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1
Q

What is the medical term for when a patient’s BSL is above normal range

A

Hyperglycaemia

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2
Q

What is the branch of pharmacology concerned with the effects of drugs and their mechanism of action?

A

Pharmacodynamics

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3
Q

The INR blood test is taken before the prescription of which medication

A

Warfarin

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4
Q

What 3 actions does the RN engage in during the administration phase of the medication management cycle

A

review of medication order, distribution, issue medication

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5
Q

What does pharmacokinetic mean

A

the movement of medication, into, through and out the body

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6
Q

the movement of medication, into, through and out the body

A

phlebitis

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7
Q

Which route is enoxaparin administered via

A

Subcut

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8
Q

Insulin infusions use what type of insulin

A

Short acting

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9
Q

Why is a person with DM taught to rotate the insulin administration site

A

Prevent lipohypertrophy

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10
Q

If a RN makes an error they must

A

assess the patient and report the error

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11
Q

Which of the following would be considered a dispensing error of medications

A

patient given the wrong medication

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12
Q

What is an advantage of the electronic medication management system

A

eliminates medication errors due to handwriting

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13
Q

What is a factor that increases risk of medication error

A

heavy workload

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14
Q

The antidote for warfarin overdose is

A

Vitamin K

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15
Q

What medication requires an APTT blood test

A

Heparin

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16
Q

Who is able to press the administration button on the PCA

A

The patient only

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17
Q

What is the maximum oxygen flow delivery rate recommended for Nasal Prongs

A

4 L/min

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18
Q

What position should a patient be in when administering a nebuliser medication

A

High fowler’s

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19
Q

In what situation can an RN administer oxygen to a patient without doctor’s order

A

Emergency or emergent situations

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20
Q

Adverse drug events are

A

Drug reaction to medication

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21
Q

Which drug may cause ototoxicity if serum levels rise above normal?

A

Gentamycin

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22
Q

Warfarin is a drug given to people to prevent stroke because

A

reduces risk of embolic event

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23
Q

What medication is used to treat pulmonary oedema?

A

Diuretics

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24
Q

What is the main cause of fluid volume excess

A

Congestive Heart Failure

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25
What is the normal blood level for potassium?
3.5 - 5.5 mmol/L
26
Which of the following is an example an isotonic solution
0.9% Sodium Chloride
27
Which medication are registered nurses able to give during a cardiac arrest
Adrenaline
28
What does VTE stand for
Venous thromboembolism
29
What is the definition of half life in relation to medications?
the rate it takes for the active drug to reduce by 50% in the plasma
30
What is the mode of action of Salbutamol
selective Beta 2-receptor agonist
31
Which of the following is the definitive diagnosis used for diabetes mellitus
Glycosylated haemoglobin
32
Which of the following is a colloid?
Albumin
33
What is a cause of fluid volume deficit
Polyuria
34
``` Factors that increase risk of medication errors by individuals include: Polypharmacy Workload Experience All of the answers are correct ```
All of the answers are correct
35
How is the starting dose of the heparin infusion worked out?
It is worked out based on the weight of the patient
36
What is the normal serum values of Mg?
0.7 -1.1 mmol/L
37
What is the preferred site for administering 1 - 2 mL intramuscular injections?
Deltoid
38
Which of the following two factors can affect the pharmocodynamics of a medication
physiological changes, aging
39
The RN needs to check for allergies prior to medications administration because?
determine if the medication is safe to administer
40
The movement of a medication into the body is known as?
Pharmacokinetics
41
The 3 identifiers that RN must use to determine the identity of a patient are:
UR number, date of birth, first and last name
42
Which of the following is a hypertonic solution?
10% Dextrose
43
You are a RN working on the ward another RN smells of alcohol and is administering medications
notify the nurse unit manager or team leader
44
What colour is used in Australia for cytotoxic precautions?
Purple
45
Which of the following is a local anaesthetic?
Lignocaine
46
Which is the normal dose of adrenaline during a cardiac arrest?
1 mg or 1mL of 1 : 1,000
47
Which of the following routes is considered parenteral?
Intraosseous
48
Why is it important to label your medication devices, fluid bags and lines?
all other answers are correct
49
What resource do you use to determine IV medication requirements?
Australian Injectable Drug Handbook
50
How do you check the patency of an IV cannula before you give the medication?
Flush the IVC with 0.9% NaCl
51
What type of medication is a S3 drug?
Pharmacist only
52
Which of the following medications is used as a bronchodilator?
Salbutamol
53
The period of time that a patient cannot have another dose from their PCA is called the?
Lockout
54
The position to place a patient when administering suppositories is?
on the left lateral position with leg flexed
55
What does distribution in regards to medication mean?
transport of drug from site of absorption to site of action
56
What does sublingual mean?
placed under the tongue
57
What is the best time of the day for a diabetic patient to have surgery?
Morning
58
``` Which of the following drugs are not an analgesic? Codeine Pethidine Ibuprofen Anginine ```
Anginine
59
``` Which of the following drugs is NOT an opioid? Morphine Endone Paracetamol Fentanyl ```
Paracetamol
60
The mode of action of NSAID is?
bind to cyclo-oxyenase and inhibits prostaglandin
61
The mode of action of opioids?
acts as agonist on opioid receptors in CNS
62
``` Which of the following is an adverse drug reaction to opioids? nausea and vomiting respiratory depression constipation all of the other answers are correct ```
all of the other answers are correct
63
For the medication order to be valid it must have: Route, drug, dose, frequency Brand name, route, dose, frequency Drug, route, dose, time Generic drug name, route, frequency, dose, doctors signature
Generic drug name, route, frequency, dose, doctors signature
64
One system factor that contributes to medication errors: Facilities using untrained staff to administer medications Crushing medications that should not be crushed Not checking rights of administration Knowledge deficits of medicines administered
Facilities using untrained staff to administer medications
65
The use of medications for end stage of life is aimed at?
Improve quality of life
66
The term hypernatremia refers to?
High levels of sodium in the blood
67
What is the appropriate treatment for hyperkalaemia?
Diuretics
68
``` Which of the following is a schedule 2 medication? Fentanyl Paracetamol Diazepam Temazepam ```
Paracetamol
69
``` Which medication is ordered if the patient has constipation? Senekot Lomotil Metoclopramide Buscopan ```
Senekot
70
``` What is a contraindication for the medication heparin? Ischaemic stroke Haemorrhagic stroke Myocardial infarction DVT ```
Haemorrhagic stroke
71
``` Which of the following is a general anaesthetic? Morphine Lignocaine Dexamethasone Propofol ```
Propofol
72
The doctor has prescribed penicillin for a patient with an allergy what should the nurse do?
withhold the medication and report to doctor
73
``` When calculating medication doses for children, what is important? Height of the child Weight of the child Age of the child The ability of the child to communicate ```
Weight of the child
74
``` Which of the following is considered a non parenteral route? Oral Intravenous Intramuscular Intraosseous ```
oral
75
``` Document to complete for patient vital signs? IV fluid order NIMC QADDs FBC ```
QADDs
76
``` Which of the following is a sign of an infection at an IV site? pain Redness Itchy Dizzyness ```
Redness
77
What is the time frame for a paper based telephone order to be signed by the doctor?
Within 24 hours
78
The advantage of using a Nikki T syringe driver is? the patient has increased control over when they deliver a dose of drug increase safety for the patient as the nurse does not check the infusion more peaks and troughs in pain thresholds continuous pain control
continuous pain control
79
``` Enoxaparin is used for? Respiratory depression VTE prophylactic Antidote to Warfarin Dehydration ```
VTE prophylactic
80
A patient has presented with asthma which drug do you expect the doctor to order?
Nebulised salbutamol
81
MDI stands for?
Metered dose inhaler
82
``` Which of the following is not an acceptable abbreviation for medications? mane nocte IM SC ```
SC
83
``` Which of the following medications relaxes the vascular smooth muscles of the body? Glyceryl trinitrate Metformin Enoxaparin Gentamicin ```
Glyceryl trinitrate
84
``` Heparin is given to people after a myocardial infarction because? It increases the risk for bleeding Prevents the formation of clots Thins the blood Helps the blood form clots ```
Prevents the formation of clots

Medication Management (1 decks)

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