Test 3 Flashcards

(102 cards)

1
Q

verify identification using 2 sources (name and date of birth) before administering any medication

A

Right Client

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2
Q

read medication labels and compare them with the MAR 3 times before removing from the container, when removing the amount of the medication, and int he presence of the client before adminstering the medication

A

Right medication

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3
Q

calculate the correct medication _____ to decrease errors ask another nurse to verfiy

A

Right dosage

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4
Q

oral, topical, subcutaneous, intramuscular, intravenous, sublingual, buccal, intradermal, transdermal, epidural, inhalation, nasal, ophthalmic, otic, rectal, vaginal

A

right route

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5
Q

administer medication on ____ to maintain a consistent therapeutic blood level. within 30 mins of ____ critical medications

A

Right time

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6
Q

immediately record pertinent information including the clients response to the medication, document the medication after administration not before

A

right documentation

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7
Q

verify that the drug prescribed is appropriate to treat the patients condition

A

Right reason

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8
Q

collect any essential data before and after administering any medication

A

Right assessment data

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9
Q

inform clients about the medication its purpose what to expect how to take it what to report

A

Right education

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10
Q

any time a medication is given their response should be recorded to make sure it is known to all treating the patient

A

Right response

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11
Q

Document that the client did not want to take the medication. explain consequences

A

Right to refuse

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12
Q

What are the 11 rights of medication administration?

A
Right patients
Right Route
Right Dose
Right Medication
Right time
Right Documentation
Right Reason
Right assessment data
Right Education
Right Response
Right to refuse
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13
Q

What does ADME stand for?

A

Asorption
Distribution
Metabolize
Excretion

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14
Q

is the change that occurs in a drug into a more or less potent form of the drug, more soluble form, or an inactive form of the drug

A

Metabolism

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15
Q

is the movement of the drug through the circulatory system to its intended action site

A

distributuion

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16
Q

which part of the body receives the highest level level of the drug due to high blood supply

A

liver heart kidneys

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17
Q

is the elimination of a drug or it metabolites through various parts of the body

A

excretion

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18
Q

is the effect the body has on a drug once the drug enters the body,

A

pharmacokinetics

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19
Q

movement of drug from the site of administration to various tissues of the body

A

absorption

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20
Q

are the biochemical changes that occur in the body as a result of taking a drug

A

Pharmacodynamics

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21
Q

is the amount of time it takes for the drug to demonstrate a therapeutic response

A

onset of action

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22
Q

is the concentration of drug in the blood serum that produces the desired effect without causing toxicity

A

therapeutic range

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23
Q

the amount the time it takes for 50% of the serum concentration of a drug to be eliminated from the body.

A

half life

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24
Q

Parts of a medication order (7)

A

Patient’s name and a secondary identifier (DOB, medical record number)
Date and time the order is written
Name of drug to be administered
Dosage of the drug
Route by which the drug is to be administered
Frequence of administration of the drug
Signature of the prescribing provider

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25
PRN means?
as needed
26
a single order which is carried out immediately
stat order
27
PO means?
by mouth
28
IM
intramuscular
29
IV
intravenous
30
qd
once a day
31
b.i.d
twice a day
32
t.i.d
three times a day
33
q.i.d
four times a day
34
parenteral route means?
injecting drug into
35
procedures for giving non parenteral medications (7)
verify order using 5 rights check chart for allergies assess client 2 way identifier ask client to verify any allergies perform any specific assessments, verify ability to take medication orally identify how client takes meds - h20 crushed in food juice obtain appropriate meds
36
Rectal and Vaginal medications are called?
Suppositories
37
Medication used for the nose are (2)
nasal and inhaler
38
liquid medication can come in the form of (3)
suspensions, elixir, syrup
39
medication for the eyes are called
ophthalmic
40
medication for the ears are called
otic
41
an oral coated tablet or capsule which prevents stomach irritation
enteric coated
42
drug manufactured with coating that slows metabolism until in a certain part of the body or is released slowly and continously rather than immediate
extended release
43
medication that is applied directly to skin for iffusion into skin and subsequently into the bloodstream
transdermal
44
What is the side effect for digoxin? (5)
yellow green halo for eyes, nausea, anorexia, vomiting arrythmias
45
what is the assessment for digoxin?
apical and radial pulse blood pressure electrolytes level
46
what is digoxin used for?
arrythmias
47
When would you hold administration of digoxin?
Apical pulse lower than 60 bpm
48
what kind of medication is furosemide?
loop diuretic
49
what assessment do you need for furosemide?
BP, potassium levels/content, fluid status
50
what are the side effects for furosemide? (3)
increased urination, orthostatic hypertension, hypokalemia
51
what are the side effects of acetametophin
jaundice , stomach ulcer
52
what kind of medication is acetaminophen?
antipyretic /relieves pain reduces pain
53
what assessment do you need for acetaminophen?
check for liver function
54
what kind of medication is metropolol?
beta blocker (slows hr)
55
whats the side effect of taking metropolol?
bradycardia
56
what assessments do you need for metropolol?
BP and apical pulse
57
when would you hold metropolol?
apical pulse below 50 bpm
58
the level of a drug that leads to permanent damage or death
toxicity
59
the highest plasma concentration of the drug when absorption is complete
peak
60
secondary harmful effects that lead to injury or damage
adverse effects
61
alterations in pharmacokinetics in the older adult (6)
``` decrease in protein binding site decreased gastric mobility decreased liver function decreased kidney function increased adipose tissue body water and muscle mass decrease ```
62
Absorption distribution metabolism excretion is all apart of ?
Pharmacokinetics
63
Onset of action , peak, half-life, duration is?
Pharmacodynamics
64
Pain that is less than 6 months
Acute
65
Pain that is more than 6 months
Chronic
66
vital sign changes is related to what kind of pain?
acute pain
67
no vital sign changes is related to what type pf pain?
chronic pain
68
what are the signs and symptoms of pain?
``` vital sign changes grimacing diaphoresis body positioning withdrawn craddling area patients statement of pain ```
69
what is the the assessments for pain?
PQRST, vital signs objective and subjective data, effects on adl
70
P stands for?
precepitation cause
71
Q stands for?
quality
72
R stands for?
region
73
S stand for
severity
74
T stands for ?
timing
75
what are interventions for acute pain?
stabalize vitals, administer pain meds, monitor vitals
76
What are some pharmacological vs nonpharm methods for acute pain?
meds as ordered, acupuncture, heat and cold therapy, dim lighting, massages , calm enviornment
77
what does heat therapy do?
increases blood flow and relaxes muscles
78
what does cold therapy do?
reduce swelling and inflammation and constricts blood vessels
79
what is the most common cause of legal blindness?
Macular degeneration
80
loss of peripheral vision
glacoma
81
loss of central vision
macular degeneratio
82
cloudy lens
cataeacts
83
spotty vision
diabetic retinopathy
84
loss of near vision due to age
presbyopia
85
P in PERRLA
PUPILS
86
E IN PERRLA
EQUAL
87
BOTH R'S IN PERRLA
ROUND AND REACTIVE
88
L IN PERRLA
LIGHT
89
A IN PERRLA
ACCOMODATION
90
EOM stands for
extraocular musclle functions test
91
loss of high frequence
presbycusis
92
temporary outer and or middle ear loss
conductive hearing
93
involves damage to the inner ear cochlea and fibers of the eight cranial nerve
sensorineural hearing loss
94
occurs when there is too much stimuli for the brain to porcess at once
sensory overload
95
is the loss of one of the senses
sensory deprivation
96
which crainial nerve is affected with hearing loss?
cranial nerve 8
97
which cranial nerves is affected with vision?
2 , 3 , 4 , 6
98
cranial nerve 2 is ?
optic
99
cranial never 3 is?
occulomotor
100
cranial nerve 4 is
trochlear
101
cranial nerve 6 is ?
abducens
102
cranial nerve 8 is?
vetibulacohlear