Nursing Theory Dee Benton FinalExam Lab Meds
Terms
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The blending of attitudes & beliefs:
a) assimilation
b) anthropology
c) acculturation
d) bicultural - acculturation & assimilation
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When a person crosses two cultures, lifestyles, & sets of values it is:
a) assimilation
b) anthropology
c) acculturation
d) bicultural - bicultural
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Another term for assimilation is:
a) assimilation
b) anthropology
c) acculturation
d) bicultural - acculturation
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Another term for Biomedical health belief is:
a) Holistic health belief
b) Magico-religious health belief
c) scientific health belief - scientific health belief
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Mediating spoken communication between people speaking different languages without adding, omitting, distorting meaning or editorializing is:
a) assimilation
b) acculturation
c) interpretor - interpretor
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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
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The differential treatment of individuals or groups:
a) prejudice
b) racism
c) discrimination
d) stereotyping - discrimination
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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
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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
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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.
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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?
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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
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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
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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:
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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
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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
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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