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True or False? Med aides may only give a PRN if the nurse has specifically delegated the task for the specific resident and drug? - ✔✔True. Med aide can't assess the need for a PRN, this must be done by a nurse Med aides can't do what? - ✔✔Give first doses of new meds Factors affecting drug actions include what? - ✔✔Weight, age, metabolic rate, and tolerance What are the six rights of med administration? - ✔✔The right drug, the right person, the right documentation, the right route, the right dose, and the right time Before you work as a med aide, you? - ✔✔Must pass course exams, complete and demonstrate skills As a med aide in your facility, you should what? - ✔✔Work within the legal limits of your role You tell a patient about your personal problems. This is a what? - ✔✔boundary violation A nurse asks you to do something beyond the legal limits of your role. You do what? - ✔✔Refuse to follow the nurses order and explain why You're not sure whether you should give a certain drug, You should do what? - ✔✔Ask the Nurse In order to assess a person, the nurse decides to give the person the oral drugs that you usually give. You do what? - ✔✔Understand this is the best decision for the person at the time.
The nurse asks you to perform a task that is in your job description. You have not done this task before. You do what? - ✔✔Tell the nurse you have not done the task before and ask for help When you agree to perform a delegated task. You what? - ✔✔Must complete the task safely A nurse asks you to perform a task. You do the following except what? restate or clarify what is expected of you, know how to contact the nurse if theres an emergency, document the care given, or do the task even though you have not been trained? - ✔✔Do the task even though you have not been trained What step can the nurse delegate to you? - ✔✔Give certain drugs The Food and Drug Administration (FDA) has the power to do the following except what? Determine the safety and effectiveness of drugs before marketing, ensure that manufacturers meet labeling requirements, ensure advertising standards are met when manufacturers market drugs, or determine who gives drugs to patients or residents? - ✔✔Determine who gives drugs to patients or residents If you fail to do something that a reasonable and careful person would have done, you are what? - ✔✔Negligent Invasion of privacy occurs if you what? - ✔✔Violate a persons right to have his or her name, photo, or private affairs made public without giving consent You suspect a persons being abused. You should what? - ✔✔Share your concerns with your supervisor Schedule 11 drugs may lead to what? - ✔✔Severe psychological or physical dependence According to the text, when you touch a persons body without his or her consent its called a what? - ✔✔Battery The intentional mistreatment or harm of another person is what? - ✔✔Abuse
Good communication occurs when you what? - ✔✔Give information in a logical and orderly manner A drug is ordered for 1700. The time to give the drug is what? - ✔✔5:00 PM Symptoms are an example of what? - ✔✔Subjective Data Which of the following is not objective data? A persons respiratory rate, the color of a persons urine, a persons blood pressure, or pain felt by a person? - ✔✔Pain felt by a person When should you record that you gave a person a drug? - ✔✔After giving the drug You are giving a person his drugs. What observation should you report at once? - ✔✔The person refused to take a drug The basic unit of body structure is what? - ✔✔A cell The integumentary system? - ✔✔Covers the body The white of the eye is the what? - ✔✔Sclera The external or (outer part) is called the what? - ✔✔pinna or auricle Digestion begins where? - ✔✔In the oral cavity The master gland is the what? - ✔✔Pituitary A blood vessel that carries blood away from the heart is what? - ✔✔Artery
A person feels the need to urinate when the bladder contains how much? - ✔✔About 250 mL of urine The thyroid hormone regulates what? - ✔✔Metabolism Which statement about insulin is false? It is secreted by the pancreas, it is needed for sugar to enter the cells, it regulates the amount of sugar in the blood available for use by the cells, or it is secreted by the stomach? - ✔✔It is secreted by the stomach The generic name of a drug is the what? - ✔✔Drugs common name Drugs that interact with a receptor to cause a response are what? - ✔✔Agonists Absorption is the what? - ✔✔Process by which a drug is transferred from its site of body entry to circulating body fluids for distribution an enteral drug is given? - ✔✔Throuhg the oral, rectal, and naso-gastric routes The primary routes of excretion for a drug are what? - ✔✔Elimination through urine and feces An idiosyncratic reaction is what? - ✔✔Something unusual or abnormal that happens when a drug is first given A drug interaction occurs when - ✔✔The action of one drug is altered by the action of another drug Another term for urticaria is what? - ✔✔Hives A severe, life threatening sensitivity to an antigen is what? - ✔✔Anaphylaxis The rate of absorption depends on the following except what? - ✔✔The clinical indications for using a drug
Therapeutic drug monitoring is what? - ✔✔Done to measure a drugs concentration in body fluids You assist with monitoring the effects of drug therapy by doing what? - ✔✔Reporting abnormal vital signs at once To assist an older person with drug therapy, you should what? - ✔✔Use drug organizers and calendars to help the person know when to take drugs Drug distribution is likely to be greater in what? - ✔✔Infants Therapeutic drug monitoring is done to measure what? - ✔✔A drugs concentration in the body A tablet is scored. This means what? - ✔✔The tablet can be broken in half A doctor begins to give you a telephone order. You do what? - ✔✔Politely give your name and title and ask the doctor to wait for a nurse Your moms friend is a client where you work. You're not giving care to that person, but you read the persons chart. This is called what? - ✔✔Invasion of Privacy A person asks you for his or her chart. What do you do? - ✔✔Report the request to the nurse After giving the drug, you record it on the what? - ✔✔MAR Which order requires the drug to be given at once and only one time? - ✔✔STAT order Which order allows the nurse to decide when to give the drug based on the persons needs? - ✔✔PRN order
One tablespoon is how many teaspoons? - ✔✔Three The following statements are about prescription labels. Which is false? Always read the label carefully, If a label is not complete tell the nurse at once, check the expiration date, or you may give the drug after the expiration date - ✔✔You may give the drug after the expiration date A drug is ordered q.i.d. the drug should be given when? - ✔✔4 times a day A drug is ordered q8h. The drug should be given when? - ✔✔Every 8 hours A drug is ordered p.c. The drug is given when? - ✔✔After meals A prescription label is not complete. You should what? - ✔✔Tell the nurse Before giving a drug, you must do what? - ✔✔Check the persons allergies A person was discharged and you need to dispose of a drug. What do you do? - ✔✔Ask someone to watch you dispose of the drug Before giving any drug, you compare the exact spelling of the drug against the what? - ✔✔MAR A drug is ordered for 9:00 AM. You may give the drug between when? - ✔✔8:30 am and 9:30 am To make sure you have the right person when giving a drug, you use at least what? - ✔✔Two identifiers A person has difficulty swallowing his or her drugs. What do you do? - ✔✔Tell the nurse A sublingual drug is given where? - ✔✔Under the tongue
Which of the following drug orders would you question? 50 mg by mouth, 50 mg PO, 50 mg orally, or 50 mg per os? - ✔✔50 mg per os A person is receiving a time-released capsule This means what? - ✔✔There is a continuous release of the drug Enteric-coated tablets dissolve in the what? - ✔✔Small intestines Before giving a suspension, you do what? - ✔✔Shake the bottle An ointment is in a jar. What should you use to remove the amount ordered? - ✔✔A sterile tongue blade When applying a topical drug, you do all the following except what? Apply the dose to clean dry skin, wear gloves, practice hand hygiene before and after the application, or document before applying the drug? - ✔✔Document before applying the drug You need to give a person two different eye drugs. How long should you wait between the drugs? - ✔✔Usually 1 to 5 minutes How long does a person remain in the side-lying position after receiving ear drops? - ✔✔Usually 5- 10 minutes When giving an eye medication, you what? - ✔✔Give eye drops at room temperature After receiving a rectal suppository, a person is usually in the what position? - ✔✔Sims position for 15- 20 minutes A rectal drug is inserted where? - ✔✔About 1 inch into the rectum
Many of the drugs used for mental health issues can cause side effects that are a great concern. One of the most severe side effects is the development of involuntary body movements. The type of drug that is most likely to cause these is what? - ✔✔Anti psychotic agents True or False? The majority of the mental health drugs (anti anxiety agents, anti depressants, and anti psychotics) should never be stopped abruptly. - ✔✔True. They need to be tapered gradually Common side effects of narcotic pain medications include all of the following except what? drowsiness, pain relief, constipation, or diarrhea? - ✔✔Diarreah Cardiac medications can help prevent heart attacks and help persons with coronary artery disease to live longer. Several drugs can be used to treat hypertension. What are the drugs that may be prescribed? - ✔✔ACE inhibitors, diuretics, and beta blockers What forms of oral medications cannot be crushed? - ✔✔Sublingual meds, extended or sustained release meds, buccal meds, and enteric coated meds Beta blocking agents (beta blockers) are commonly used to treat what? - ✔✔Angina Before giving a benzodiapine, you should what? - ✔✔Measure vital signs You are giving a person carbidopa, levodopa (Sinemet CR) tablets. You do what? - ✔✔Ask the person to swallow the tablet whole Anti-cholinergic agents are given to persons with Parkinsons disease to what? - ✔✔Reduce drooling and tremors The first thing you do when a person develops an allergic reaction to a drug is to what? - ✔✔Tell the nurse at once A drug that produces sleep is called what? - ✔✔A hypnotic
A person is taking gabapentin (Neurontin) and an antacid. When will you give gabapentin (Neurontin)? - ✔✔2 hours after the antacid Which is a benzodiapine? check - ✔✔Clorazepate (Tranxene) Opiate agonists are used to what? - ✔✔Relieve acute or chronic moderate to severe pain A person taking oxycodone (Percodan) has a respiratory rate of 8 per minute. You what? - ✔✔Report this to the nurse at once and record it int he medical record A person taking a salicylate should take it with what? - ✔✔Food or milk Who decides whether a person is having pain? - ✔✔The person A person taking an opiate agonist has constipation. You do the following except what? - ✔✔Measure vital signs Acetaminophen (Tylenol) is used for all the following except what? Fever, headache, muscle pain, and inflamation? - ✔✔Inflamation Opiate agonists can cause euphoria. Euphoria is what? - ✔✔An exaggerated feeling of well-being Gemfibrozil (Lopid) is given when? - ✔✔30 minutes before the morning and evening meals LDL is called what? - ✔✔The bad cholesterol The daily dose of atorvastatin (Lipitor) is what? - ✔✔10 to 40 mg Which drug is a fibric acid? - ✔✔Gemfibrozil (Lopid)
Common side effects from anti-lipemic drugs are what? - ✔✔Nausea and abdominal discomfort Niacin acts as an anti-lipemic bevause it what? - ✔✔Limits the livers ability to produce LDL Statins lower LDL and total cholesterol levels because they what? - ✔✔Block the enzyme needed to produce cholesterol Before giving most anti-hypertensive agents, you measure the what? - ✔✔Apical pulse Before giving most anti-hypertensive agents, you take the BP in what position? - ✔✔Supine and Standing A person on an ACE inhibitor has hypotension and tachycardia. What should you do? - ✔✔Report this to the nurse at once A person is taking diltiazem (Cardizem) a calcium ion antagonist. The person should what? - ✔✔Measure his or her weight daily A person taking an alpha-1 adrenergic blocking agent complains of weakness and lethargy. You what? - ✔✔Both report it and record it In what situation will the persons blood pressure be lowest? - ✔✔When lying down Which BP is normal? 136/84, 158/82, 142/88, or 116/76? - ✔✔116/ A person has a BP of 142/90. This is considered what? - ✔✔Hypertension A person on a beta blocker is having bradycardia and wheezing. You what? - ✔✔Withhold the next dose if the nurse tells you to
The purpose of a diuretic is to what? - ✔✔Increase the loss of water from the body The effects of loop diuretics last about what? - ✔✔6 hours Diuretics are given when? - ✔✔In the AM What may signal dehydration and electrolyte imbalance from diuretics? - ✔✔Changes in alertness and confusion An embolus is what? - ✔✔A small part of a thrombus that breaks off and travels through the vascular system until it lodges in a blood vessel What drug is not a platelet inhibitor? Dipyridamole (Persantine), Ticlopidine (Ticlid), Clopidgrel (Plavix), or Warfarin (Coumadin)? - ✔✔Warfsrin (Coumadin) A blood clot is called what? - ✔✔A thrombus Aspirin is what? - ✔✔a platelet inhibitor Anti-coagulant drugs do what? - ✔✔Prevent new clots When giving pseudoephedrine (Sudafed), you should what? - ✔✔Measure vital signs Broncho-dilators are used for what? - ✔✔In the treatment of COPD Drugs that cause vaso-constriction of the nasal mucosa are what? - ✔✔Decongestants A term for antitussive is what? - ✔✔Cough Suppresant
The most common side effect from antihistamines is what? - ✔✔Sedation A person uses an inhalent cortico-steroid. You observe for what? - ✔✔Mouth infections Expectorants? - ✔✔Liquify mucus Nasal decongestants promote what? - ✔✔Sinus drainage Antihistamines cause what? - ✔✔Dry, thick secretions of the mouth, nose, throat, and bronchi Antacids are drugs that do what? - ✔✔Buffer, neutralize, or absorb hydrochloric acid in the stomach Drugs that form a substance that adheres to the crater of an ulcer are what? - ✔✔Coating agents Drugs that inhibit gastric acid secretion are what? - ✔✔Gastro-intestinal prostaglands A person has several drugs ordered. You give the drugs when? - ✔✔1 hour before or 2 hours after giving atacids When you are giving a proton pump inhibitor, the dose form should what? - ✔✔Should be swallowed whole What is true about eye drops and ointments? - ✔✔Ointments often blur vision, if more than 1 eye drop is ordered wait 5 minutes before giving the 2nd, and never give more than 2 drops to each eye for best absorption. The infection that can develop years later for those who have had chicken pox is called what? - ✔✔herpes zoster shingles
Drugs used to suppress the production of thyroid hormones are what? - ✔✔Anti-thyroid agents Low sugar in the blood is what? - ✔✔Hypoglycemia Hypoglycemia is caused by what? - ✔✔Too much insulin or diabetic drugs Which drug is a first-generation sulfonylurea? - ✔✔Chlorpropamide (Diabinase) Blood glucose is highest when? - ✔✔After meals Metformin (Glocophage) is what? - ✔✔An oral anti-diabetic agent Sulfonylurea agents lower blood glucose by doing what? - ✔✔Stimulating the release of insulin The gluco-corticoids do what? - ✔✔Regulate carbohydrate, protein, and fat metabolism Gluco-corticoids are given for what? - ✔✔For their anti-inflammatory and anti-allergenic effectd Hormones that maintain fluid and electrolyte balance are called? - ✔✔Mineralo-corticoids Hormones secreted by the adrenal cortex of the adrenal gland are called what? - ✔✔Cortico-steroids A person has a history of mental health problems. Behavior changes may occur when taking what? - ✔✔Cortico-steroids Antiviral drugs are used to treat what? - ✔✔Herpes
Serious complications of oral contraceptives are what? - ✔✔Dizziness and leg pain Tamsulosin (Flomax) is used to treat benign prostatic hyperplasia. It does what? - ✔✔Causes muscles to relax to allow greater urine flow Nitrofurantoin (Macrodantin and Furadantin)is given when? - ✔✔Is given every 6 hours The following are given to control over-active bladder except what? Darifenacin (Enablex), Tolterodine (Detrol), Solifenacin (Vesicare), or Norfloxacin (Noroxin)? - ✔✔Norfloxacin (Noroxin) A person taking a quinolone antibiotic has hematuria. He or she should drink what? - ✔✔8 to 12 glasses of water daily What is given as a single dose to treat cystitis? - ✔✔Fosfomycin (Monurol) Drugs given for over-active bladder syndrome can cause what? - ✔✔Dry mouth, constipation, and blurred vision To safely give topical ophthalmic agents, you should do what? - ✔✔Wait at least 5 minutes is more than one drug is ordered Osmotic agents are used to what? - ✔✔To treat glaucoma A person who is allergic to sulfonamide antibiotics has an order for acetazolamide (Diamox), a carbonic anhydrase inhibitor. What should you do? - ✔✔You should not give the drug and ask the nurse what to do A person taking a beta-adrenergic blocking agent has bradycardia and hypotension. What do you do? - ✔✔Tell the nurse and record the symptoms in the chart Ophthalmic antibiotics are used to treat what? - ✔✔Superficial eye infections
