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P Exam 1
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| Question | Answer |
|---|---|
| Which substances are the most commonly prescribed or categorized as Controlled Substances? | Drugs that are often abused. (major pain killers, sedatives or tranquilizers) |
| What is the reason that drugs may fall within the 5 major categories of control? | Because they are often abused. |
| What is the protocol for situations where clients bring their medications to the hospital? | They need an order from a physician in order to take them in a hospital otherwise they cannot take the meds. For safety reasons..i.e. overdose |
| The clients med chart or record is property of the hospital T or F? | True |
| Is the client able to access the chart or record and how? | Yes with guidance they can review the information |
| Privacy laws protect this record from what? | being reviewed by anyone not on the direct care team, or persons not authorized by the client. |
| Can the client receive a copy of the record from the hospital? | Yes but they may be charged for the copies of the record |
| What is he protocol for situations where a controlled substance is spilled or accidentally contaminated? | Two nurses must sign the inventory report and describe the situation. |
| All medication orders must have the which components? | Frequency, amount, route, time frame |
| What is the meaning of "Priority order"? | to be done within the hour |
| What is the meaning of "Standing Order"? | Indicates that the drug is to be administered until d/c'd or for a certain number of doses |
| What is the meaning of "PRN"? | Given as needed based on nurses judgement of safety and patient need and must state under what circumstances it would be given i.e: nausea, insomnia |
| What is the meaning of "STAT"? | immediately within minutes |
| What is your first duty in the event that you have made a medication error and have given the wrong med to a client? | 1)immediately check the patient 2)notify physician 3)notify supervisor 4) continue to monitor patient 5) fill out incident report & record in pts chart what happened |
| Define OD? Which eye? | oculus dexter (Right Eye) |
| Define OS? Which eye? | oculus sinister (left eye) |
| Define OU? Which eye? | oculi uterque (both) |
| What is the most important counsel to give clients that may want to use herbal products or to substitute (or add) herbal products to physician prescribed medications? | More teaching. They may cause adverse effects if taken with prescribed drugs |
| What is the definition of a generic name for a drug? | is the same in all countries around the world. "most common drug name", official name |
| What is the definition of a trade name for a drug? | another common drug name or the brand name. it's registered to a specific drug maker or owner and no one else can use it |
| Which route of administration may give the client the most rapid absorption?, | IV |
| What are the major points of excretion of drugs from the body? | skin during Sweating, exhaled from the lungs, lost in urine and GI tract as feces |
| What is the definition of a drug's half life? | the standard method of describing how long it takes to metabolize and excrete a drug or the time it takes the body to remove 50% of the drug from the body |
| What are the major things that might affect half life? | the rates of metabolism and excretion helps explain the dose, frequency, and duration |
| Paradoxical is? | is one type of idiosyncratic response where the pts reaction may be just the opposite of what would be expected |
| Hypersensitivity is? | 2nd type of unexpected reaction is an increased reaction to a drug or (sensitivity) |
| Adverse reaction is? | more severe symptoms or problems that arise bc of the medication. |
| Anaphylaxis is? | a severe form of allergic reaction that is life threatening. the pt develops severe sob, may stop breathing or have cardiac collapse |
| Side Effect is? | are mild but annoying responses to meds |
| In order for virtually every drug category to be effective it must what? | be maintained at a therapeutic blood level |
| The most important components of maintaining this balance are? | compliance, consistent, and timely taking of the drugs by the client |
| Incompatibility is? | occurs when two drugs mixed together in a syringe produce a chemical reaction, so they cannot be given. (do not mix well chemically) |
| Desired effect is? | when the desired effect takes place, the therapeutic goal is achieved. drug does what it's supposed to do |
| Therapeutic Efficacy is? | the drug does with it's supposed to do. |
| Drug Interaction is? | when one drug changes the action of another drug |
| Allergy is? | sensitivity caused by antibody response to a drug |
| Toxic is? | |
| Teratogenic is? | |
| It is thought that hormonal replacement (PMHR) does what? | helps in a small way to lessen the effects of osteoporosis in women. it is controversial, private matter between phys and client. |
| PMHR- what is critical in making these decisions? | the client's history as well as familial history. |
| What effect can cultural beliefs of a client augment or interfere with their compliance in medication protocols? | |
| Should cultural considerations be a part of our nursing assessment? | Yes |
| What are the precautions and teaching instructions for the use of over the counter meds? | |
| Especially with use in children (OTC MEDS) precautions? |
Created by:
chulitachorty26
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