Med aide state test with complete solutions

Drug is affected by many factors. All of the following affect drug action except: The patient's intelligence. the size and age other drugs the resident is taking time and route of adminstration - Answer- The patient's intelligence Which abbreviations are most likely to be found on an order for eye medication? IM, IV, SQ Stat, n.p.o., h.s. bid, qid, tid, qod OD, OU, OS, opth. - Answer- OD, OU, OS, opth. The drug name owned by the manufacturer is called the: brand name product name trade name all of the above - Answer- all of the above Pharmacokinetics is the study of: the study of prescription drugs only the signs and symptoms of disease the absorption, distribution, metabolism, and excretion of drugs none of the above - Answer- the absorption, distribution, metabolism, and excretion of drugs Examples of drugs made from animal sources are: insulin and heparin furosemide and castor oil magnesium hydrochloride and iodine iron and calcium - Answer- insulin and heparin A patient may take two drugs for hypertension because of their: antagonistic affect potentiation synergistic effect idiosyncratic response - Answer- synergistic effect Parmacodynamics is the study of: drug sources the medical field the diseases of the body the interactions between drugs and the body - Answer- the interactions between drugs and the body The following abbreviations are correct except b.i.d. means 2 times daily n.p.o. means nothing by mouth stat means now q.i.d. means every other day - Answer- q.i.d. means every other day Rules that ensure uniform strength, quality, and purity of drugs are called: drug standards drug references drug laws drug specifications - Answer- Drug standards Biotransformation is: A. a series of chemical reactions that occur naturally B. the removal of waste products C. the same as metabolism a. and c. - Answer- a. and c. Examples of drugs made from plant sources are: iron and salt heparin and insulin digitalis and opium sulfa drugs and hydroxyurea - Answer- digitalis and opium The generic name is usually the same as the: brand name chemical name official name trade name - Answer- official name The action of a drug is: a desireable effect that occurs apart from the primary purpose of giving the drug the chemical effect on body cells an unintenional affect of a drug study of the body's responses to a drug - Answer- the chemical effect on body cells The route of administration in which absorption begins in the mouth is: oral subcutaneous intramuscular sublingual - Answer- sublingual Which of the following do not affect drug action? sensation and perception absorption and distribution metabolism and excretion condition of liver and kidneys - Answer- sensation and perception The CMA responsibility in adverse reaction is to: reduce the dose change the medication increase the dose immediately notify the charge nurse - Answer- immediately notify the charge nurse Name the 7 Rights of medication administration. - Answer- 1. right drug 2. right dose 3. right patient 4. right route 5. right time 6. right technique 7. right documentation Which of the following statements are true? In Kansas, it is legal for a CMA to give insulin injections. In a long term-care facility in Kansas, a CMA may administer oral, eye, topical, nasal, rectal, vaginal, and ear medication. In Kansas it is legal for a CMA to take phone orders from a practitioner (physician assistance, nurse practioner) dentist, or pharmacist. You must perform a task that is assigned to you, even if you do not feel trained or competent to perform the task. - Answer- In a long term-care facility in Kansas, a CMA may administer oral, eye, topical, nasal, rectal, vaginal, and ear medication. Name the five commonly abused drugs that are identified in the textbook. - Answer- 1. Alcohol 2. Nicotine 3. Anabolic Steroids 4. Barbiturates 5. Depressants Summarize the difference between the therapeutic effect and side effects. - Answer- Therapeutic effect is the desire or predicted physiological response caused by a drug. Side effects are desirable or undesirable drug effects apart from the primary purpose of giving a drug Where does the absorption begin for enteric coated pill? in the mouth in the small intestine in the stomach in the buccal cavity - Answer- in the small intestine 3 of the following are true. Select the statement that is untrue: In a nursing facility, the discontinued medications are disposed of every 2 months by the CMA and charge nurse. Unused doseage of medications should never be returned to the bottle. The temperature of the medication room should never exceed 85 degrees. A STAT order is to be administered at once. - Answer- In a nursing facility, the discontinued medications are disposed of every 2 months by the CMA and charge nurse. When giving a nasal spray to a resident, the nose piece needs to be cleaned off with a tissue: True False - Answer- true People who administer medications must understand kidney function and disorders because: kidneys are involved in the excretion of drugs kidneys that do not work properly can result in the acculumation of drugs in the body many older adults have kidneys disease all of the above - Answer- all of the above Which of the following Physicians orders are writen correctly? Amoxicillin 500mg p.o. for 10 days Potassium Chloride 8mEq 2 capsules p.o. daily Coumadin 5 mg 1 p.o. daily Senna Plus 1 tablet p.o. daily - Answer- Potassium Chloride 8mEq 2 capsules p.o. daily After administering ear drops, the resident only needs a cotton ball in the ear canal? True False - Answer- False When setting up medications, read the label at least? 1 time 2 times 3 times 4 times - Answer- 3 times Ointment on a area that needs to be treated should be cleaned off first before more is applied? True False - Answer- True Which of the following conversions is incorrect? 1/2 ounce = 20ml 1 tsp = 5ml 30ml = 1 ounce 2 tsp = 10ml - Answer- 1/2 ounce = 20ml If a resident refuses a narcotic that has been removed from the package, it is acceptable to throw it in the trash can? True False - Answer- False Which of the following would not be a medication error? The medication was given 25 minutes after is was ordered The eye medication order was 1 gtt O.U. daily. The medication aid gave the medication drops in the right eye only. The resident was given one tablet Lanoxin 0.125mg and he order was for Lanoxin 0.25mg daily. The right medication was given to the right resident but it was not given at the time on the MAR. - Answer- The medication was given 25 minutes after is was ordered Anyone administering eye drops to a resident should wear gloves? True False - Answer- True All of the follow are necessary steps to take when a medication error has been made except? Report the error to your supervisior immediately Contact the resident's family and inform them of your error Complete the medication error form Review why the medication error was made and what can be done to prevent if from happening again - Answer- Contact the resident's family and inform them of your error It is legal for a Medication Aide to do the following procedures except? mediation soaks simple dressing changes application of heating pads assist with inhailors - Answer- application of heating pads After installing eye gtts (drops), pressure is held to the lacrimal sac (tear duct) for how long? 15 seconds 10 seconds 1 minute 2 minute - Answer- 1 minute The order for Keflex is 500mg. Keflex comes in capsules or suspension which would be a incorrect dosage? Give 1/2 of a 1000mg capsule Give 2 250mg capsules Keflex suspension has 250ml per 5ml. The CMA would give 10ml of the suspension Keflex suspension hs 1000mg per 20ml. The CMA would give 10ml of the suspension - Answer- Give 1/2 of a 1000mg capsule When a tablet is given sublingual, the absorption begins in the mouth? True False - Answer- True As a CMA you can give nebulizer treatments to all residents at the job? True False - Answer- False hat is the goal of medication therapy? to give CMA's a job to benefit research to achieve a therapetic affect to meet Medicare guideline - Answer- to achieve a therapetic affect A transdermal patch should be dated when placed on a resident. True False - Answer- True Cynosis is caused by the lack of oxygen in the blood plasma in the blood calcium in the blood nutrients in the blood - Answer- oxygen in the blood Digoxin slows and strengthens the heart by acting as a: vasodilator vasoconstriction heart stimulant anticoagulant - Answer- heart stimulant Antiarrhymics: act on pacemaker cell that controls the heartbeat are heart depressants reduce flutter and fibrillation all of the above - Answer- all of the above Nitroglycerin is a: vasodilator diuretic coagulant vasoconstrictor - Answer- vasodilator Blood pressure increases as a result of: thickening of the blood thinning of the blood narrowing of the blood vessels widening of blood vessels - Answer- narrowing of the blood vessels The risk factors for heart disease: heredity sedatary lifestyle hypoglycemia hyerchololesterolemia all but hypoglycemia smoking - Answer- all but hypoglycemia The following are commonly prescribed to treat hypertension lisinopril norvasc clonidine hydrochloride all of the above - Answer- all of the above The average adult blood pressure is: 90/45 160/100 120/80 100/60 - Answer- 120/80 bleeding - Answer- hemorrhage rapid heartbeat - Answer- tachycardia shortness of breath (SOB) - Answer- dyspnea swelling of the tissues - Answer- edema chest pain - Answer- angina irregular heartbeat - Answer- arrhythmia The following are risk factors for heart disease: a. heredity b. sedentry lifestyle c. hypoglycemia d. hypercholesterolemia e. a, b, d f. a, c, d - Answer- e. a, b, d Persons taking anticoagulants: must have regular blood tests to adjust doseages must be observed for bleeding are likely to be taking heprin or coumadin all of the above - Answer- all of the above Lack of red blood cells and hemoglobin is called: angina Hodgkin's Disease hypotension anemia - Answer- anemia All medications can be crushed and it will not alter their effectiveness: True False - Answer- False Which is the most common medication give for a UTI (urinary tract infection)? Pyridium Penicillins Sulfonamides Diuretic - Answer- Sulfonamides A patient is on a thiazide diuretics, there is a danger of excreting too much _____________ which could cause hypokalemia: potassium sodium water chloride - Answer- potassium Nursing care related to diuretic therapy include all of the following except: assess for homan's signs assess for signs of electrolyte inbalances -nausea, dry mouth, thrist assess for signs of orthostatic hypotension assess for signs of hypokalemia - Answer- assess for homan's signs Medications that are used to treat nausea and vomiting are called antiemetics. All of the following are in this drug classification except: prochlorperazine (Compazine) meclazine (Antivert) Dramine amtiriptyline (Elavil) - Answer- amtiriptyline (Elavil) The following medications are in the diuretic classification. Check all that are correct: bumentanide furosemide allopurinol dyazide (Generic Name: hydrochlorothiazide and triamterene) - Answer- bumetanide furosemide dyazide Which drug is used to treat edema? cardiac gylcosides analgesics urinary antiseptics diuretic - Answer- diuretic Which of the following is an incorrect statement about oxygen therapy? Oxygen per simple mask must be delivered at 5-6 LPM to prevent carbon dioxide washout Oxygen is a medicane and needs to have a Physician order oxygen must never be stopped suddenly, it must be weaned combustible materials must be kept away from oxygen - Answer- Oxygen per simple mask must be delivered at 5-6 LPM to prevent carbon dioxide washout What is the action of bronchodilators? to decrease the histamine effects of allergens