A national organization specifically for students in health occupation educational programs; membership open to both high schoold and adult students?

Health Occupations Students of America(HOSA)

Most basic of all the entry-level options for nursing with full-time programs lasting from 9 months to 1 year?

Licensed Practical or Vocational Nurse(LPN/LVN)

The professional organizaiton for licensed practical/ vacational nurses is ?

National Federal Licensed Practical Nurse

The purpose(s) of the Clinical Connections in this book is/are to help you?

Identify action to take and information to consider when caring for patients. Understand your thoughts and feelings about caring for spcific types of patients. Connect what you read in the book with what you will see and do during clinical experiences.

Which of the following are conerns when you are providing care for edlerly patients?

These patients often have chronic illnesses, senory deficits, and multiple medications.

When you care for a pediactric patients, you must keep in mind that they?

Have difficulty uderstanding what is happening and expressing their feelings during procedures. Often have no previous experience to prepare them for illness or treatment, so they are frightened.

A unique aspect of home health is?

Fewer supplies and less equipment are available than in a hospital setting. The nurse is alone in the home with no other health care staff to help make decision about care.

Which of hte following is true of working in long-term care?

The setting is more homelike. You will need to use an easy,calming approach to residents. Changes in behavior can indicate health problems in the elderly.

Which are your responsibilities as a nursing student regarding laboratory and diagnsotic test result?

Check the test results often and note any abnormal findings. Notiy the physician of significant abnormal results.

What might be the outcome if you delgate a task to a UAP or CNA that is not within his or her scope of practice?

Both you and the UAP can be in legal jeopardy.

Which is true of nursing care in hospitals during the 1700's adn early 1800's?

Nursing care was provided by the poor midwives only.

Kaiserworth deaconesses were women who?

Trained at the first school of nursing. Went to various places to teach other women to be nurses. Were educated at the same school as Florence Nightingale.

Graduates of which programs take the NCLEX-RN?

Baccalaureate degree nursing program. Associate degree nursing program. Diploma nursing program.

What are the responsibilities of the nurse?

Caring for more than one patient at a time. Helping families underastand the care of teh patient after discharge. Noticing changes in the patient's condintion and notifying the appropriate health care professional.

A group of health care providers who contract with a health insurance company to provide serices t o a specific group of patients on a discounted basis?

Preferred provider organization

Insurance companies will only pay costs whena procedure is deemed medically necessary. Which means what?

The procedure has to be reasonable intervention, given the patient's diagnosis.

Which of the following is a criterion for admission to a skilled nursing facility?

The patient has been hospitalized within the last 30 days

Which of the following can be considered a disadvantage; of team nursing?

Care can be fragmented unless there is good communication among team members.

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PN test 4

Question	Answer
The law in each state that governs nurses' actions; addresses each level of nursing?	Nurse Practice Act
A national organization specifically for students in health occupation educational programs; membership open to both high schoold and adult students?	Health Occupations Students of America(HOSA)
Most basic of all the entry-level options for nursing with full-time programs lasting from 9 months to 1 year?	Licensed Practical or Vocational Nurse(LPN/LVN)
Limitations and allowances of what can be done as a nurse?	Scope of Practice
Entry-level education of registered nurses; minium of 2 years at a community college?	Associate degree nurse (ADN)
When students in ADN, diploma, and BSN programs complete all course work and graduate, they are eligible to take the?	NCLEX-RN
Nurses that are educated in hospital-based nursing educations programs, of which there are few, are referred to as?	Diploma Program nurses
When students in an LPN or LVN program complete their educational program, they will take WHAT TEST, after they pass it, and become licensed practical or LVN?	NCLEX-PN
The professional organizaiton for licensed practical/ vacational nurses is ?	National Federal Licensed Practical Nurse
Nurses who complete their nursing education at a university, earning a 4-year college degree, are?	Baccalaurecte Nurses
The purpose(s) of the Clinical Connections in this book is/are to help you?	Identify action to take and information to consider when caring for patients. Understand your thoughts and feelings about caring for spcific types of patients. Connect what you read in the book with what you will see and do during clinical experiences.
Which of the following are conerns when you are providing care for edlerly patients?	These patients often have chronic illnesses, senory deficits, and multiple medications.
When you care for a pediactric patients, you must keep in mind that they?	Have difficulty uderstanding what is happening and expressing their feelings during procedures. Often have no previous experience to prepare them for illness or treatment, so they are frightened.
A unique aspect of home health is?	Fewer supplies and less equipment are available than in a hospital setting. The nurse is alone in the home with no other health care staff to help make decision about care.
Which of hte following is true of working in long-term care?	The setting is more homelike. You will need to use an easy,calming approach to residents. Changes in behavior can indicate health problems in the elderly.
Which are your responsibilities as a nursing student regarding laboratory and diagnsotic test result?	Check the test results often and note any abnormal findings. Notiy the physician of significant abnormal results.
What might be the outcome if you delgate a task to a UAP or CNA that is not within his or her scope of practice?	Both you and the UAP can be in legal jeopardy.
Which is true of nursing care in hospitals during the 1700's adn early 1800's?	Nursing care was provided by the poor midwives only.
Kaiserworth deaconesses were women who?	Trained at the first school of nursing. Went to various places to teach other women to be nurses. Were educated at the same school as Florence Nightingale.
When did laws requiring licensing of nurses first come into being?	In the early 1900's
Which nurse in history was known as the "Angel of the Battlefield" during the U.S Civial War?	Clara Barton
Which nurse in history established modern nursing and is famous for giving nursing care during the Crimean War?	Florence Nightingale.
Who was the first African American nurse in the U.S?	Mary Mahoney
Which nurse in history developed the firts nurse's notes adn established the first school of nurisng in Japan?	Linda Richards
Which nurse in history was instrumental in establishing a 30year training program for nurses and worked for licensure exams and nursing registration?	Isabel Hampton Robb
Graduates of which programs take the NCLEX-RN?	Baccalaureate degree nursing program. Associate degree nursing program. Diploma nursing program.
What are the responsibilities of the nurse?	Caring for more than one patient at a time. Helping families underastand the care of teh patient after discharge. Noticing changes in the patient's condintion and notifying the appropriate health care professional.
Develped the caring theory, which focuses on nursing as an interpersonal process?	Jean watson
Devolped the adaptation model, inspired by the strength and resiliency of children; relates to the choices people make as they adapt to illness and wellness?	Sister Callista Roy
Devloped the culture care diversity and universiality theory?	Madeleine M. Leininger
Develped the self-care difict theory,which explains what nursing care is required when people cannot care for themselves?	Dorothea Orem
The federal government's health insurance program fo people older than 65 years of age or those with certain disabilities or conditions?	Medicare.
A system of health care delivery aimed at magaging the cost and quality of access to health care.	Managed care
Patient care approach aimed at coordinating the care of patients who are vulnerable, at-risk, or cost-intensive so that their specific needs are met in the most cost-effective manner while still bringing them to optimum health?	Case Management
A ferderally and state-funded health insurance program for individuals who are poort and medically indigent, pregnant women, individuals with disabilities, and children meetig income level requirements?	Medicaid
The insurance company that finances health care provided to a beneficairy.	Third-party payer
A cost-containment program featuring a primary care physician (PCP) as the gate keeper to eliminate unnecessary testing and procedures?	Health maintence organization
A classification of illnesses and diseases that are then used to determin the amount of money paid to a hospital by Medicare?	Diagnosis-related groups
A group of health care providers who contract with a health insurance company to provide serices t o a specific group of patients on a discounted basis?	Preferred provider organization
A type of insurance program where a primary care physician serves as gatekeeper but the members are not capitated; insured people in and out of net work	Point of service
The "gatekeeper" fo access to medical services?	Primary care physician
When a person stays overnight or longer in a health care facility. He or she is referred to as?	Inpatient
One or moare types of health or medical services provided to patients in their home because they are confined to their home by anillness or disability.	Home Health Care
A medically directed, nurse- coordinated program providing a continuum of home and inpatient care for the patient who is terminally ill and his or her family?	Hospice
Empowering the patient to take control of and manage his or her care?	Client-centered care
At what age are people eligeble for Midicare?	65 years of age
When caring for the patient without insurance who has questions about payment, what resources would you consult to find out more information?	Social servces
Insurance companies will only pay costs whena procedure is deemed medically necessary. Which means what?	The procedure has to be reasonable intervention, given the patient's diagnosis.
Which of the following is a criterion for admission to a skilled nursing facility?	The patient has been hospitalized within the last 30 days
Which of the following can be considered a disadvantage; of team nursing?	Care can be fragmented unless there is good communication among team members.
Certified in a specific area of practice carries an advanced practice license and can diagnose illnesses.	Nurse practitiioner
Practices nursing within a defined scope under direction of a physician; provides direct patient care, manages departments, and supervises other nurses and assistive personnel	Registered nurse
Employed by physicians or hospitals to work closely with physician and assist in directing patient care?	Physicican's assistant
The personnel who help diagnose swallowing difficulties are called?	Speech and lanaguage therapist
What are the two most important factors in economic decisions about patient care?	Medcial necessity and appropriate level of care
Health care provided by various companies and puchased by the individual or an employer is called?	Private insurance
One important consideration in managing costs is making sure the patient is placed in wich of the following?	Appropriate level of care
Which of the following is the major difference between an assisted living facilitity and an independent living facility?	Independent living facilities do not provide nursing care.
Which of the following represents the desired outcomes of cardiac rehabilitation?	Prevent worsening heart disease, new cardiac, events and permature death.
Which of the following services can be provided through home health care?	Infusion therapy. Occupational therapy. Physical therapy. Wound therapy.
For Medicare to pay for home health services, which of the following two criteria must be met?	Skilled services required; patient is homebound.
When is the appropriate time to initiate hospice care?	Patient is expected to live 6 months or less
The National Hospice Organization's definition of hospice states that hospice?	Provides a continuum of home and inpatient care. Is coordinated by nurses. Cares for the patient and family.
Fragmenation of careis more likely to occur with team nursing than with primary nursing?True or False?	True
Delgation skills are helpful when leading a nursing care team but not essential because each team emeber knows his or her level of expertise? true or False?	False
Team leaders probably know more about each patient in his or her care because they have other staff to help them? true or False	False
As a member of a nursing care team but not the leader, it is important for a nurse to have good communication skills? true or false	True
In client-centered care, patients are encourged to have a voice in goal setting and in deciding how goals will be met? True or false?	True
A governement-run insurance plan fo people older than a certain age?	Medicare
A governement-run insurance program for poor and some people who ae disabled?	Medicaid
Blue Cross/Blue Shield, Aetna and Prudential are examples of what Insurance programs?	Private
A primary care Physician acting as a gatekeeper to eliminate unncessary testing and procedures is a feature of a?	Health maintance Organization
the main goal of case management is to make sure patients at high risk get the care they need at the least cost to the facility. True or False?	True
The nurse care manage usually provides direct, hands-on care.True or false?	False
A case manager's main function is to coordinate and facilitate the care of several different patients concurrently?True or False	True
Premature cessation of patient care without adequate notice?	Abandonment
Show intent of touch patient without permission?	Assault
To intentionally harm a patient?	Battery
Values influencing your behavior?	Ethics
Patient injury resulting from nurse's failure to meet resonsibility to the patient?	NEGLIGENCE
Ability to intellectually understand another's feelings?	Empathy
Provides scope of practice in each state?	Nurse Practice Act
To stand up for the patient's best intrest?	Scope of practice
Nurse's action fails to meet standard of care and results in patent injury?	malpractice
Who owns a hospitalized patient's medical record?	The hospital
Which of the following nurisng actions would be considered proactive prevention of lawsuits?	Meeting your patient's needs. Treat your patient with dignity. Develping good-nurse-patient rapport. Explanning procedure and ensuring the patient's understanding prior of performing the procedure
An exchange of information, feelings,needs, and preferences between two people?	communicaiton process
To complete the communication process a return message is sent by teh reciver of the orginal communication to indicate the message has been recieved, processed, and compehended?	Feedback
Mutual understanding of the meaning of a message?	Shared meaning
The conscious use of words, either spoken or written?	Verbal communication
The communicaiton revealed through facial expressions,postures, body position, behavior, gestures, touch, and general apperance?	Nonverbal communicaiton
Agreement between verbal and nonverbal communication?	Congruent
Mutual understanding of the meaning of a message?	Proxemics
Using all the senses to interpret verbal and nonverbal message is called?	Active listening
Patient centered and promotes a greater understanding of a patient's needs, concerns, and feelings?	Theraputic communication
Recongnition of and respect for the accepted patterns of communication assoicated with specific ethno-social background is called?	Cultural sensitivity
A system of health dilivery aimed at managing the cost and quality of access to health care?	Managed Care
Refers to the literal meaning?	Denotative
the emotional association attached to a word?	Connotative
LTACH?	is a long-term acute care hospital
Medicare requiremnts to enter a SNF	Has to be hospitalized in acute care facility for a minium of 3 days. Must enter within 30 days. 100 days maximum. Patient must be making progress as documented
Two people when their relationship is characterized by mutual trust and understanding?	Rapport
The ability to identify intellectually with experience, feelings, thoughts, or attitudes of others?	Empathy
A general term for a dysfunction in language?	Aphasia
Which of the following is the likely outcome if your patient has a stoke that affects the left frontel lobe(Broca area)?	Loss of movement in muscle sthat control speech
Which communication form will be compromised if your pateint has a stroke that affects the occipital lobe?	Loss of vision
Which communication form will be comprimised if your patient has a stroke that affects the parietal lobes?	Loss of ability to perceive touch
When communicating with patients of various ages, it is important to match your communicaiton strategies to the patients'?	Developmental stage
What is open-ended questions?	Discourages answering questions with one or two words.
You need to understand that your work reflects on me?	Aggressive communication style
I want to talk with you about Ms. G's dressing change?	Assertive
Im going to change Mrs. G dressing?	Avoidant
Encourages initiation or elaboration of a conversatin?	Providing general leads
Using pauses of up to several minutes without verbalizing?	Using silence
Shows concern and willingess to help?	Offering self
A medically driven nurse coordinated program of home care and hospice care. Usually last 6 months	Hospice
Relate in diferent words the heart of what a pateint said?	Restatement
Patient takes control of his/her own care by one staff members?	Client-centered care
One nurse is responsible for all aspects of care	Primary care nursing(ICU)
Looking at alternatives?	Helps patients explore options when making decisions
Which of the following are barriers to communication?	Using cliche's. Asking personal probing questions Being frank about disapproval. Standing over a seated person.
Health Care Economics?	In 2007 65% of population had employer-based care. Total spending in 2007 was 7,600 for each citizen.
DRG's	Diagnostic related groups
Part A,B,C,and D(Medicare types)?finish	A:you pay nothing B: helps you pay
True or False?	Downard communication is communication with people you supervise. (T)
When you communicate effectively and professionally, you are role modeling, too? true or False	True
The basis of hte nurse-patient relationship is?	Trust
You are interviewing a new patient who is being admited to the psychiatric unit. Your technique in this interview will largely be?	Nondirective with many open-ended questions.
Tricare	Retired miilitary
CHAMPVA	Free health care for veterans
Patient's Bill of Rights	High Quality Care. A clean and Safe environment. Involvement in car. Protection of privacy. Preparation for leaving hospital. Help with bill and filing insurance.
Ethics	The concern with meaning of words such as right, wrong, good, bad ought, and duty.
Professional Ethics:	published formal statements indicating the profession;s expectations for its members.
Omissions	Things were not charted
Style of charting that much shorter and documents less data than some charting styles and includes a list of nursing diagnoses identified from collected data, the actions you perform to address these nursing diagnosis.	PIE Charting
Provides a continual chronological description of hte patient's condition, complaints, problems assessments findings of all systems, activites, treatments, nursing care provided, adn evaluations of effectiveness?	Narrative Charting
The best Organization of entries, includes information verbalized by teh patient and discerend with your senses, the problems you identify, the plan for what you are going to do to reslove the patient problems, the actual performance of those actions,effe	SOAPIER Charting
Recording of data in a pateint's chart and is synonymous with charting is?	Documentation
Format in which the activites of daily living, vital signs, and assessment findings are charted on checklist-type flow sheets rather than writing them out as individual entries and only variances form normal are written as individual entries is known as?	Charting by Exception.
Style of charting that includes objective and subjective assessment findings, teh interventions you perform fo rthe patient's problems, and how effective those interventions?	Focus Charting
A type of flip chart with a page for each patient on teh unti that contains a summary of care required by teh patient and requires continual updating and maintenance by nursing staff is?	Kardex
Failsure to provide care commensurate with ability ?	Negligence
A violation of a civil law, involving a wrong against an individual or his/her property?	Tort
Why do insurance companies review medical records?	Reimbursement is dpendent upon documentation of speicific data in the medical record.
What happens to the Kardex page after a patient is discharged?	It is shredded or filed wit the chart, dependent upon facility policy.
Which of the following would be subjective data?	Pain, Itching Sleeping.
Which of the following are sections of a source-oriented chart?	Graphic sheet. Laboratory. Medication Administration Record Nurse's Notes. Physician's progress notes.
Nurse Practice Act?	Defines the scope of nursing (Portects the public and regulates nursing)
Represents the level of skill and nursing care that another nurse in the same ountry, with the same education, would perform in teh same situation.	Standards of Care
25 hours of continiuing education in 2 years?	continuing education
out of court statements made by a witness under oath	Deposition
Written question that must be answered in writing	Interrogaltion
Types of communication:	Verbal. Non-verbal.
Personal space	Called proxemics
Intimate space	up to 18 inches
Casual-personal space	18 inches to 4 feet.
Social space	4-12 feet
public space	over 12 feet
Shared values, beliefs, and practices of the majority within a group of people.	Culture
is the literal meaning, absent any interpretation	Denotative
Refers to the emotional association attached to a word.	Connotative
Desire to avoid confrontation, inability to share feelings or needs with other, these folks have difficulty asking for help.	Passive/Avoidant
Standing up for one's self without violating the rights of others, they show repsect	Assertive
D:describ the behavior. E:explain the impact of behavior S:state the desire outcomes. C: consequences, if necessary,.	DESC Method
Therapeutic Communication	Provide genral leads. Use Silence. Offering self. Use open-ended question. Use Restatement. Use touch. Seek Clarification. Provide information Use reflections. Look at alternatives.
Type of unfair treatment of one ormore persons as a result of misguided belifs about the person's race, gender,ethnicity, or religious beliefs?	Discrimination
Choosing to be aware of and familiarize oneself with aspects of cultural differences?	Cultural competence
A dereminiation or judgment about a person or group based on irrational suspicion or hatred of a particular group, race, or religion?	Prejudice
Differences between groups of people in a certain geographical area such as a country or medical community?	Cultural Diveristy
Relationship of the spirit to the body, mind, evnironment, and other people?	Spirituality
What items may be worn around the neck of a patient of the Muslim Faith?	An amulet containing part of the patient's holy book, the Koran
Which of the following groups of people always use the right hand to eat?	Hindu
What of the following is not restricted from the diet by the Jewish culture?	A fish with scales
Which of the following groups of people may not follow medically restrictive diets because of the belief that it is sinful to refuse what is offered to eat by family or friends?	Asian Americans
Which of the following religious groups believe in reincarnation?	Buddhism. Hinduism
Which of the following characteristics of spiritual distress is related ot eh patient's connection to God or a greater power?	Suffering. A change in spiritual practices.
A method of treatment for fever, may leave marks on a child that can be mistaken for child abuse?	Coining
Which of the following religious group forbids blood transfusions?	Jehovah's Witness
Which religious group believes that Allah has all knowledge and control over everything?	Islam
Relationships among all living things?	Holism
Therapy used instead of conventional treatment?	Alternative therapy
Term used to describe traditional medicine, conventional medicine, or Western medicine?	Allopathic medicine
Energy pathways in the body?	Meridians
Therapy used along with conventional treatment?	Complementary therapy
Describe teh use of western medicine and CAM in a coordinated way is?	Integrative healthcare
The type of CAM named with a combination of 2 Greek words which mean "done by hand" is?	Chiropratic
The application of stroking, pressure, friction, and kneading to muscles and other soft tissue to relax muscles and decrease stress?	Massage therapy
The ancient practice of inserting fine needles into carefully selected points along meridians of the body is called?(Chinese Medicine)	Acupuncture
A mind-body intervention used to decrease the negative effects of stress through the use of breathing exercises,physical postures, and mediation is called?	Yoga
What can be the result of pressure on a spinal nerve by vertebra or other structures?	The muscles and organs that the nerve innervates are at risk for dysfunciton
How are the roles of nurses and massage therapists similar?	Both improve the patient's health and well-being. Both have the opportunity to teach patients about their health.
What theory of Descartes affected the way Western medicine and treatments for the mind and the body were developed?	The theory that the mind and body are not connected
Which of these beliefs are emphasized in holistic health care?	Interaction occurs between the mind,body,and spirit. Each individual is unique.
True holistic health care includes?	CAM and Western medicine working together
Which is true of alternative therapy?	The term is often used interchangeably with complementary therapy. It is different than conventional therapies used by the standard medical community.
What is teh focus of a CAM practitoner?	Treating the cause of the illness. Encouraging prevention of illnesses.
What is CAM?	Complementary and Alternative Medicine
Which type of CAM involves the use of monitoring devices?	Biofeedback
Used for memory enhancement and to treat dementia?	Gingko herb
Used to treat irritable bowel syndrome and decreases intestinal spasms before and after endoscopic produres?	Saw palmetto
Used as an antiviral agent to prevent or eliminate colds and flu?	Echinacea
A well-known herb that is used alone and in many skin products?	Aloe vera
Helps reduce total blood cholesterol and bad cholesterol over 4 to 12 weeks?	Garlic
Used to treat insomnia and decreased the amount of time it takes to fall asleep?	Valerian
Helps decrease cholesterol and low-density lipoproteins and to treat hot flashes?	Soy
Used to treat osteoarthritis, fibromyalgia, diabetic neuropathy,and shingles?	Capsaicin
Used to treat irritable bowel syndrome and decrease intestinal spasms before and after endoscopic procedures?	Peppermint
Used to help lower bad cholesterol and lower blood sugar in type 2 diabetes?	Ginseng
Learning by hearing and listening?	Auditory learner
Learning by touching and doing?	Kinesthetic learner
Learning by seeing,reading, and watching?	Visual learner
Emphasizes changing unhealthy practices?	Wellness stratigies
When a patient asks about their illness or treatment, is called?	Treachable moment
Which of the following must you assess before making your teaching plan?	The patient's current level of knowledge
The short,easy to remember name of a drug	Brand name
The route by which medicines are applied to teh skin?	Topical route
Occurss when an unintended outcome of a medicaiton takes place?	Side effect
Amount of medicine in teh blood necessary to cause the desired effects on target organs?	Terapeutic level
The exact ingredients of a medicaiton	Chemical name
Route by which medicaiotn are taken through the mouth?	Oral route
Too much of medicaiton in the body?	Toxicity
The reason a medication is prescribed?	Desired effect
Medicines available without a prescription?	Over the counter(OTC) Medications
A shorthand version of a drug's chemical assigned by teh USANC is know as?	Generic name
All medication given beneath the skin are administered via?	Parental route
When medications are applied through teh rectum,vagina, eye, or ear or are inhaled into teh lungs, they are give by?	Mocusal route
Unintended effects that are more severe or harmful than side effects are called?	Adverse effects
Comprehensive book containing detailed information about a large number of medicaiotns, containing the same information as the drug package inserts, is called?	Physician's desk reference
The document that lists teh patient's medicaiotns and the times they are to be given, is called?	Medication administration record
Why are elderly patients more at risk for developing drug toxicity?	Impaired liver and kidney function, causing drug build up in the blood
The trade name of a drug is also referred to as the?	Brand name. Proprietary name.
The oral route of medication administration included?	Sublingual and buccal medicaitons
Schedule 2 drugs?	Include morphine, codeine, oxycodone, and meperidine. Must be kept under double lock. Have a high potential for abuse. Must be conted and accounted for.
Lists teh 6 RIGHTS of medication administration?	righ Medication. right Dose. right Route. right Patient. right Date and Time. right Documentation.
Under the tongue?	Sublingual
Containers that rely on teh force of teh patient's own inhalation to dispense a dose of dry powder?	Dry powder inhaler(DPI)
Contains water, alcolhol, possibly colorings, and medication?	Elixir
Between teh cheeck and gum?	Buccal
Pressurized medicaion dispensers that spray a premeasured amount of medicaiton?	Metered dose inhaler(MDI)
A liquid contining a dissolved substance?	Solution
contains fine particles of medicaiton mixed with but not dissolved in liquid?	Suspension
Concentrated queious prepartion of sugars, with or without flavoring, and medication?	Syrup
Enteric-coated tablet?	contains an outer coating that does not dissolve until the medication reaches teh intestines.
Sustained release	designed to slow the absorption of a drug
Applying a drug te the skin using a patch is known as?	transderma route
to administer an eye drop, you will place the drop in the?	Middle part of the lower conjunctival sac?
Which medicaiotn would be administered via the nasal route?	Guaifensin(Mucinex). Nictine(Nicotrol). Calcitonin(Macalcin). Steroids(rhinocrt)
In order the steps to administrering a rectal suppository?	Position patient Sims position. After the glove lubricate. insert teh suppository rounded tip first with the index finger on the blunt end push teh suppository past internal anal sphincter. instruct the patient to hold the supository in the rectum.
A small, sealed glass drug container that must be broken to withdraw the medication?	Ampule
The diameter of the needle, indicated by numbers?	Gauge
Inject a small amount of fluid into the dermis?	Intradermal
Injected directly into teh largest portion of a muscle?	Intramuscular
Injected into teh layers of tissue fat?	Subcutaneous
Injection technique that closes the needle tract in the tissue, preventing seepage of medicaion?	Z-track
1-mL syring, calibrated in minims as wells as tenths and hundredths of a milliliter(TB skin test)?	Tuberculin syringe
A syringe calibrated in untis rather than milliliters?	Insulin syringe
Single dose, ready to use, disposable cartridges?	Prefilled syring
A glass or container of medicaiotn with a rubber stopper that must be punctured with a needle?	Vial
the breakdown of subcutaneous fat at teh site of repeated insulin injection?	Lipoatrophy
If the reapeated insulin injection at the site caused a buildup of tissue, it is called?	Lipohypertrophy
What angel of inseriton should be used for intradermal injections?	15 degrees
Which of teh following drugs require a second and third nurse to verify teh dosage?	Insulin. Heparin
Which of the following sites provides teh best and most consistent absorption of insulin?	Abdomen
which angle of insertion shoud be used for intramuscular injections?	90 degrees
What angle of insertion can be used for subcutaneous injection in a patient of all sizes?	45 degrees
Which site is the site of choice for IM injection in the majority of patients?	Ventrogluteal
What is the MAXIMUM volume of medicaiotn that can be instilled into the deltoid muscle of the average size adult?	2mL
what is the maximum volume you can instill in teh ventrogluteal site of a very large muscular female of a pproximately 240lbs?	3mL
Which muscles sites is used for injections in infants who are younger than 7 months old?	Vastus Lateralis
Which medications would you aspirate before injecting?	1-mL promethazine IM. Cyanocobalamin 1,000 mcg Z-track
Unconventional therapy?	Alternative modality
Added to a conventionalo therapy?	Complementary modality
"Like cures like"	Homeopathy
Illness is a result of falling out of balance with nature?	Ayurvedic
Illnessis a result of nerve dysfunction?	Chiropractic
What is the Antagonist of Herpin(adidope)
Already written by a physician for all clients on a particular unit or area?	Standing Orders
What are the important consideration of Medicaiton Administration?	If you didn't pourit, don't give it. If you gave it, chart it. Don't chart for someone else or have someone else chart for you. Don't transport or accept a container that is not labeled. Don't put down an UNLABELED syringe. If give a verbal order, re
Pediatric: Young's Rule	A method for claculation of the appropriate does of a drug for child 2-12 of age.
Formula for youn's Rule?	Age of child ----------------==average adult does= childs' dogsage. Age of child + 12
Clark's Rule	A method of calculating the approximate pediatric dosage of a drug for a child. Weight of child(lbs) ------150--------------==Average adult dose=child dose
Fried's Rule	This rule is used for infants younger than 2 years of age. Age in months ===150========X Average adult dose ==child's dose.
Percutaneousa	through the skin or mucous membranes
Entral	Via GI tract,pill,powders,laxative,enema.
Parenteral	Methods other than GI tract,amples vials, intramuscular, subcutaneous, intradermal, intravenous.
Medications that shoud NOT be crushed?	Buccal or sublingual tablets. Effervescent tablets. Enteric-coated tablets. Liquid-filled gel caps. Medication that may taste too bitter to swallow. Mucous membrane irritants. Neoplastic agents(chemotherapy drugs). Orally disintergrating meds. Sus
Nitroglycerin?	keep away from body. Storage in the dark place/cool. Must be thrown out after 6 months. glass container. take cotton out when using.
Nitroglycer Subligula?	under the tongue. 1 tablet every 5 minutes 3 times.
Pharmacokinetics?	Absorption. Distribution. Metabolize. Excreted.
How much Herpin does the average adult get's in a single day?	5000 units 3 times a day
Administering Enteral Tube?	know that certain medications cause clumping with tube feeding formula. Always flush 30 to 60 mL of water before and after giving meds. when giving more than 1 med flush 5 to 15mL of water between meds.
Nasogastric Tube(NG)?	administer liquid meds to unconscious clients, dysphagic clients, and those who are too ill to eat.
Which meds you CAN'T OPEN OR CRUSHED to administer via NG,Enteral,tubes?	Buccal or Sublingual tablets. Effervescent tablets. Enteric-coated tablets. Liquid-filled gelcaps. Meds that taste too bitter to swallow. Mucous membrane irritants. Neoplastic agents(chemotherapy). Orally disintegrating medications. Sustained-rele
Suppositories?	Cone-shaped, egg-shaped, or spindle-shaped med. insert rectum or vagina(sims position,left side(less likely to expels feces) knee,hip flex, and expose anus. Dissolves at body temp,absorbed directly into the bloodstream. Stored in cool places,(no melting
Percutaneous(through the skin)administration?	Absorbed through the skin or mucouse membranes. Absorbed quickly,but short period of time.
Which of the following terapies would be considered a COMPLEMENTARY MODALITY?	Using progressive muscle relaxation in addition to muscle relaxants for back pain.
which of the following thearpies would be considered a ALTERNATIVE MODALITY?	Using hydrotherapy in place of nonsteroidal antiinflammatory drugs for arthritis.
Which of the following terms describes traditional western medicine?	Allopathy
Which of following herbal remedies is possibly effective against viruses and colds?	Echinacea
Which of the following as complementary or alternative therapies aimed altering teh body's energy?	Reiki. Magnet therapy. Therapeutic touch.
Types of Syringes?	Tuberculin. Insulin. Three-milliliter. Safety-lock. Disposable injection units.
What does a standard syringe consist of?	Barrel. Plunger. Tip
What are the 3 parts of the needle?(bottom to top)	Hub. Shaft. Beveled tip.
When giving a Im injection which gauge of needle would you use	23 -25
when giving a Deltoid injection which gauge of needle would you use?	24-25 Gage
Subcute injection what needle gauge should be used?	24-25 gauge. under the skin(TB test) 15 degrees angle. do not aspirate.
Intradermal Needle length?	3/8 ti5/8 inch
Sucutaneous needle length?	5/8 to 1/2 inch. give at a 45 degree angle(thin pt.)90 degree(thicker pt.) inject into the loose connective tissue between dermis and muscle layer. insulin and heparin.
Intramuscular needle length?	1 to 1 1/2 inch.
Intramuscular sites?	Gluteal. Vastus lateralis. Rectus femoris muscle. Deltoid muscle.
Z-track Method is?	Used to inject meds. that are irritating to the tissue.
Deltoid muscle?	Upper Arm. Measure 2 Fingers below teh acromion process.
Gluteal?	ventrogluteal dorsogluteal
Vastus lateralis?	Perferred site for children younger than 3yrs. Free of nerves and blood vessels.
Rectus Femoris injection site?	maxium mL is 3. Nevefr give in children.
What are some reason for giving IV therapy?	provide fluid and electrolyte maintenance,restoration,and replacement. Administer medication and nutritional feedings. Administer blood and blood products. Administer chemo
Nursing Responsibility for Monitoring IV site?	Flow of fluid. Asses for chills, fever,headache,nausea,vomiting,anxiousness,and dyspena. Phlebitis:inflamed vein. Infiltration:fluid passes into tissues.
Nurses responibility when asses for anaphylactic shock?	respiratory distress
What are factors that lead to Medical Errors?	Physical:fatigue,exhaustion,illness. Mental:inattention,distraction,emotions. External:overworked,stress. Enviornment: noise,heat,motion. Equipment design flaws Misleading labels Illegibility of notes and orders Adverse working conditions
Which Medications causing allergic reaction?	antibiotics,penicillin and sulfa. Iodine
What is the #1 sideffect of aceInhibitors?	Cough. Orthostatic hypoteion does not affect your cardiack output.
In holistic health care, the emphasis is on teh uniquencess of each individual and the interaction between?	Mind. Body. Spirit.

Created by: Jadamom07

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