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Concepts II: Ch. 35
Researching and Preparing Medication
| Questions/Terms | Answer/Definitions |
|---|---|
| Question: While caring for a client who recently took a new anticonvulsant medication, the nurse correctly contacts the physician immediately if the client reports what? | Answer: Feeling short of breath |
| Question: The nurse is called to the room of a client who is receiving an IV antibiotic. The client is flushed, anxious, and short of breath. Which should the nurse do first? | Answer: Stop the IV infusion |
| Question: The nurse is preparing to administer medication to treat a client’s irregular heartbeat. Which of the following would require that the nurse withhold the medication? | Answer: Low pulse |
| Question: The nurse administers a liquid medication via the oral route. While documenting that the medication was administered, the nurse realizes it was ordered to be administered via the parenteral route. Which action should the nurse take? | Answer: Report it as a medication error. |
| Question: While being admitted to the unit, a client reports, “I’m allergic to Vicodin; it makes me sick to my stomach.” Which is the best action for the nurse to take? | Answer: Record Vicodin under allergies, along with the client’s reported symptoms. |
| Chemical name of medication | The name of the exact ingredients of the medication |
| Generic name of medication | Assigned by the U.S. Adopted Name Council (ex: Acetaminophen, Ibuprofen) |
| Brand name of medication | Trade name of a drug ; owned by the pharmaceutical company (ex: Tylenol, Motrin) |
| Oral route | taken through the mouth (swallowing or buccal) |
| Sublingual route | under the tongue |
| Mucosal route | absorbed through the mucosa |
| Topical route | applied to the skin |
| Parenteral route | beneath the skin |
| Intradermal injection | between the layers of the skin |
| Subcutaneous injection | beneath the skin |
| Intramuscular injection | within the muscle layers |
| Intravenous injection | into the vein |
| Food, Drug, and Cosmetic Act of 1938 | Established a government agency to approve all new drugs and determine that the drug was safe for humans. This agency became the U.S. FDA |
| Durham-Humphrey Amendment of 1952 | Specified the criteria for prescription medications and OTC medications |
| Kefauver-Harris Amendment of 1962 | Established the FDA as responsible for giving drugs official (generic) names and specified criteria for deeming a drug safe and effective before it is offered for sale |
| Comprehensive Drug Abuse and Control Act of 1970 | Etablished shedules I-V, categorizing drugs according to their potential for abuse; set guidelines for the manufacture, distribution & sale of controlled substances; made it illegal to possess a controlled substance without a legal prescription for it |
| The American Nurses Association suggests up to _____ of the nursing workforce may be dependent on drugs or alcohol | 10% |
| Desired effect | The reason a medication is prescribed or the purpose for which it is given |
| Side effect | Occurs when an unintended outcome takes place |
| Adverse effect | Unintended but are more severe or harmful than side effects |
| Allergic reactions | Occur when the patient’s body reacts to the medication as a foreign invader to be destroyed |
| Anaphylaxis | A more severe reaction, life-threatening; Causes swelling of the airways, shortness of breath, respiratory arrest, decreased blood pressure, and eventually circulatory collapse |
| Toxicity | Too much of the medication in the body; Desire is for therapeutic levels |
| Question: Which type of medication reaction causes swelling of the airways, shortness of breath, respiratory arrest, decreased blood pressure, and eventually circulatory collapse? | Answer: Anaphylaxis |
| Question: Pyxis is an example of which type of medication storage system? | Answer: Computerized cabinets |
| Question: What are the Rights of Medication? | Answer: 1. Right medicine 2. Right dose 3. Right route 4. Right patient 5. Right indication 6. Right date and time 7. Right documentation |
| Question: What are the Patient Rights? | Answer: 1. Right to know effects 2. Right to refuse 3. Right to question |
| Question: How do u handle a medication error? | Answer: Be honest and report following facility policy, complete incident report |
| Question: The nurse is reviewing medication orders for a client. Which routes would indicate medications that should be administered by mouth? | Answer: ‒Sublingual route ‒Buccal route |