administration to maintain patency.
2. Position the client supine to assist in medication absorption
3. Clamp the nasogastric tube for 30 minutes following administration of the medication
4. Change the suction setting to low intermittent suction for 30 minutes after medication administration

Answer 21

C. Clamp the nasogastric tube for 30 minutes following administration of the medication.