Pharm Exam (Ch11-18) – Flashcards

Unlock all answers in this set

Unlock answers
question
Medication errors with parenteral medications can be easily corrected if caught within 10 minutes.
answer
False.
question
The route of medication administration depends on which of the following?
answer
I put all of the above but that is wrong.
question
Which of the following ensures the correct medication has been selected for use with medication administration?
answer
-comparing the order to the medication label using the three "befores" -checking for an expiration date on the medication being sure the label is not damaged -checking the concentration of the medication against the order
question
Which of the following includes an incorrect "right" in the seven rights of medication administration?
answer
right drug, right patient, right technique, right documentation, right storage
question
When administering medications, which of the following should be documented?
answer
-past allergic reactions -any signs of an adverse reaction -religious or personal beliefs that may affect the use of the medication
question
Documentation of medication administration should include all of the following EXCEPT documenting
answer
the administration of the medication before giving it
question
The seven rights of medication administration should always be the same and should have no deviation from office to office.
answer
true
question
To ensure the correct dose of a medication, use which of the following?
answer
All of the above should be used except c.
question
Patients receiving medication such as penicillin or immunotherapeutic drugs that might cause allergic reactions should be monitored for a general 5 minutes to ensure an allergic reaction does not occur.
answer
False.
question
The "befores" of label reading for medication administration include all of the following EXCEPT before
answer
administering the medication to the patient
question
Oral administration of medicines is the easiest and safest way to administer medications.
answer
True.
question
Effervescent tablets or powders should be given at least 15 minutes after the solid form has dissolved in water.
answer
False
question
Patient who receive suppository should remain lying down for 1 to 2 minutes to allow the drug to melt.
answer
False
question
Rectal medications are used to
answer
-relieve discomfort locally -stimulate evacuation of the bowels -provide systemic medications
question
When administering rectal medications
answer
-remove the medication from the wrapper -place adult patients in the Sims position -lubricate the suppository with either water or water-soluble jelly -gently push the suppository past the anal sphincter
question
Medications are not usually altered by gastric juices in the stomach and intestines.
answer
False.
question
If a medication is added to food, the food should be a warm full serving so the taste of the medication is better disguised.
answer
False
question
A scored tablet is usually a sign that the tablet may be split or divided.
answer
True
question
The routes of enteral medications include _____ medications.
answer
-oral -rectal -nasogastric and gastric
question
Rates of absorption for transdermal medications by site from the SLOWEST to FASTEST are
answer
thigh and forearm, back and chest, behind the ear
question
In administering nasal medications, the head should be tilted forward for administration and then tilted backward for five minutes.
answer
false
question
Drugs should not be instilled directly on the cornea.
answer
true
question
Which of the following are true of creams and ointments? 1. Creams are used to deliver antipyretics. 2. Ointments deliver medications to the surface of the skin. 3. Creams deliver medications to and into the skin. 4. Ointments stay in contact with the skin longer than creams. 5. Creams prevent bandages from sticking to wounds.
answer
1,2,3, and 4
question
Application of topical medications in older adult patients may require minimal friction because
answer
all of the above
question
Nasal preparations that spill into the throat should be swallowed for systemic effect.
answer
false
question
Patches, disks, and dots may be used therapeutically for
answer
nausea due to motion sickness, hormones, and pain.
question
Drugs applied to the cornea will not produce pain because the cornea has no blood or nerve supply.
answer
false
question
Inhaled medications may be 1. administered as MDIs 2. administered as either a vapor or a mist 3. administered in spray or powder form 4. rapidly absorbed because of the blood supply in the lungs 5. administered easily without patient education
answer
1,2,3, and 4
question
Lotions
answer
all of the above.
question
Topical medications may be in the form of: 1. powders 2. soaks 3. compresses and dressings 4. creams and ointments 5. gels and lotions
answer
1,2,3,4 and 5
question
Ophthalmic medications
answer
-must contain a label of ophthalmic -must remain sterile -should be administered in the conjunctival sac
question
Sublingual medications can be either sprays or small porous tablets.
answer
true
question
Drugs applied to the cornea will not produce pain because the cornea has no blood or nerve supply.
answer
false
question
Medications for parenteral administration are supplied in all of the following forms EXCEPT
answer
multidose ampules
question
The parts of a needle include all of the following EXCEPT
answer
barrel
question
To reconstitute powders for injection, the allied health professional should do all of the following EXCEPT
answer
always use sterile water or saline
question
Syringes come in sizes that hold 0.5 mL to 60 mL.
answer
true
question
A needle with a small lumen should be short in length.
answer
true
question
When preparing a medication from an ampule, all of the following are important EXCEPT
answer
using a filter needle to administer the medication
question
Parenteral routes of medication administration include all but which of the following?
answer
subdermal
question
A needle with a small lumen should be short in length.
answer
true
question
When mixing medications from two vials, the allied health professional should do all of the following EXCEPT
answer
WRONG. Darby put "all are correct" and that is wrong.
question
Parenteral medications must be
answer
sterile and in liquid form
question
To reconstitute powders for injection, the allied health professional should do all of the following EXCEPT
answer
always use sterile water or saline
question
The parts of a syringe include all of the following EXCEPT
answer
needle
question
Medications that are given by injection have a longer duration of action than those taken orally.
answer
false
question
In the ambulatory care setting, the most common syringes used are
answer
3 mL and tuberculin
question
Which of the following does not affect perception of pain by the patient?
answer
temperature
question
Which of the following is NOT true about salicylate analgesics?
answer
they do not cause gastric discomfort
question
Aspirin is NOT used therapeutically as which of the following?
answer
decongestants
question
Analgesics that contain the word "cet" have what as an ingredient?
answer
acetaminophen
question
The side effects of opiate/opioid medications include
answer
itching, nausea, and dizziness.
question
Which of the following is NOT true about adjuvant analgesics?
answer
they act as antagonist to analgesics.
question
Idiosyncratic reactions to analgesics include
answer
restlessness, agitation, and itching.
question
The common combinations of OTC analgesics include acetaminophen with all of the following EXCEPT
answer
calcium
question
Antihistamines are used for the anxiety associated with pain.
answer
true
question
The advantages of oral nonprescription analgesics include all of the following EXCEPT they
answer
affect bleeding times
question
NSAIDs are used for
answer
-arthritis -dental pain -dysmenorrhea -anti inflammatory conditions
question
Analgesics that contain the word compound or "dan" have what as an ingredient?
answer
aspirin
question
Fentanyl patches provide immediate relief of pain and do not require adjuvant medications.
answer
false
question
Pain relief is usually obtained at the same doses for most chronically ill adults.
answer
false
question
Acetaminophen has advantages over aspirin. Which of the following is NOT an advantage?
answer
it can cause liver damage.
question
Immunizations
answer
-are also called vaccinations -produce artificial active immunity -are preventive medicine
question
Vaccines should be administered to all of the following people EXCEPT a
answer
person who is allergic to eggs
question
What are some of the important allergens found in immunizations?
answer
-mercury -antibiotics -eggs
question
The National Childhood Vaccine Act of 1986 requires recording which of the following?
answer
-date of vaccination with route and site given -name, address, and title of person administering medication -vaccine manufacturer, lot number, expiration date
question
MMR vaccine should ideally be given at what age?
answer
15-18 months
question
Vaccines have had very little effect on extending life; rather, disease treatment is more effective.
answer
false
question
Which of the following is true of active immunity?
answer
-it is produced from having the disease or immunization -it is long lasting
question
The agency that determines immunization schedules and the immunization needs for a specific locale is the
answer
CDC
question
Which of the following groups have the highest rate of noncompliance in immunizations?
answer
adults
question
Hepatitis B vaccine should be given to which of the following people?
answer
-health care workers -patients on hemodialysis
question
Persons taking immunosuppressants are more prone to infectious diseases.
answer
true
question
The CDC recommends which of the following immunizations for polio?
answer
inactivated polio vaccine (IPV)
question
A person with which of the following should receive tetanus immunization?
answer
WRONG. Darby chose "all of the above: a large superficial wound, a surgical procedure, and a puncture wound."
question
Antibiotics may be found from which of the following sources?
answer
ocean water near sewage overflow, dirt, and chemicals
question
Which of the following is NOT true of sulfonamides?
answer
Sulfonamides are true antibiotics.
question
Which of the following is NOT true about drugs for tuberculosis?
answer
Medications for TB, whether prophylactic or therapeutic, are given for about a month and then discontinued.
question
Only a person who has a drug-resistant microbial infection must worry about contracting a drug-resistant disease.
answer
false
question
Gentian violet is used for fungal infections and will permanently stain clothing.
answer
true
question
Which of the following is NOT true of sulfonamides?
answer
sulfonamides are true antibiotics
question
Prophylactic use of antibiotics may be appropriate with some patients, such as older adults or persons with congenital diseases.
answer
true
question
Which of the following is NOT true of urinary tract anti-infectants?
answer
they do not discolor urine
question
Antiseptics, disinfectants, and germicides
answer
WRONG. Darby chose "are used to sanitize animate and inanimate objects"
question
Which of the following is NOT a way to classify penicillins?
answer
WRONG. Darby chose "generation"
question
Which of the following is NOT true about drugs used to treat malaria?
answer
Tetracyclines are safe in pregnancy and lactation.
question
Which of the following is NOT true about antifungals?
answer
Adverse reactions are minor and usually are not important for patient teaching
question
Which of the following is NOT true of topical preparations of sulfonamides?
answer
Sulfonamides remain as topical agents and are not absorbed as systemic agents when applied topically.
question
Which of the following should the physician NOT consider when ordering antibiotics?
answer
The first drug of choice should always be the only medication used.
question
Gentian violet is used for fungal infections and will permanently stain clothing.
answer
true
question
Benign tumors are named by the site plus "oma," as in
answer
-lipoma -adenoma
question
Side effects of antineoplastics include
answer
-alopecia -nausea and vomiting -stomatitis -anemia
question
Toxic effects of chemotherapeutic agents include
answer
-cardiotoxicity -hepatotoxicity -neurotoxicity
question
Drugs for cancer are slow to reach the market because the FDA wants to be sure these drugs cannot destroy normal cells with the abnormal cells.
answer
false
question
Antibiotics used as chemotherapeutic agents are the same as those used for infectious diseases.
answer
false
question
Exposure to radioisotopes may lead to radiation exposure to anyone around the isotopes.
answer
true
question
Characteristics of benign tumors are that they
answer
-remain localized -are smooth and freely movable -are encapsulated
question
In preparing cytotoxic medications, which of the following must be used?
answer
-personal protective equipment -special exhaust fans -aseptic technique
question
Antibiotics used as chemotherapeutic agents are the same as those used for infectious diseases.
answer
false
question
The dosage of chemotherapeutic agents takes into account the
answer
-age and gender of the pt -stage of the disease -prognosis of the disease -cost of the treatment versus the ability to benefit from therapy
question
Nausea from chemotherapy may be reduced by eating
answer
-cold food or food at room temperature -small meals several times a day
question
Signs and symptoms of antineoplastic toxicity that should be reported to the physician include
answer
WRONG. Darby chose "all of the above"
question
Cell morphology for a diagnosis and for use of antineoplastics in metastasis is easier when the metastatic tumor mimics the primary tumor.
answer
true
question
Common side effects of antineoplastic agents are
answer
-stomatitis -alopecia -suppression of blood elements
question
Cancer is routinely treated with
answer
-surgery -medications -radiation
Get an explanation on any task
Get unstuck with the help of our AI assistant in seconds
New