Test 2

Question 0

What tells nurses what we can do in ky?

Answer 0

Nursing practice act

Question 1

Nursing practice act

Answer 1

Designated what RN’s can and can’t do in ky

Question 2

Where we can find info on meds

Answer 2

United States pharmacopeia
And
The national formulary

Question 3

Medication reconciliation safety goal

Answer 3

Verify
Clarify
Reconcile
Transmit

Question 4

When do you perform a medication reconciliation form

Answer 4

Admission
Transfer
Surgery
Discharge

Question 5

Nurses role in safety of medication administration

Answer 5

5 rights, evaluate drug, what effects will drug have upon pt, reduce distractions

Question 6

Chemical name of a drug

Answer 6

In lab setting when developing a drug

Question 7

Generic name of medication

Answer 7

Once drug shows Promise and can be used it receives generic name which has a chemical property in its name

Question 8

Trade name of medication

Answer 8

After set for publication, this is the catchy name,
Seasonale
Also has trademark symbol by it

Question 9

Extended or sustained release oral medication

Answer 9

Coated to delay absorption and is slow to absorb

Question 10

Enteric coated oral medication

Answer 10

Coated to prevent irritation to GI tract

Question 11

Suspension oral medication

Answer 11

Must shake before administration to mix the medication and prevent concentrated dose

Question 12

Sublingual medications

Answer 12

Absorbs under the tongue

Question 13

Buccal medications

Answer 13

Absorbs in the cheek

Question 14

Before administering vaginal or rectal inserts you should first.

Answer 14

Warm them up a little

Question 15

How are drugs classified

Answer 15

According to their purpose in the body
Anti hypertensives
GI stimulants

Question 16

4 steps of a drug in your body

Answer 16

Absorption
Distribution
Metabolism
Excretion

Question 17

Absorption of a drug after administering it

Answer 17

Enters body, into bloodstream.

Question 18

Absorption of a medication determines what

Answer 18

Onset of drug action

Intensity of drug action

Question 19

Factor affecting absorption : Route of administration
PO
Buccal
Parenteral

Answer 19

PO: increased absorption on empty stomach
Buccal: bypasses stomach, goes straight into mucous membrane into blood supply
Parenteral:
Intradermal:slowest, SQ: slow, IM: faster
IV: fastest

Question 20

Drug solubility

Acidity of medication

Answer 20

The higher the acidity of the medication, the quicker it breaks down

Question 21

Factors affecting absorption

Answer 21

Blood flow, drug concentration/dose, lipid solubility

Question 22

Distribution: plasma protein binding

Answer 22

Med that binds to proteins to have a slower release. If they can not bind to a protein they start working immediately which may cause a problem. Caution on multiple meds having high protein properties. They then compete for the proteins

Question 23

Distribution: tissue binding

Answer 23

Some meds attach to tissues and release over time, TCN find to teeth

Question 24

Distribution: blood brain barrier

Answer 24

Some meds never cross this barrier, never reach the brain

Question 25

Distribution: placental barrier

Answer 25

Most drugs cross this

Question 26

Distribution: cardiac function

Answer 26

Good SV and volume increase absorption of med

Question 27

Metabolism of a drug

Answer 27

The liver takes the drug from an active form to inactive

Question 28

Excretion of a drug occurs where

Answer 28

``` Kidney-gets rid of drug Liver-main organ to break down med Bowel Lung Exocrine glands ```

Question 29

Pharm: agonists

Answer 29

Drugs bind to receptors site to help, mimic those receptors

Question 30

Pharm: antagonistic

Answer 30

Block receptors from doing its job

Question 31

Pharm: what type of drug interferes with the function of foreign cells

Answer 31

Antibiotics interfere with bacteria

Question 32

Pharm: which drugs alter physical and chemical components of body fluids

Answer 32

Laxatives

Question 33

First pass of metabolism

Answer 33

Drug is already broken down when it reaches hepatic system, need increased dose of these meds

Question 34

Who can metabolize med faster? | Young or old? Fat or fit?

Answer 34

Young ppl have quicker metabolism and excretion times. | Fat ppl have slower absorption vs a masculine person.

Question 35

Drug tolerance

Answer 35

Controlled substances. Pt needs increased dose to reach desired effect

Question 36

Toxic effects

Answer 36

Overdose or improper functioning liver, builds up toxic level of drug

Question 37

Idiosyncratic effect

Answer 37

Unusual response to a med that occurs specifically to that person

Question 38

Loading dose

Answer 38

Start with a high dose to reach level quickly, and other doses are lower

Question 39

What name of a drug is the safest to write

Answer 39

Generic name

Question 40

What is the highest degree of dependency For a med according to drug schedule? How many are there total?

Answer 40

Highest: level 1 | 5 total

Question 41

Therapeutic range of drug

Answer 41

Need steady level to produce wanted effect, require labs to assess levels

Question 42

Peak plasma level of med

Answer 42

The highest level in blood serum, occurs 1-2 hours after med is taken.

Question 43

Trough level of med

Answer 43

Lowest level of med in blood serum, occurs 30 minute before next dose

Question 44

Half life of med

Answer 44

Time it takes for drug to reach 50% concentration level

Question 45

Loading dose level of med

Answer 45

First initial dose is high, achieve therapeutic dose quickly.

Question 46

Half life 40 mg med, half life is 4 hrs. First dose given at 8 am. What's the mg at 12pm, 4 pm, 8 pm?

Answer 46

12: 20 mg 4: 10 mg 8: 5 mg Every 4 hrs the med is reduced by 50%

Question 47

Meds for adults are based on a weight of

Answer 47

150 pounds

Question 48

Peds med dose calculated by

Answer 48

Mg/kg/day

Question 49

Pregnancy: Category A

Answer 49

Safe, no harm. | Vitamins, folic acid

Question 50

Pregnancy: category B

Answer 50

Animal studies show no risk, but no human trials

Question 51

Pregnancy: category C

Answer 51

Animal studies have shown adverse effects, no human trials

Question 52

Pregnancy: category D

Answer 52

Proof of feral adverse effects, use only when benefit out weighs risk. Ppl with epilepsy

Question 53

Pregnancy: category X

Answer 53

Never a benefit, fetal harm. | Acutane.

Question 54

Phase 1: drug development

Answer 54

20 ppl, see if drug is doing what it should. Evaluate side effects

Question 55

Phase 2: drug development

Answer 55

100-200ppl | Determine range of safe dose (therapeutic)

Question 56

Phase 3: drug Development

Answer 56

1000-3000 ppl | Continue watching side effects

Question 57

Phase 4: drug development

Answer 57

Available for rx,

Question 58

Infection is caused by

Answer 58

Pathogens

Question 59

Reservoir def | Tetanus, humans, animals, water, inanimate object

Answer 59

Where pathogens hang out. | Tetanus-soil. Humans-HIV, animals-rabies, Water-ecoli, Inanimate objects-flu

Question 60

Portal of exit of pathogen | Respiratory

Answer 60

How it leaves our body. | Resp: cough

Question 61

Transmission of pathogens

Answer 61

Contact, directly by kiss, or indirectly by an inanimate object

Question 62

Airborne sickness | Droplets

Answer 62

Cough, sneeze, passed by small secretions | Droplets: bigger

Question 63

Portal of entry of pathogen

Answer 63

Urinary, respiratory, GI, skin

Question 64

Susceptible host of pathogen

Answer 64

Degree of resistance by person exposed

Question 65

Lymphocytes

Answer 65

Viral

Question 66

Neutrophil

Answer 66

Bacterial

Question 67

Eosinophil

Answer 67

Allergic

Question 68

ESR | Erythrocyte sedimentation rate

Answer 68

Inflammation is present in entire body, but its non specific

Question 69

Ventilation

Answer 69

Breathing, air coming in/out of body

Question 70

Perfusion

Answer 70

Blood moving in body

Question 71

Where does diffusion occur

Answer 71

Cap bed around alveoli

Question 72

Hypoxia

Answer 72

Difficulty breathing

Question 73

Adventitious

Answer 73

Taken advantage

Question 74

Telemetry

Answer 74

Monitors pulse

Question 75

Changes in blood pressure related to ortho static hypotension

Answer 75

20 systolic | 10 diastolic

Question 76

Pulse ox measures

Answer 76

Saturation at arterial blood

Question 77

Procedure to visualize primary bronchus

Answer 77

Bronchoscopy

Question 78

Procedure to remove fluid from lung

Answer 78

Thoracentesis

Question 79

What does echocardiogram look at

Answer 79

Heart as a pump

Question 80

Reservior

Answer 80

Where pathogens hang out | In the soil, water, on humans...

Question 81

Portal of exit

Answer 81

How it gets out of our body | Cough, blood

Question 82

Transmission

Answer 82

Contact, airborne, droplets

Question 83

Portal of entry

Answer 83

Skin, gi, respiratory

Question 84

Susceptible host

Answer 84

Degree of resistance person has to pathogen

Question 85

Lymphocyte

Answer 85

Viral

Question 86

Neutrophil

Answer 86

Bacterial

Question 87

ESR

Answer 87

Erythrocyte sedimentation rate | Shows inflammation in body. Nonspecific.

Question 88

Medical asepsis

Answer 88

Clean technique | Ppe, hand wash

Question 89

Surgical asepsis

Answer 89

Sterile

Question 90

Hospital infection

Answer 90

Nosocomial

Question 91

Incubation period

Answer 91

Time when pathogen enters to time u develop s/s

Question 92

Prodromal stage

Answer 92

Early s/s of dz, nonspecific

Question 93

Illness

Answer 93

Full illness

Question 94

Convalescent period

Answer 94

Recovery

Question 95

Stages of infection

Answer 95

Incubation Prodromal Illness Convalescent

Question 96

Standard precaution

Answer 96

Use for everyone

Question 97

Transmission based precaution

Answer 97

Depends on dz, airborne, droplet, contact

Question 98

Neutropenic

Answer 98

Immunocompromised pt

Question 99

Gender identity

Answer 99

What ur inner self thinks u r

Question 100

Gender role behavior

Answer 100

How u express ur behavior

Question 101

Sexual orientation

Answer 101

Who we r attracted to

Question 102

Arika lecture | Level 1:

Answer 102

Pre conventional Listen to what teacher tells u Pleasure seeking wins

Question 103

Arika lecture: | Level 2

Answer 103

Conventional Most ppl stay here Want to please so everyone happy

Question 104

Arika lecture | Level 3

Answer 104

Post conventional Few make it here-pope, Achieve greater good for all

Question 105

Colorectal screening

Answer 105

Detects cancer

Question 106

Fecal occult blood test

Answer 106

Performed yearly

Question 107

Sigmoid screening

Answer 107

Every 3 years

Question 108

Colonoscopy

Answer 108

Every 10 years, visualize colon

Question 109

Biological safety

Answer 109

Ppe, hand washing