Term
| Which phase of the nursing process requires the the nurse to establish a comprehensive baseline of date concerning a particular patient |
|
Definition
|
|
Term
| The nurse may revise or eliminate unrealistic goals during which phase of the nursing process |
|
Definition
|
|
Term
| Prescribed meds are prepared and administered during which phase of the nursing process |
|
Definition
|
|
Term
| During which phase of the nursing process does the nurse prioritize the nursing diagnoses |
|
Definition
|
|
Term
Which of the following is part of a complete med history
a. Street drugs
b. Current lab work
c. Past history of surgieries
d. Family history |
|
Definition
|
|
Term
Which of the following must occur for a goal statement to be patient centered?
a. Famly input must be considered in developing the goal.
b. The patient must be involved in establishing the goal
c. the nurse must dev the goal
D. the DR. must be involved in establishing the goal |
|
Definition
| b. The patient must be involved in establishing the goal |
|
|
Term
| Number the following in order from fastest absorption t to slowest 1 being fastest 4 being slowest Capsules, Enteric coated tablets, elixirs, powders |
|
Definition
| 1. Elixirs 2.Powders, 3. Capsules 4. Enteric Tablets |
|
|
Term
| Elimination from the body occurs mainly in? |
|
Definition
|
|
Term
| The nurse is aware that excessive drug dosages, poor circulation, imparied metabolism, or inadequate excretion may result in which drug effect |
|
Definition
|
|
Term
| Half life of a drug is what? |
|
Definition
| how long it takes for 50% of the drug to be eliminated from the body |
|
|
Term
| First pass effect is through which routes |
|
Definition
| Oral, rectal, hepatic artery, and portal vein |
|
|
Term
| Enzyme interaction is what? |
|
Definition
| If a and when a drug binds w/ an enzyme and prevents the enzyme from binding to its normal target cell. |
|
|
Term
|
Definition
| What the drug does to the body |
|
|
Term
| what the body does to the drug is called |
|
Definition
|
|
Term
| The physiologic factor that is most reponsibile for the differances in pharmacokinetic and pharmcodynamic behavior of drungs in neonates and adults |
|
Definition
| the immaturity of neonated organs |
|
|
Term
| When considering drug thearpy in peds patients, the nurse recognizes that which group of drugs is most toxic for children |
|
Definition
| phenobarbital, morphine and aspirin |
|
|
Term
| Peds med doses should be based on what? |
|
Definition
|
|
Term
| Drug doses in elderly should be based on what? |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
| No risk to animal fetus, no info on humans |
|
|
Term
|
Definition
| Adverse effects are reported in animal no info on humans |
|
|
Term
|
Definition
| Possible risk to fetus, benefits may outweigh risks |
|
|
Term
|
Definition
| Fetal Abnormalities reported |
|
|
Term
|
Definition
| No med use, need protocol, high abuse ( Herion LSD, pot |
|
|
Term
|
Definition
| accepted use, High abuse, EX: MS demerol |
|
|
Term
|
Definition
| accepted use less abuse than CAT 2 EX: codeine, nonopoid preparations |
|
|
Term
|
Definition
| Accepted use, less abuse than Cat III EX: Benzos ( Valium and Zanax |
|
|
Term
|
Definition
| Accepted use less abuse than Cat IV drugs EX: cough preparations |
|
|
Term
| Which cat of drugs is a PCP not allowed to mark refill on prescription |
|
Definition
|
|
Term
| Ethical principle of do no harm is known as? |
|
Definition
|
|
Term
| What legal act required drug makes to establish the saftey and Efficacy of new drugs before its approval of use |
|
Definition
| Kefauver-Harris Amendments of 1962 |
|
|
Term
|
Definition
| an inert substance that is not a drug |
|
|
Term
| A _________ is defined as any preventable adverse drug event that involves inappropriate med use by a patient or health care pro. It may or may not cause harm to the patients |
|
Definition
|
|
Term
| An ________ reaction is defined as an abnormal and unexpected response to a medication, other than an allergic reaction, that is peculiar to an indvidual patient |
|
Definition
|
|
Term
| A __________ is a type of adverse drug event that is defined as any unexpected, unintended or excessive response to a med |
|
Definition
|
|
Term
|
Definition
|
|
Term
| A _______ is any undesirable effect of a med that is expected or anticipated to occur in patients who reciee a given med |
|
Definition
|
|
Term
| A ________ is an undesirable occurrene related to admin of or faliur to admin a prescribed med |
|
Definition
|
|
Term
| T or F: all ADRs are ADEs |
|
Definition
|
|
Term
| T or F: All ADEs are caused by med errors |
|
Definition
|
|
Term
| Classes of drugs commonly used OTC include? |
|
Definition
| Nonsteroidal antiinflammatory drugs, Cold remedies, Smoking deterents, H2 Blockers |
|
|
Term
| What is an advantage of an OTC |
|
Definition
| Patient can self treat minor ailmetns and reduce Dr. visits |
|
|
Term
| The FDA does what regarding the manufacture or herbal prdocuts |
|
Definition
| Defines herbal products as dietary supplements |
|
|
Term
| Tachyphylaxis may develop in a patient who is taking what herbal product |
|
Definition
|
|
Term
| The nurse admitting a patient who has a diagnosis of the RLL pneumonia. Assesing her she notices a herbal pack on her chest. What should the nurse do |
|
Definition
|
|
Term
| A illegal stimulant that is either snorted or injected intravenously |
|
Definition
|
|
Term
| A stimulaant that is popular at college raves |
|
Definition
|
|
Term
| Used in managing w/drawl from barbiturates |
|
Definition
|
|
Term
| An opioid that is injected by mainling or skin popping |
|
Definition
|
|
Term
| What is disulfiram used for |
|
Definition
| Used to deter use of alcohol while in in treatment |
|
|
Term
| What is disulfiram used for |
|
Definition
| Used to deter use of alcohol while in in treatment |
|
|
Term
|
Definition
| An opioid antagonist used for opioid abuse or dependence |
|
|
Term
| This a a nicotine free treatment for nicotine dependence |
|
Definition
|
|
Term
| The source plant for heroin |
|
Definition
|
|
Term
|
Definition
|
|
Term
| A patient who has been taking disulfiram for 3 months has stopped taking it for 2 days. He goes with friend to have a beer, what might happen? |
|
Definition
|
|
Term
| The most common drug effects leading to abuse of opioids include |
|
Definition
|
|
Term
| What can happen if you mix benzos w/ ethanol or barbiturates? |
|
Definition
|
|
Term
| A patient w/ a known history of chronic excessive ingestion of ethanol has develpoed memory loss and comes to the health clinic w/ hard to believe stories of what has happened to him. What are these symptoms indicative of? |
|
Definition
|
|
Term
| A type of epilepsy with an unknown cause |
|
Definition
|
|
Term
| a potentiall fatal adverse effect of valproic acid |
|
Definition
|
|
Term
| A brief episode of abnormal electrical activity in the nerve cells of the brain |
|
Definition
|
|
Term
| IV administered antiepileptic drugs should be delivered this way to avoid serious adverse effects |
|
Definition
|
|
Term
| A type of epilepsy that has a distinct cause |
|
Definition
|
|
Term
| This is an involuntary spasmodic contraction of voluntary muscles through out the body |
|
Definition
|
|
Term
| These are the 1st line of drugs for status epilpetics |
|
Definition
|
|
Term
| This barbiturate is used to control Tonic-clonic and partial seizures |
|
Definition
|
|
Term
| The metabolic process that occurs when the metabolism of a drug increases over time which leads to a lower than expected drug concentrations |
|
Definition
|
|
Term
| Recurrent episodes of convulsive seizures |
|
Definition
|
|
Term
| 1st line antiepilpetic drug, long term use can lead to gingival hyperplasia |
|
Definition
|
|
Term
| A teen age girl has seizures characterized by temporary lapses in consciousness that lasts only a few seconds, her teacher says she day dreams to much. These types of seizures are known as what? |
|
Definition
|
|
Term
| This is a life threatening emergency in which patients typically do not regain consciouness |
|
Definition
|
|
Term
Which of the following is true about IV infusion of phenytoin
a. it should injected quickly
b. it should be injected slowly
c. it should be followed by injection of sterle saline
d. Continous infusion should be avoided |
|
Definition
b. it should be injected slowly
c. it should be followed by injection of sterle saline
d. Continous infusion should be avoided |
|
|
Term
| What is a possible adverse effect of phenobarbital therapy |
|
Definition
|
|
Term
| What is considered the 1st choice for treatent of status epilepticus |
|
Definition
|
|
Term
| A patient who is experiencing neuropathic pain tells the nurse that the physician is going to start him on a new medicatio that is generally used to treat seizures. What is it? |
|
Definition
|
|
Term
| a patient w/ PD that has difficulty performing voulntary movements? THis is known as what? |
|
Definition
|
|
Term
| What drug is used in early stages of PD but looses its efectiveness |
|
Definition
|
|
Term
| A patient w/ PD that is taking levodopa should avoid this vitamin supplement |
|
Definition
|
|
Term
| T or F: A PD patient begining med treatment with entacapone should not notice an immediate effect |
|
Definition
|
|
Term
Anticholinergic drugs administered during treatment of PD are given to minimize which of the following symptoms
a. Drooling
b. COnstipation
c. Muscle Rigidity
d. bradykinesia |
|
Definition
| Drooling, and Muscle Rigidity |
|
|
Term
| A patient on levodopa for 4 month has been instructed to stop taking it for ten days the patient should expect what to happen |
|
Definition
| A possible stay in the hospital during the time he is not taking the drug |
|
|
Term
| Patients on the newer antipyschotic drugs such as quetiapine(seroquel) should be cautioned about what problem with beginining these drugs |
|
Definition
|
|
Term
| When giving hydroxyzine IM the nurse should use? |
|
Definition
|
|
Term
| The wife of a patient who is on anti-depressants asks how long will it to for him to feel better? How should you respond |
|
Definition
|
|
Term
| Extrapyramidal efects of drugs include: |
|
Definition
| Tremors, painful muscle spasms, motor restlessness |
|
|
Term
| What can happen if you take MAOI's and eat a food containing tyramine |
|
Definition
|
|
Term
|
Definition
| a 2nd gen anti depressant |
|
|
Term
| Patients taking MAOI's should avoid food containing this substance |
|
Definition
|
|
Term
| Antidepressants drugs that block the Reuptake of amine neurotransmitter |
|
Definition
|
|
Term
|
Definition
| Used to describe a major emotional disorder that impairs the mental function of the affected individual to the exten that the indivdual cannot participate in everyday life |
|
|
Term
|
Definition
| A state characterized by an expansive emotional stat and hyperactivity |
|
|
Term
| This a frequently prescribes benzodiazepine |
|
Definition
|
|
Term
| The most widely used tricyclic antidepressant |
|
Definition
|
|
Term
|
Definition
| Atypical antipysch drug used to treat schizophrenia |
|
|
Term
| A group of psychotropic drugs prescribed to alleviate anxiety |
|
Definition
|
|
Term
| Lithium is used for what? |
|
Definition
|
|
Term
|
Definition
| an unpleasent stat of mind in which real or imagined dangers are anticipated and/or exaggerated |
|
|
Term
| What is an affective disorder |
|
Definition
| Emotional disorders characterized by changes in mood |
|
|
Term
|
Definition
| An abnormal emotional state characterized by exaggerated feelings of sadness, melancholy and worthlessness out of proportion to reality |
|
|
Term
| Phenelzine is classified as what type of drug |
|
Definition
|
|
Term
| What is Bipolar Affective disorder |
|
Definition
| A major pyschologic disorder characterzed by episodes of mania or hypomania, cycling w/ depression |
|
|
Term
| What is doxapram used for |
|
Definition
| to treat respiratory insufficiency associated w/ COPD |
|
|
Term
Which of the following are results of the CNS by stimulant drugs?
a. increased fatigue
b. decrease drowsiness
c. incresed respiration
d. bradycardia
e. euphoria |
|
Definition
b. decrease drowsiness
c. incresed respiration
e. euphoria |
|
|
Term
| Serotonin agonists are newer CNS stimulants used to treat what? |
|
Definition
|
|
Term
| Orlistat(Xenical) is used to treat what? |
|
Definition
|
|
Term
| A child is taking drugs for ADHD, the nurse should instruct the caregivers to closely monitor what? |
|
Definition
| physical growth. esp weight |
|
|
Term
| Common uses of crystalloids include? |
|
Definition
Fluid replacement
Promotion of urinary flow
Replacement of e-lytes
As maintenance fluids |
|
|
Term
| the IV order for a newly admitted patient calls for "Normal saline to run at 100mL/hr". The nurse will choose what concentration of normal saline |
|
Definition
|
|
Term
| A patient has been admitted with severe dehydration after working outside on a very hot day. The nurse expects which IV fluid to be ordered for rapid fluid replacement |
|
Definition
|
|
Term
| When giving IV potassium, what is important for the nurse to remeber? |
|
Definition
| It must always be given in diluted form |
|
|
Term
| A patient is receiving blood products the nurse should monitor for what signs of possible transfusion reaction |
|
Definition
| Apprehension, restlessness, fever and chills |
|
|
Term
| What product is used to increase clotting factor lvls in patients w/ a demonstrated deficiency rather than for routine resuscitation? |
|
Definition
|
|
Term
| Another name for adrenergic drugs is? |
|
Definition
|
|
Term
| Adrenergic drugs produce what side effects? |
|
Definition
| Glycogenolysis and Increased Heart Rate |
|
|
Term
Adrenergic drugs may be used to treat which of the following:
A. Asthma
B. Glaucoma
C. Hypertension
D. Nasal Congestion
E. Seizures
F. N/V |
|
Definition
| Asthma, Glaucoma, Nasal Congestion |
|
|
Term
| A women was just stung by a bee and she is allergic to bees. She has a bee sting kit what type of neurotransmitter is this kit most likely to contain |
|
Definition
|
|
Term
| When administering insulin the nurse must keep in mind the most immediate and serious adverse effect of insulin therapy is what? |
|
Definition
|
|
Term
| A dose of long acting insulin is ordered for a diabetic patient at bedtime, you expect to give what type of insulin |
|
Definition
|
|
Term
| What type of insulin can be given intravenously |
|
Definition
|
|
Term
| What are some signs and symptoms of hypoglycemia |
|
Definition
| Weakness, sweating, and confusion |
|
|
Term
| When giving oral acarbose(precose), you should administer it at what time |
|
Definition
|
|
Term
| A patient taking rosiglitazone(Avandia) tells the Nurse " theres my insulin pill" the nurse describes the mechanism of action by explaining that this drug is not insulin but works by? |
|
Definition
| Decreasing insulin resistance |
|
|
Term
| Antibiotics taken before exposure to an infectious organism in an effort to prevent the dev of a super infection |
|
Definition
|
|
Term
| The classification of the drug doxycycline |
|
Definition
|
|
Term
| An antibiotic derived from fungus or mold |
|
Definition
|
|
Term
| Antibiotics that kill bacteria are called |
|
Definition
|
|
Term
| THe classification of the drug cefazolin |
|
Definition
|
|
Term
| The classification of erythromycin |
|
Definition
|
|
Term
| Classification for the drug sulfisoxazole |
|
Definition
|
|
Term
| Antibiotics that inhibit growth of bacteria |
|
Definition
|
|
Term
| An infection that occurs during antimicrobial treatment for another infection and involves overgrowth of a nonsusceptible organisms |
|
Definition
|
|
Term
Drug interactions occurs between penicillins and which of the following:
A. Alcohol
B. Oral contraceptives
C: Digoxin
D. Nonsteroidal anti inflammatory drugs
E. Warfarin
F. Anti convulsants |
|
Definition
| Oral Contraceptives, Nonsteroidal anti inflammatory drugs, Warfarin |
|
|
Term
| What intervention is important for the nurse to perform before begining antibiotic therapy |
|
Definition
| Obtain a culture for culture and sensitivity |
|
|
Term
| You will instruct a patient taking a tetracycline antibiotic to? |
|
Definition
|
|
Term
| When patients are receiving aminoglycosides, the nurse must monitor for tinnitus, which may indicate what? |
|
Definition
|
|
Term
A patient is being prepared for colon surgery, and will be taking neomycin tablets the day before the surgery, and he asks why he needs to take the neomycin. The best response would be?
A. The medicine helps clean out the bowels before surgery?
B. It helps reduce the # of bacteria in your intestines
C. It is given to sterilize the bowel
D. It is given to prevent infection after surgery |
|
Definition
| B. It helps reduce the # of bacteria in your intestines |
|
|
Term
| A patient has a stage 2 decubitous ulcer, the culture comes back postive for MRSA, what is the drug of choice to treat MRSA |
|
Definition
|
|
Term
A patient who is on vancomycin therapy should notify the nurse immediately if which of the following effects are noted?
A. Ringing in the ears
B. Dizziness
C. Hearing Loss
D. Fullness in the ears |
|
Definition
A. Ringing in the ears
B. Dizziness
C. Hearing Loss
D. Fullness in the ears |
|
|
Term
| Acyclovir is considered the drug of choice for what virus |
|
Definition
|
|
Term
| When administering ganciclovir, the nurse keeps in mind that the main dose limiting toxicity for this drug is what |
|
Definition
|
|
Term
| When reviewing the health history of a patient who is to receive Foscarnet, you know that what condition whould contraindicate its use |
|
Definition
|
|
Term
| Amantadine would be used most appropriately in someone who? |
|
Definition
| has a heart transplant and is to receive a prophylaxis for influenza |
|
|
Term
| During isoniazid therapy, you will monitor closely what lab results |
|
Definition
|
|
Term
| You should teach the patient what if he/she is on a isoniazid |
|
Definition
| Pyridoxine may be needed to prevent neurotoxicity |
|
|
Term
| Patients who are in the initial period of treatment for TB should be taught what |
|
Definition
| Wash their hand and cover their mouths when coughing or sneezing, throw away dirty tissues, be sure to adequate rest, nutrition, and relaxation |
|
|
Term
| How long can a newly diagnosed TB patient expect to take meds for? |
|
Definition
|
|
Term
| Why are multiple meds used in the drug regimen for TB |
|
Definition
| Reduces the possibility of the organism becoming drug resistant |
|
|
Term
|
Definition
| Single celled fungi that reproduce by budding |
|
|
Term
| One of the major groups of antifungal drugs, includes amphotericin B and nystatin |
|
Definition
|
|
Term
| A very large, diverse group of eukaryotic, thallus forming microorganisms that require and external source of of carbon |
|
Definition
|
|
Term
| One of the major antifungal drug groups examples are Ketoconazole, miconazole, and clotrmazole |
|
Definition
|
|
Term
| A yeast infection in the mouth is called |
|
Definition
|
|
Term
| An older antifungal that prevents susceptible fungi from reproducing |
|
Definition
|
|
Term
| THe oldest antifungal drug |
|
Definition
|
|
Term
| Used to treat candidal diaper rash |
|
Definition
|
|
Term
| Infection caused by fungi |
|
Definition
|
|
Term
| Multicellular fungi characterized by long, branching filament called hyphae, which entwine to form a mycelium |
|
Definition
|
|
Term
| Treatment for an infant w/ thrush |
|
Definition
|
|
Term
| What are some adverse effects of amphotericin B |
|
Definition
| Fever, Malaise, and chills |
|
|
Term
| What med is often a one dose treatment for vaginal candidiasis |
|
Definition
|
|
Term
| This is the drug of choice for severe systemic fungal infections |
|
Definition
|
|
Term
Adrenergic blockade at the alpha adrenergic receptors leads to which of the following effects
A. Vasodilation
B Decreased BP
C. Increased BP
D. COnstriction of Pupil
E Tachycardia |
|
Definition
Vasodilation
Decreased BP
Constriction of the pupil |
|
|
Term
| You discover that the IV infusion on a patient who has been receiving an IV vasopressor has infiltrated. What drug will you use to reverse the effects of the vasopressor on the infiltrated area? |
|
Definition
|
|
Term
| What is a contraindication of some taking ergotamine for migraine headaches? |
|
Definition
|
|
Term
| A patient of yours is taking prazosin for treatment for a benign prostatic hypertrophy. What is important to teach him about the effects of this med |
|
Definition
| Change positions slowly to avoid orthostatic changes |
|
|
Term
| You have been taking a beta-blocker for 6 months what could happen if you just stop taking it? |
|
Definition
| Chest pain and/or reboundhypertension |
|
|
Term
| Atropine is used for what? |
|
Definition
| Antidote for OD of a cholinergic drug |
|
|
Term
| This is a cholinergic drug that acts by making more ACh available at the recepetor site |
|
Definition
| Indirect-acting cholinergic drug |
|
|
Term
| Cholinergic drugs that bind to cholinergic receptors and activate them |
|
Definition
|
|
Term
| Muscarinic receptors are located where? |
|
Definition
| postsynaptically in the effector organs, supplied by the parasympathetic fibers |
|
|
Term
| Nicotinic receptors are located where? |
|
Definition
| In the ganglia of the PSNS and the SNS |
|
|
Term
| Describe the action of the PSNS |
|
Definition
|
|
Term
| This neurotransmitter is responsible for the transmission of the nerve impulses to the effector cells in the PSNS |
|
Definition
|
|
Term
| Cholinesterase does what? |
|
Definition
| Enzyme that breaks down ACh |
|
|
Term
| The desired effect of cholinergic drugs come from stimulating these receptors |
|
Definition
|
|
Term
| The undesirable effect of cholinergic drugs comes from stimulation of these receptors |
|
Definition
|
|
Term
| Bethanechol is used to treat what? |
|
Definition
|
|
Term
| What drug is used for symptomatic treatment of myasthenia gravis? |
|
Definition
|
|
Term
Early signs of a cholinergic crisis would include which of the following
A. dry mouth
B. Salivation
C. FLushing of the skin
D. Ab cramps
E Constipation
F Dyspnea |
|
Definition
Salivation
Flushing of the skin
Ab cramps
Dyspnea |
|
|
Term
| What drug would you give to someone having a cholinergic crisis? |
|
Definition
|
|
Term
| Before giving an anticholinergig drug you should check the patients history for what? |
|
Definition
|
|
Term
| Adverse effects of anticholinergic drugs are? |
|
Definition
Dilated pupils
Dry mouth
Urinary retention |
|
|
Term
| Taking anticholinergic drugs places you at a higer risk for what? |
|
Definition
|
|
Term
| What medication is preferred oral glucocorticoid for antiinflammatory or immunosuppreant purposes? |
|
Definition
|
|
Term
| Adverse effects from taking corticosteroisds include? |
|
Definition
Fragile skin
Increase glucose lvls
Nervousness |
|
|
Term
| A patient w/ Cushing's syndrome is prescribe a drug that inhibits the function of the adrenal cortex, what drug is this? |
|
Definition
|
|
Term
| A patient who has been taking corticosteroids has developed a "moon face" and facial redness, and has many bruises on her arms. What would be a good Nursing Dx for her? |
|
Definition
|
|
Term
| Corticosteroids cause sodium retention what should you closely montior patient for that is receiving this med |
|
Definition
|
|
Term
| Before begining antiprotozoal therapy you should assess for what possible contraindications? |
|
Definition
| Underlying renal, cardic, thyroid, or liver diease and pregnancy |
|
|
Term
| You should warn your patient that is taking thiabendazole about what possible adverse effect |
|
Definition
| urine w/ an asparagus like fragrance |
|
|
Term
| What can you Dr. prescribe that can make the antibiotic quinine more effective in treating malaria |
|
Definition
| a sulfonamide or tetracycline |
|
|
Term
| What drugs are used mainly for the management of Pneumocystis jirovecii pneumonia |
|
Definition
| Pentramidine and atovaquone |
|
|
