NURS 122 EXAM 2 UPDATED ACTUAL Questions and CORRECT
Answers
chemical name name of exact ingredients of the med
generic name lowercase
based on chemical name, but short
not owned by pharm company
assigned by US adopted name counsil
aka nonproprietory name
brand name owned by pharm company
aka trade name, proprietory name
R symbol
oral route swallowing or buccal
sublingual route under tongue
mucosal route absorbed through mucosa
rectum, vagina, eye, ear, inhaled into lungs
topical route applied to skin
creams, ointments, lotions
parenteral route beneath the skin
injections
desired effect med does what its prescribed to do
side effect unintended outcome, may or may not be expected
adverse effect unintended, more severe/harmful than side effects
not expected
allergic rxn body reacts as if med is foreign invader
rash, hives, itching
generally first time, no rxn occurs
anaphalaxyis more severe rxn, life-threatening
swelling of airways, sob, respiratory arrest, decrease BP
happens as soon as med reaches the bloodstream
toxicity med accumulates in the body
therapeutic level amount of med in the blood needed to achieve the desired effects
, drug-drug interaction can cause increases or decreases in the desired effects
ex: warfarin (anticoagulant) mixed with ibuprofen will lead to excessive bleeding
and bruising
drug-food interaction ex: dairy decreases effectiveness of antibiotics
drug-vitamin interaction ex: st. johns wort decreases effectiveness of BC
8 requirements of med orders date and time of order
name of med
dose
frequency
route
patients name
indicationsignature of provider
places meds can be stored computerized cabinets
med carts
locked bins in pt room
patient rights right to know what med is
right to know how med will effect you
right to refuse (ask why if they refuse)
right to question med
7 rights of med administration right patient
right med
right dose
right time/date (hour window)
right route
right reason
right documentation
when to do safety checks as you remove med from cart, bin, cabinet
compare med to MAR before placing in med cup
at the bedisde before administration
enter the bloodstream by digestive system tabs, capsules, liquid
enter bloodstream by oral mucosa buccal and sublingual
enteric coated tablets tabs contain outer coating that does not dissolve until the med reaches the
intestines
protects stomach from ingredients in the med that may be irritating
sustained release tabs slow the absorption of the drug
Answers
chemical name name of exact ingredients of the med
generic name lowercase
based on chemical name, but short
not owned by pharm company
assigned by US adopted name counsil
aka nonproprietory name
brand name owned by pharm company
aka trade name, proprietory name
R symbol
oral route swallowing or buccal
sublingual route under tongue
mucosal route absorbed through mucosa
rectum, vagina, eye, ear, inhaled into lungs
topical route applied to skin
creams, ointments, lotions
parenteral route beneath the skin
injections
desired effect med does what its prescribed to do
side effect unintended outcome, may or may not be expected
adverse effect unintended, more severe/harmful than side effects
not expected
allergic rxn body reacts as if med is foreign invader
rash, hives, itching
generally first time, no rxn occurs
anaphalaxyis more severe rxn, life-threatening
swelling of airways, sob, respiratory arrest, decrease BP
happens as soon as med reaches the bloodstream
toxicity med accumulates in the body
therapeutic level amount of med in the blood needed to achieve the desired effects
, drug-drug interaction can cause increases or decreases in the desired effects
ex: warfarin (anticoagulant) mixed with ibuprofen will lead to excessive bleeding
and bruising
drug-food interaction ex: dairy decreases effectiveness of antibiotics
drug-vitamin interaction ex: st. johns wort decreases effectiveness of BC
8 requirements of med orders date and time of order
name of med
dose
frequency
route
patients name
indicationsignature of provider
places meds can be stored computerized cabinets
med carts
locked bins in pt room
patient rights right to know what med is
right to know how med will effect you
right to refuse (ask why if they refuse)
right to question med
7 rights of med administration right patient
right med
right dose
right time/date (hour window)
right route
right reason
right documentation
when to do safety checks as you remove med from cart, bin, cabinet
compare med to MAR before placing in med cup
at the bedisde before administration
enter the bloodstream by digestive system tabs, capsules, liquid
enter bloodstream by oral mucosa buccal and sublingual
enteric coated tablets tabs contain outer coating that does not dissolve until the med reaches the
intestines
protects stomach from ingredients in the med that may be irritating
sustained release tabs slow the absorption of the drug