Pharacology Exam 2

24 July 2022
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question
Topical medications may be in the form of: 1. powders 2. soaks 3. compresses and dressings 4. creams and ointments 5. gels and lotion
answer
1, 2, 3, 4, and 5
question
Lotions
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are used to control itching are used to relieve congestion and muscle and joint pain may contain a powder that leaves a film of medication at the site should be applied by stroking lightly in the direction of hair growth Correct! all of the above
question
Ophthalmic medications
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must contain a label of "ophthalmic" must remain sterile may be applied to the cornea should be administered in the conjunctival sac Correct! all except c
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Sublingual medications can be either sprays or small porous tablets.
answer
True
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Drugs applied to the cornea will not produce pain because the cornea has no blood or nerve supply.
answer
False
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Nasal preparations that spill into the throat should be swallowed for systemic effect
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False
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Patches are therapeutic for
answer
...
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Before applying percutaneous medications, the allied health professional should 1. be sure the medication is in the dosage form of manufacture and has not changed 2. be sure the medication is not expired 3. check the skin for its proper integrity 4. cleanse the skin of any residual medications 5. be sure the skin is adequately hydrated
answer
1, 2, 3, 4, and 5
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In administering nasal medications, the head should be tilted forward for administration and then tilted backward for five minutes.
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false
question
When applying nitroglycerin ointment, the allied health professional should
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apply the ointment directly to the chest, arms, back, or thighs using the supplied paper be sure the site is relatively free of hair and scar tissue wear gloves to prevent contact with the ointment remove any residual medications from previous applications all of the above **
question
Vaginal medications come in the forms of
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suppositories douches tablets all of the above **
question
Patches, disks, and dots 1. come prepackaged to provide an extended effect 2. are a painless and convenient means of administering medication 3. should be applied to the chest 4. provide a continuous release of medication 5. should be disposed of in open trash containers
answer
1, 2, and 4
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Rates of absorption for transdermal medications by site from the SLOWEST to FASTEST are
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thigh and forearm, back and chest, behind the ea
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Soaks, compresses, and wet dressings
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are used to provide a cooling and antipyretic effect are used on blistered and oozing skin areas may be applied with bandages have an active ingredient in a water-based solution all of the above **
question
Medications for parenteral administration are supplied in all of the following forms EXCEPT
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Multidose ampules
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The parts of a needle include all of the following EXCEPT
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Barrel
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To reconstitute powders for injection, the allied health professional should do all of the following EXCEPT
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always use sterile water or saline
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Syringes come in sizes that hold 0.5 mL to 60 mL.
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True
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A needle with a small lumen should be short in length.
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True
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Because parenteral medications are given under the skin, allergies to the additives or the base of the medication are not important
answer
false
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Parenteral routes of medication administration include all but which of the following?
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Subdermal
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Advantages of parenteral medication administration include all of the following EXCEPT medications
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are more rapidly absorbed and therefore pose less risk from allergic reactions
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Medications that are given by injection have a longer duration of action than those taken orally.
answer
False
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When administering injectable medications 1. the smallest-gauge needle with the shortest length to match the site and viscosity of medication should be used 2. change the needle if the liquid adheres to the needle while preparing the injection 3. position the injection site in a manner that reduces muscle tension 4. insert the needle into the tissue smoothly, quickly, without a jerking motion 5. inject the medication rapidly
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all except 5
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In the ambulatory care setting, the most common syringes used are
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3 mL and tuberculin
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The parts of a syringe include all of the following EXCEPT
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needle
question
Which of the following does not affect perception of pain by the patient?
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temperature
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Which of the following is NOT true about salicylate analgesics?
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They do not cause gastric discomfort
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Aspirin is NOT used therapeutically as which of the following?
answer
decongestants
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Analgesics that contain the word "cet" have what as an ingredient?
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acetaminophen
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The side effects of opiate/opioid medications include
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itching nausea dizziness Correct! all of the above ****
question
When taking analgesics, the patient should be taught to be sure that all of a previous dose of medication has been excreted from the body before taking another dose. This ensures that the patient will have the full effect of the medication to relieve symptoms of pain.
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False
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Fentanyl patches provide immediate relief of pain and do not require adjuvant medications.
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False
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Nonopioid analgesics when used alone will eventually relieve acute, severe, sharp pain and visceral pain.
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False
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Which of the following decrease sensitivity to pain? 1. tiredness 2. sleep 3. depression 4. empathy 5. medications 6. hunger 7. alcohol 8. anxiety 9. anger 10. addiction
answer
2, 4, 5, and 10
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The common combinations of OTC analgesics include acetaminophen with all of the following EXCEPT
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calcium
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Idiosyncratic reactions to analgesics include
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restlessness agitation nausea all of the above
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The following are all true about fentanyl EXCEPT it
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is used for acute severe pain
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Adjuvant medications for pain may be from any of the following drug categories EXCEPT
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hormones
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NSAIDs are used for
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arthritis dental pain dysmenorrhea anti-inflammatory conditions all of the above ****
question
Immunizations
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are also called vaccinations produce artificial active immunity are preventive medicine Correct! all of the above *****
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Vaccines should be administered to all of the following people EXCEPT a
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person who is allergic to eggs
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What are some of the important allergens found in immunizations?
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mercury antibiotics eggs Correct! all of the above ****
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The National Childhood Vaccine Act of 1986 requires recording which of the following?
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date of vaccination with route and site given name, address, and title of person administering medication any illness present when medication is given vaccine manufacturer, lot number, expiration date Correct! a, b, and d
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MMR vaccine should ideally be given at what age?
answer
15-18 months
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With acquired immunity, the response becomes less potent with each exposure to the antigen.
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false
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DTaP vaccine requires how many immunizations if given properly?
answer
5
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Contraindications for taking immunizations include
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severe illness immunocompromised individuals pregnant persons with viral vaccines someone who has received an immune sera in the past three months all of the above ***
question
If a person is leaving the United States to travel in foreign countries, whom can he or she call for a list of needed immunizations?
answer
...
question
Persons taking immunosuppressants are more prone to infectious diseases.
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true
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The CDC recommends which of the following immunizations for polio?
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inactivated polio vaccine (IPV)
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Which of the following populations are at risk for immunizable diseases?
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adolescents new parents migrant workers health care workers all of the above ****
question
Sera for immune purposes may be obtained from all of the following EXCEPT
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mice
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Which of the following is NOT true of cephalosporins?
answer
Cephalosporins are used for persons who are allergic to penicillins
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Which of the following is NOT true about drugs used to treat malaria?
answer
Tetracycline is safe with pregnancy and lactation.
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Only a person who has a drug-resistant microbial infection must worry about contracting a drug-resistant disease.
answer
False
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Which of the following is NOT true about antifungals?
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Adverse reactions are minor and usually are not important for patient teaching
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Germicidals work on which of the following microbes?
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viruses bacteria spores all of the above ***
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Culture and sensitivity tests may be done at any time during antimicrobial or antibiotic therapy.
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False
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Which of the following is NOT true of sulfonamides?
answer
Sulfonamides are true antibiotics.
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Prophylactic use of antibiotics may be appropriate with some patients, such as older adults or persons with congenital diseases.
answer
True
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Antiseptics, disinfectants, and germicides
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may require a prescription may be bought over the counter are used to sanitize animate and inanimate objects all of the above ****
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.
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Antibiotics may be found from which of the following sources?
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ocean water near sewage overflow dirt chemicals Correct! all of the above **
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Gentian violet is used for fungal infections and will permanently stain clothing.
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true
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Which of the following is true of active immunity?
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It is produced from having the disease or immunization. It never requires a booster dose of immunization. It is long lasting. all of the above all except b *****
question
Vaccines have had very little effect on extending life; rather, disease treatment is more effective.
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false
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With chronic pain, the body becomes less responsive to analgesics, and higher doses of medication may be needed to produce relief.
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true
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The side effects of NSAIDs include
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GI distress
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Which of the following increase sensitivity to pain? 1. tiredness 2. rest 3. depression 4. empathy 5. medications 6. hunger 7. alcohol 8. anxiety 9. anger 10. addiction
answer
1, 3, 6, and 8
question
Acetaminophen has advantages over aspirin. Which of the following is NOT an advantage of acetaminophen?
answer
It can cause liver damage.
question
When administering injectable medications 1. the smallest-gauge needle with the shortest length to match the site and viscosity of medication should be used 2. change the needle if the liquid adheres to the needle while preparing the injection 3. position the injection site in a manner that reduces muscle tension 4. insert the needle into the tissue smoothly, quickly, without a jerking motion 5. inject the medication rapidly
answer
all except 5
question
All of the following are important in selecting a needle for injection EXCEPT
answer
amount of medication to be administered
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When mixing medications from two vials, the allied health professional should do all of the following EXCEPT
answer
...
question
When preparing an injection from both a vial and an ampule, the medication from the ampule should be drawn into the syringe first.
answer
False
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When preparing a medication from an ampule, all of the following are important EXCEPT
answer
using a filter needle to administer the medication
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Parenteral medications must be
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sterile in liquid form
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Creams are in a fatty base, while ointments are in a water base.
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false
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Otic medications
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should be applied with the patient in a sitting position
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Patches, disks, and dots may be used therapeutically for
answer
nausea due to motion sickness hormones pain all of the above
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
When applying nitroglycerin ointment, the allied health professional should
answer
apply the ointment directly to the chest, arms, back, or thighs using the supplied paper be sure the site is relatively free of hair and scar tissue wear gloves to prevent contact with the ointment remove any residual medications from previous applications all of the above ***
question
Which of the following is NOT true about drug resistance with antibiotics?
answer
Only a few antimicrobials promote the emergence of drug-resistant drugs.
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Antimalarial drugs often have which of the following in their name?
answer
quin
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Viruses are difficult to treat because a virus is dependent on a host cell.
answer
True
question
Which of the following is NOT a way to classify penicillins?
answer
time of action
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Antibacterial medications include
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penicillins and cephalosporins macrolides and aminoglycosides sulfonamides
question
Common side effects of antineoplastic agents are
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ALL THE ABOVE stomatitis alopecia suppression of blood elements
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Antibiotics used as chemotherapeutic agents are the same as those used for infectious diseases.
answer
FALSE
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Benign tumors are named by the site plus "oma," as in
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lipoma adenoma sarcoma all except c ****
question
Exposure to radioisotopes may lead to radiation exposure to anyone around the isotopes.
answer
TRUE
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Side effects of antineoplastics include
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alopecia nausea and vomiting stomatitis anemia *** ALL THE ABOVE
question
The patient may better tolerate chemotherapy and its side effects by
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avoiding highly seasoned foods
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Cancer is routinely treated with
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surgery medications radiation ****all of the above
question
In preparing cytotoxic medications, which of the following must be used?
answer
personal protective equipment special exhaust fans aseptic technique ***all the above
question
Tumors are classified by their stages of invasion from Stage A to Stage D.
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false
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
Toxic effects of chemotherapeutic agents include
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all except d
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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
Nausea from chemotherapy may be reduced by eating
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sweets cold food or food at room temperature small meals several times a day ***ALL EXCEPT A
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Signs and symptoms of antineoplastic toxicity that should be reported to the physician include
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rash unusual bleeding or bruising *****a and c
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The dosage of chemotherapeutic agents takes into account the
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age and gender of the patient stage of the disease prognosis of the disease cost of the treatment versus the ability to benefit from therapy ****all of the above
question
Characteristics of malignant tumors include
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irregular shape invasion of local tissue possible invasion of lymph nodes ***all of the above
question
Cytotoxic medications may be given
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IM IV orally SC ****all of the above
question
Common side effects of medications for endocrine diseases include all of the following EXCEPT
answer
no changes in growth and cardiac function
question
Which of the following are true of somatropin? 1. It is also known as growth hormone. 2. It is expensive to prescribe. 3. It should be used for any child who is of short stature. 4. It has a drug interaction with insulin. 5. Variations in its secretion may lead to acromegaly in adults and dwarfism in children.
answer
1, 2, 4, and 5
question
Which of the following are true of glucocorticoids and other steroids? 1. They are potent anti-inflammatory agents. 2. Their adverse effects include "moon face," "pot belly," and "buffalo hump." 3. They cause the kidney to retain sodium. 4. They may be administered orally, intramuscularly, intravenously, intraarticularly, and topically. 5. They have distinct methods of administration that include alternate-day therapy and declining dosages.
answer
1, 2, 3, 4, and 5
question
Signs and symptoms of hypoglycemia/insulin shock include all of the following EXCEPT
answer
slow onset
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Glucose absorption inhibitors
answer
all the above
question
Which of the following is true of insulin preparations?
answer
both a and b
question
Insulin preparations vary in
answer
all the above
question
administration of insulin ...
answer
Insulin dosages are individualized but will remain the same after the dosage has been adjusted for the individual patient
question
Signs and symptoms of hyperglycemia/diabetic coma include all of the following EXCEPT
answer
no thirst
question
Which of the following is true of thyroid hormones? 1. The three hormones secreted are thyroxine, triiodothyronine, and calcitonin. 2. Hyposecretion is cretinism in infants and children and myxedema in adults. 3. Hyposecretion may be the result of lack of iodine as well as radiation therapy and surgical removal of the thyroid. 4. Replacement therapy is lifelong. 5. Replacement therapy regimen should be taken in the mornings because of the hormone's side effect of insomnia.
answer
1,2,3,4,5
question
Hormones may be used for all of the following EXCEPT
answer
visual disturbances
question
Which of the following is NOT true about the treatment of diabetes mellitus?
answer
Persons with diabetes mellitus may treat the disease with medication only.
question
exam 3 after this (7/10 right)
answer
...
question
*Which of the following are true of insulin? 1. It aids in the utilization of glucose for energy. 2. It stores excess glucose as glycogen in the liver. 3. It is responsible for the conversion of glucose to fat. 4. It decreases blood glucose levels. 5. It may be administered orally routinely.
answer
1-4
question
Hyperglycemics
answer
may cause constipation, anorexia, abdominal pain, nausea and vomiting, and heart conditions
question
Which of the following is NOT true of calcitonin salmon?
answer
There are no drug interactions with calcitonin salmon because it acts like human calcitonin.
question
When steroids are prescribed for long-term therapy, which of the following should be evaluated on a regular basis?
answer
all the above
question
Calcitonin is secreted by the thyroid gland but is regulated by the parathyroid gland to ensure an adequate supply of calcium for neuromuscular and endocrine function.
answer
true
question
Sort the following types of insulin from the shortestto the longest onset of action. 1. Regular 2. Levemir 3. Lispro 4. NPH
answer
1,2,3,4
question
Which of the following is NOT true of insulin delivery systems?
answer
Implantable insulin pumps are readily available and are relatively inexpensive compared to other types of insulin delivery.
question
Glitazones are a class of antihyperglycemics that are similar to other oral antidiabetic medications.
answer
true
question
A medication error may occur in which of the following circumstances?
answer
an error in prescribing, administering, or dispensing medicine administering the incorrect dose of the medication adding the medication to a large amount of food that may be partially eaten all of the above****
question
Which of the following is NOT a break in OSHA standards?
answer
recapping needles using the "scoop" method if necessary
question
Housekeeping practices that increase quality assurance include all EXCEPT
answer
check labels for storage requirements only if the medication is a new one to the practice
question
The allied health professional should NOT administer medications
answer
prepared by another allied health professional
question
Percutaneous routes of medication administration usually have a slow rate of absorption and are difficult to apply.
answer
true
question
When administering medications, which of the following should be documented?
answer
past allergic reactions any signs of an adverse reaction
question
Checklists for documentation should include all of the following EXCEPT
answer
the route of medication unless it was given by mouth—then the route does not require documentation
question
The seven rights of medication administration should always be the same and should have no deviation from office to office.
answer
true
question
If an error occurs, what steps should be taken for patient safety?
answer
Notify the physician or supervisor immediately. Observe the patient for adverse reactions. Document the time, dose, and medication given. Document any orders given to reverse the mistake and any patient education performed. All of the above steps would be taken.****
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 and being sure the label is not damaged checking the concentration of the medication against the order all of the above ***
question
Housekeeping practices that increase quality assurance include all EXCEPT
answer
check labels for storage requirements only if the medication is a new one to the practice
question
Medication errors with parenteral medications can be easily corrected if caught within 10 minutes
answer
false
question
Factors that should be considered for patient safety with medication administration include all of the following EXCEPT
answer
any environment in the office is permissible for the preparation of the medication
question
The oral route of medication administration is preferred because of which of the following EXCEPT
answer
length of time for absorption
question
Usually, which of the following oral medication tablets may be crushed?
answer
effervescent
question
When administering liquid oral medications
answer
hold the medicine cup at eye level to measure the medication
question
For ease of swallowing oral solid medications, place the drug on the back of the tongue
answer
true
question
Which of the following is not true of oral medication administration
answer
The patient taking medications at home knows where medications are stored and is not required to read the medication bottle before taking a medication.
question
Oral administration of medications may be altered by which of the following EXCEPT
answer
the ability to swallow food and digestive disorders secretions of the GI tract consciousness of the person all of the above are correct ***
question
Rectal medications may be
answer
suppositories enemas creams ointments all of above***
question
The forms of medication for oral consumption include all of the following EXCEPT
answer
suppositories
question
Storage of solid oral medications can be in any convenient place without consideration of moisture, light, or heat.
answer
false
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 rectal sphincter all of the above ****
question
The main danger of oral medication administration is aspiration of the drug into the respiratory tract.
answer
true