Nursing Theory Dee Benton FinalExam Lab Meds

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The blending of attitudes & beliefs: a) assimilation b) anthropology c) acculturation d) bicultural: acculturation & assimilation
When a person crosses two cultures, lifestyles, & sets of values it is: a) assimilation b) anthropology c) acculturation d) bicultural: bicultural
Another term for assimilation is: a) assimilation b) anthropology c) acculturation d) bicultural: acculturation
Another term for Biomedical health belief is: a) Holistic health belief b) Magico-religious health belief c) scientific health belief: scientific health belief
Mediating spoken communication between people speaking different languages without adding, omitting, distorting meaning or editorializing is: a) assimilation b) acculturation c) interpretor: interpretor
A disorder that occurs in response to transition from one cultural setting to another: a) assimilation b) bioculture shock c) stereotyping d) culture shock c) acculturation d) bicultural: culture shock
The differential treatment of individuals or groups: a) prejudice b) racism c) discrimination d) stereotyping: discrimination
A belief holding that the forces of nature must be maintained in balance & harmony: a) Biomedical health belief b) Magico-religious health belief c) Holistic health belief d) Scientific health belief: Holistic health belief
A belief system in which peopl attribute the fate of the world & those in it to the actions of God, the Gods, or other supernatural forces for good or evil: a) Biomedical health belief b) Magico-religious health belief: Magico-religious health belief
A process by which members of a foreign culture learn the values & behaviors of a culture to which they have immigrated: a) assimilation b) anthropology c) acculturation d) bicultural: acculturation & assimilation
What are the 5 rights of medication administration: Right Drug

Right Dose

Right Patient

Right Route

Right Time

6th !!! Right Documentation
If the chart & the kardex or the chart and the MAR do not match or shows a descrepency the nurse should: a) Do not assume anything b) seek out the truth c) call the board of directors d) give the medication: DO NOT assume anything

Seek out the truth

YOU ARE RESPONSIBLE
The window for medication administration is: a) 15 - 30 minutes before and after the time it is ordered to be given b) 30 min - 1 hour before and after the time it is ordered to be given c) up to 30 minutes before medicat: 15 - 30 minutes before and after the time it is ordered to be given
A severe allergic reaction is called:: anaphylaxis
Ear wax is also called:: cerumen
Inflammation of the skin is also called:: dermatitis
A term used that is pertaining to the skin:: dermatological
A prurtic papulovesicular dermatitis that occurs as a reaction to many endogenous & exogenous agents is called:: eczema
a group of eye diseases characterized by an increase in intraocular pressure that causes pathological changes in the optik disk & typical defects in the field of vision is:: Glaucoma
A term used for flushing or washing out a body cavity, organ, or wound with a specific solution that may or may not be medicated is:: irrigation or lavage
"M A R" is:: Medication Administration Record
The crescent shaped upper surface of a column or liquid is referred to as:: meniscus
A handheld nebulizer, a pressurized container of medication used by a client to release the med thru a nose or mouth piece is called a:: Metered dose inhaler "M D I"
Agents used to dilate the pupils are called:: mydriatics
Nasal openinmgs are called:: nares
Pertaining to the nose:: nasal
Pertaining to the eye:: ophthalmalic
An opening into the body is called a:: orfice
When pertaining to the ear?: otic
To administer an excessive dose is called:: overdose
A term used for a technique performed through the skin as in an injection, removal of tissue for biopsy that is accomplished by a needle:: percutaneous
A term used for recurrent eczema appearing with the advent of cold weather is:: pruritius
A solid, cone shaped medicated substance which is inserted into the rectum, vagina, or urethra is called a:: suppository
An agent that produces effects similar to those of impulses conveyed by adrenergic postganglionic fibers of the sympathetic nervous sytem is called:: sympathomimetic
What are the 5 rights of medication administration?: right drug
right dose
right patient
right route
right time
right document
You should check the __________ at the beginning of your shift.: M A R

Medication Administration Record
If the chart & Kardex, or the chart & the MAR, or the MAR & the KArdex do not match, or if there is any other discrepancy, the nurse should?: Seek oout the truth

Do not assume anything is right until certain
Before administering medications you should check special instructions. Examples of special instructions are:: Checking patients Heart Rate before administering Lanoxin

Checking Blood Pressure measurement for hypertensive medications

Check for clotting times for coumadine

Checking bloos sugar for insulin
The window for medication administration is typically: a) 5 - 10 minutes before or after order states it should be given b) 15 - 30 minutes before or after medication order states it is to be given c) 30 min - 1 hour befo: 15 - 30 minutes before or after medication order states it is to be given
How many times is the nurse suppose to check the medication during preparation of administration?: 3 times !
At what points of preparation for the administration of medication for a patient should you check the medication?: 1 - at the time you remove the med from the drawer

2- during the set up of the med

3_ when you return the med to the drawer

Check again before giving to the patient
If the patient cannot swallow medications whole, it is okay to crush some medications & mix them into soft foods EXCEPT:: DO NOT crush any med that is enteric coated or sustained release

Always crush separately from others & administer to patient separately !!!
When pouring medications into a cup, always pour it ...?: out of the side opposite of the label
When viewing the medication for right dosage amount poured into a medication cup the bottom of the meniscus should be:: at the level of the desired line on the cup
When administyering medications, it is important to follow policy & procedure for checking meds, check patients name bracelet every time you administer the medication, stay w/ patient until medications are taken & never leave medications at the b: some exceptions are medications that are routinly used at the bedside such as ointments, etc.
When watching a patient take their medications, the nurse should:: watch the patient for difficulty swallowing

remember that some patients may need to take one med at a time to swallow safely
The abbreviation "os" means?: left eye
The abbreviation "ou" means?: both eyes
The abbreviation "od" means?: right eye
When the nurse applies eye drops she should: a) wear gloves b) keep ointment tube tip sterile c) apply ointment to the inside of the bottom lid: ALL of the ABOVE

a) wear gloves

b) keep ointment tube tip sterile

c) apply ointment to the inside of the bottom lid
The ideal position of the patient when administering ear drops is:: lying on the side
The abbreviation "au" means: both ears
The abbreviation "as" means?: left ear
The abbreviation "ad" means?: right ear
When administering ear drops to adults you should pull the ear?: pull ear up & back for adults and children over 3 years old
When applying ear drops to a child under 3 years old, you should pull the ear ...?: pull the ear down & back for children under 3 years old
Sub-lingual medication administration means?: drug is placed under the tongue
Sub-lingual medications can be chewed or swallowed whole? True or False?: False

sublingual meds are delivered into the system quickly because of the large vessels under the tongue
(expedient delivery of medication is purpose for most sub-lingual meds)
Buccal medications can be chewed or swallowed whole. True or False?: False
A book that contains a list of products used in medicine, with descriptions of the product, chemical tests fo rdetermining identity & purity, & formulas & prescriptions.: pharmacopia
A sweetened & aromatic solution of alchohol used as a vehicle for medicinal agents is:: elixir
A concentrated form of a drug made from vegetables or animals: extract
When the therapeutic action of a drug relieves symptoms of a disease but does not affect the disease it self is:: Palliative
When the therapeutic action of a drug cures a disease or condition it is called:: curative
When the therapeutic action of a drug supports body function until other treatments ot the body's response can take over, it is said to be:: supportive
When the therapeutic action of a drug replaces body fluids or substances it is called:: substitutive
When the therapeutic action of a drug destroys malignant cells, it is called:: chemotherapeutic
The therapeutic effect of a drug is also called the:: desired effect
The primary intended effect of a drug is also called the:: therapeutic or desired effectA
An unintended effect of a drug, also called a secondary effect, is a:: side effect
Secondary effects of a drug that are predictable & may also be tolerable are called:: side effects
Secondary effects of drugs that are severe & therfore may justify the discontinuation of the drug are:: adverse effects
The difference between a side effect and a adverse effect is:: side effects are usually predictible & tolerable

adverse effects are sever & may warrant the discontinuation of the drug
A medication in a liquid suspension applied to the skin is called a:: lotion
A semisolid preparation of one or more drugs used for application to the skin & mucous membrane is called:: ointment
A semipermeable membrane shaped in the form of a disc or patch that contains a drug to be absorbed through the skin over a long period of time is a:: transdermal patch
Symptoms of an anaphylactic reaction are:: shortness of breath
acute hypotension
tachcardia
When a drug has an unexpected or highly individual affect or is under or overresponsive it is said to have a:: idiosyncratic effect
The difference between a drug tolerance & a cummulative effect is:: drug tolerance exists when person has a low response to a drug & therefore requires increasing doses to maintain a therapeutic effect

cummulative effect is an increasing response to a repeated dose of a drug that occurs when the rate of administartion exceeds the rate of metabolism or execretion & the amount of drug builds up in the body
When the administartion of a drug before, during, or after another drug alters the effect of one or both drugs it is called a:: drug interaction
When the effect of one drug on another is increased it is called:: potentiating
When the effect of a drug on another decreases the effect it is called:: synergistic/inhibiting effect
A disease unintentionally caused by medical or drug therapy is called:: Iatrogenic disease
Drugs that provide a local effect, can be messy & soil clothing, & enters the body through abrasions & cause systemic effects are:: topical
The advantage of a subcutaneous injection is:: Onset of drug action is faster than oral
The advantage of an intramuscular injection is:: Pain from irritating drugs are minimized

can administer larger volume than in subcutaneous

drug is rapidly absorbed
A subcutaneous injection requires what technioque in administration:: sterile because it breaks the skin barrier
Swallowing or chewing a sub-ligual or buccal medication results in:: gastric juices may inactivate the medication
subcutaneous, intramuscular, intradermal & intravenous routes of medications are also called:: parenteral
Four common medication orders are:: stat

single order

standing order

prn order
Before administering a medication to a patient, the nurse should always:: assess the clients health status & obtain a medication history prior to giving any medication
Which medication order will be given every other day? a) qh b) bid c) qod d) qd: qod
Therapeutic effects of medications with intramuscular or subcutaneous injections in the elderly may result in delay of drug action due to:: impaired circulation
Oral medicationa are contraindicated when:: client is vomiting

has gastric or intestinal suction
unconscious
unable to swallow
A major indication for tube feeding is:: the inability to ingest sufficient nutrients by mouth in the presence of a functioning GI tract
The inability to ingest sufficient nutrients by mouth in the presence of a functioning GI tract may be the result of: a)swallowing problems b)altered LOC c) hypermetabolic conditions d) anorexia e): all of the above

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