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Pharmacology 1Test2

QuestionAnswer
1. During which stage of development, according to Erikson, does the adult learn about commitment to the community and the world, is productive in a career, family and civic interests? Middle adult hood-45-65- generativity verses stagnation
2. In which of Erikson’s’ stages of development does the person learn basic problem solving, develops a conscience and sexual identity, initiates activities and imitates others? Preschool age – 3-6 – industry versus guilt
3. In which stage does the person integrate many rules into self-identity through imitation of role models and peer pressure? Adolescence – 12-18- identity versus role confusion
4. In which stage does the person appreciate life roles and status, and deals with loss and prepares for death? Older adult – 65+- integrity versus despair
5. What is the best way to determine if a PT has learned what was taught? Return demonstration
6. How is the best way to teach a patient? Needs to be individualized and based on the patients level of cognitive development
7. How will a patient being anxious affect their learning ability? It will result in an increased willingness to learn
8. Why is it important to understand Erickson’s’ stages of development? To know how to teach each individual patient based on their level
9. When is the best time to begin discharge teaching? When the patient feels ready
10. What are medications that are not legal for sale without a RX? Legend drugs
11. What are unintentional adverse effects that are caused by actions of a physician or other health care provider? Iatrogenic effects
12. What does the 1962 Kefauver-Harris amendment state? It requires manufacturers prove the safety and effectiveness of the products
13. What is a possible drug interaction with chamomile? It increases the risk for bleeding w/ anticoagulants
14. What is a possible drug interaction with Echinacea (used for immune system, antiviral)? Possible interference with immunosuppressant drugs
15. What is a possible drug interaction with ginger root? Possible interference with cardiac, antidiabetic, or anticoagulant drugs
16. What has a possible interaction and may lead to toxic levels of cardiac glycosides? (digitals)Hawthorn (increase cardiac circulation)
17. What herbal med. may lead to serotonin syndrome? St. John’s wort (depression)
18. What may increase the effect of barbiturates and alcohol- liver toxicity? Kava ( for anxiety and stress)
19. What is the most common OTC drug used? Acid-controlling drugs (antacids)
20. Which herbal med is said to improve memory and cognitive function? Ginkgo
21. What is important to know concerning pregnant women and herbal products? They may not be safe to take and can have adverse effects on the pregnancy
22. What is the physiological reliance on a substance? Physical dependence
23. What is a condition characterized by behaviors r/t obtaining and using a substance? Psychological dependence
24. Which drugs are also known as narcotics? Opioids
25. What is the primary use of opioids? Relieve pain, reduce cough, induce anesthesia
26. What can happen with large doses of opioids? It can stop respirations
27. What is used for treatment of opioid withdrawal? Clonidine (catapres), ReVia, and methadone substitutes
28. Which drugs have psychoactive properties? Stimulants like cocaine, meth, MDMA, X
29. How do people die from stimulant overdoses? Convulsions, coma, or cerebral hemorrhage
30. What is a common drug effect of opioids? Relaxation and euphoria
31. What is a possible drug interaction between benzodiazepines with alcohol, or barbiturates? Respiratory arrest
32. What drugs are used to treat anxiety, irritability and tension? Depressants
33. What drugs have S/S such as aggression and euphoria? Stimulants
34. What meds may be used to reverse the effects of depressants? Flumazenil (romazicon)
35. What med is used to treat withdrawal from depressants? Phenobarbital and valium
36. What drugs have withdrawal symptoms such as elevated BP, insomnia, and agitation? Alcohol
37. What drugs are used to treat withdrawal symptoms for alcohol? Diazepam (valium ) or lorazepam (ativan)
38. What med can lead to acetaldehyde syndrome? Disulfram (antibuse)
39. What drug stimulates the CNS? Amphetamine
40. What are common uses for stimulants? Treat add, adhd, narcolepsy
41. How long should a nurse take an apical pulse? For one min
42. What is important to know about buccal meds? Alternate cheeks, do not swallow, or take with fluids
43. What position should a pt be in to receive NG/G tube meds? Semi- fowlers / fowlers
44. What are the steps to administer NG/G tube meds? - verify placement, check residuals, administer med, flush with 30mL h2o
45. Can rectal meds be broken? No
46. What is the angle for IM injections? 90*
47. What needles are commonly used with IM injections? 22-27 gauge, 1-1 ½ inch
48. What are the angles for SC (subcutaneous) injections? 45* / 90*
49. What needles are used for SC injections? 25 gauge ½-5/8 inch
50. What is the angle for an intradermal needle? 15*
51. What needles are used for intradermal injections? 25-27 gauge 3/8 – 5/8 inch
52. What type of injection do you aspirate before injecting the med? IM
53. Where should you hang piggyback IV meds (IVPB)? Higher than the other meds to use gravity
54. What is the proper way to insert ear drops in an adult? Pull the pinna up and away to insert the drops then massage
55. What is the proper way to insert ear drops into a child? Pull the lobe down and away then massage the tragus
56. What should you NOT do with intradermal injection sites? Do not massage
57. When is it important to use the Z-track method? When the med is irritating and painful
58. Where should transdermal patched be applied? To non-hairy places
59. Where should eye meds be dropped into? The conjunctiva sac
60. When applying eye gel, where should the RN start? In the inner canthus toward the outer canthus (book says opposite than wrkbook)
61. What is the preferred site for injections and is also the safest site? The ventrogluteal site
62. What is the preferred site for injections of immunizations? Vastus lateralis site
63. How should suppositories be administered? At room temp, and lubricated
Created by: cspearsall
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