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Fundamentals Exam 1 Study Guide

Terms in this set (23)

which of the following is the name assigned to a drug by the manufacturer that first develops it?
generic name
Most drugs are excreted through which of the following organs?
kidneys
Which of the following acts designated the United States Pharmacopeia and the National Formulary as official standards of drugs and empowered the federal government to enforce these standards?
Pure Food and Drug Act
Which of the following statements about patient medications is accurate?
upon admittance to a hospital, all patient medications from home should be sent home with the family or placed in safe-keeping
Which of the following types of medication orders would a physician prescribe for "as needed" pain medication?
PRN order
A nurse suspects a drug they administered to a patient is in error. WHo is legally responsible for the error?
Nurse
Which of the following measurement systems uses a grain as the basic unit of weight
Apothecary
If a nurse is preparing medication for a patient and is called away to an emergency which of the following should they do?
lock the medications in a room and finish them when they return
Before administering a drug to a patient, the nurse should identify the patient by doing which of the following?
check the patient's ID bracelet
Which means of drug administrations would be used in an emergency to achieve rapid absorption and quicker results?
Injection
Which of the following sites is recommended for adults as a safe site for the majority of intramuscular injections?
Ventrogluteal site
Mrs. Harris is a 78-year-old woman admitted to your unit after experiencing symptoms of stroke. When administering the medication prescribed for her, the nurse should be aware that this patient has an increases possibility of drug toxicity due to which of the following age-related factors?
Decline in liver function and production of enzymes for drug metabolism
To convert 0.8 grams to milligrams, the nurse should do which of the following?
move the decimal point 3 places to the right
Mr. Downs is given a dose of gentamicin and has an immediate reaction of hypotension, bronchospasms, and rapid, thready pulse. WHich of the following would be the drugs of choice for this situation?
Epinephrine, antihistamines, and bronchodilators
Mrs. Banks has an order for Chloromycetin, 500mg every 6 hours. THe drug comes in 250mg capsules. Which of the following would be the correct dosage?
2 tabs
An oral medication has been ordered for Mr. Morgan, who has a nasogastric tube in place. WHich of the following nursing activities would increase the safety of medication administration?
check the tube placement before administration
When giving an intramuscular injection using the z-track technique, the nurse should use which of the following techniques?
do not massage the site because it may cause irritation
Which of the following statements accurately describe the influence of specific factors on the absorption of a drug?
injected medications are usually absorbed more rapidly than oral medications
liquid preparations have to be dissolved in the the gastrointestinal fluids
acidic drugs are well absorbed in the stomach
Which of the following statements accurately describe an adverse drug effect?
an anaphylactic reaction is a life-threatening immediate reaction to a drug that results in respiratory distress, sudden severe bronchospasm, and cardiovascular collapse
an idiosyncratic effect is any abnormal or peculiar response to a drug that may manifest itself by over response, under response, or a response different from the expected outcome
an antagonistic effect produces an effect that is less than that of each drug alone
Which of the following is a type of order that a physician might write?
a standing order to be carried out as specified until cancelled by another order
a PRN order for pain medication
a single order to be carried out only once at a specified time
Which of the following factors should a nurse consider when administering medications to an older adult?
decline in liver function, decline in enzyme production needed for drug metabolism
Which of the following actions would a nurse be expected to perform when instilling eyedrops correctly?
wash hands and put on gloves, tilt the patients head back slightly if sitting or place the head on a pillow if lying down, have the patient look up and focus on something on the ceiling
Which of the following actions would a nurse be expected to perform when instilling eardrops correctly?
clean the external ear with cotton balls moistened with normal saline solution, straighten the auditory canal by pulling the cartilaginous portion of the pinna up and back in an adult and down and back in an infant or child under 3 years, hold the dropper in the ear with its tip above the auditory canal
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