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Fund.C29 vocab/quiz
Vocabulary and NCLEX quiz Questions
| Question | Answer |
|---|---|
| Absorption | process by which drugs are transferred from the site of entry into the body to the bloodstream |
| Adverse Drug Effect | undesirable effects other than the intended therapeutic effect of a drug |
| Allergic Effect | immune system response that occurs when the body interprets the administered drug as a foreign substance and forms antibodies against the drug |
| Ampule | glass flask containing a single dose of medication for parenteral administration |
| Anaphylactic Reaction | severe reaction occurring immediately after exposure to a drug |
| Anaphylaxis | characterized by respiratory distress and vascular collapse |
| Antagonist Effect | combined effect of two or more drugs that produces less than the effect of each drug alone |
| Cumulative Effect | condition that occurs when the body cannot metabolize a drug before additional doses are administered |
| Distribution | movement of drugs by the circulatory system to the site of action |
| Drug Tolerance | tendency of the body to become accustomed to a drug over time; larger doses are required to produce the desired effects |
| Excretion | removal of a drug from the body |
| Generic Name | name assigned by the manufacturer who first develops a drug; it is often derived from the chemical name |
| Half Life | the amount of time it takes for half a dose of a drug to be eliminated from the body |
| Idiosyncratic Effect | unusual, unexpected response to a drug that may manifest itself by over response, under response, or response different from the expected outcome |
| Inhalation | administration of a drug in a solution via the respiratory tract |
| Intradermal injection | injection placed just below the epidermis |
| Intramuscular injection | an injection into deep muscle tissue |
| Intravenous Route | injection of solution into the vein |
| Metabolism | breakdown of a drug to an inactive form; also referred to as a biotransformation |
| Mini-Infusion Pump | battery-operated pump for intermittent infusion allowing medication mixed in a syringe to be connected to the primary line and delivered by mechanical pressure applied to the syringe plunger |
| Official Name | name by which a drug is identified in official publications |
| Parenteral | outside of intestines or alimentary canal; popularly used to refer to injection routes |
| Peak Level | highest plasma concentration of a drug |
| Pharmacodynamic | process by which drugs alter cell physiology and affect the body |
| Pharmacokinetic | movement of drug molecules in the body in relation to the drug’s absorption, distribution, metabolism, and excretion |
| Pharmacology | study of actions of chemical on living organisms |
| Pharmacotherapeutic | dynamic that achieves the desired therapeutic effect of the drug without causing other undesirable effects |
| Piggyback Delivery System | intermittent IV administration of medications through a primary IV line, with the additive container positioned higher than the primary IV solution |
| Placebo | Latin word meaning, “I shall please”; an inactive substance that gives satisfaction to the person using it |
| P.R.N. Order | directives commonly written for treatment of symptoms “as needed” |
| Stat Order | single order carried out immediately |
| Subcutaneous Injection | injection into the subcutaneous tissue that lies between the epidermis and the muscle |
| Synergistic Effect | combined effect of two or more drugs is greater than the effect of each drug alone |
| Teratogenic | known to have potential to cause developmental defects in the embryo or fetus |
| Therapeutic Range | that concentration of drug in the blood serum that produces the desired effect without causing toxicity |
| Topical Application | application of substance directly to a body surface |
| Toxic Effect | specific groups of symptoms related to drug therapy that carries risk for permanent damage or death |
| Trade Name | drug name selected and trademarked by the company marketing the drug |
| Trough Level | the point when a drug is at its lowest concentration |
| Vial | glass bottle with self-sealing stopper through which medication is removed; may be single or multiple dose |
| Volume-Control Administration Set | intermittent intravenous medication infusion diluted with a small amount of solution |
| Z-Track Technique | technique used to administer medication intramuscularly that ensures meds don’t leak back along the needle track and into the subcu. Tissue, reducing pain and discomfort |
| What parenteral route of administration has the longest absorption time? | Intradermal |
| At what point should the nurse perform the first of the three checks of medication administration? | as the nurse reached for the drug package or container |
| A nurse educator is reviewing information related to medication administration documentation with a group of graduate nurses. What is the guideline for document will the nurse discuss with the group? | Document administration of the medication immediately after administering the drug |
| A nurse is preparing to administer a medication via a nasogastric tube. What guideline is appropriate for the nurse to follow when administering a drug via this route? | flush the tube with water between each drug administered |
| A post-surgical pt’s MAR provides for PRN administration of a number of analgesics by various routes. What route will likely provide the most rapid pain relief for the patient? | Intravenous |
| What is the term used for the concentration of drug in the blood serum that produces the desired effect without causing toxicity? | Therapeutic Range |
| What organ is the primary site for drug metabolism? | Liver |
| The Z-track technique is utilized during drug administration by what route? | Intramuscular |
| A patient with a complex cardiac history has been prescribed Lanoxin 0.0625 mg PO. The drug is available as 125 mcg tablets. How many tablets will the nurse administer? | 0.5 (125mcg= 0.125mg. 0.0625mg / 0.125mg = 0.5 tablets) |
| The nurse is preparing a patient for discharge, and this patient has been prescribed an eye medication disk for use at home. What is a statement that is factual and important to discuss with the pt.? | The disk will be effective for up to 1 week |
| What type of patient would a nurse be most likely to administer a PRN medication to? | a patient who is complaining of pain near her surgical site |
| A nurse transcribes an order that reads- Colace 100mg PO daily. This an example of what type of order? | Standing Order |
| What system of measurement is most accurate and precise for drug administration? | Metric System |
| What is a factor associated with rapid absorption of a drug? | Intravenous Route of administration |
| A pt. with COPD has been prescribed an inhaled bronchodilator. What techniques should the nurse implement in order to ensure safe and complete delivery of the prescribed medication? | Use a spacer or extender with the metered-dose inhaler |
| MDIs are placed _ to _ inches in front of the mouth? | 1-2 inches, not deeply into the mouth |
| The nurse is preparing to administer Demerol as an IM injection in an adult pts deltoid site. What needle should the nurse select for this injection? | Between 1” and 1 1/2” in length, and 20 to 25 gauge needle |
| A pts med chart notes a penicillin allergy, yet the MD has just written an antibiotic in the same drug family after reviewing the pts wound culture and sensitivity. How should the nurse respond to this situation? | Withhold the medication until the potential drug allergy has been addressed by the care team |
| When administering oral meds, what practices should the nurse follow? | verify the pts response to med 30 mins after admin, stay at bedside until pt has swallowed all meds, and perform hand hygiene before and after med administration |
| A graduate nurse is administering several medications to a newly admitted patient. Who is legally responsible for the drugs administered by this nurse? | the nurse administering the drugs |
| A nurse is providing care for a pt who has a history of dementia. What methods should the nurse use in order to determine the pts identity prior to med administration? | Check the patient’s identification band |
| A woman who has been ordered intravenous antibiotics is receiving the drug in the parenteral route, TRUE or FALSE | TRUE |
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