Pharm Exam 2 (previous Questions)

5 September 2022
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question
A medication error may occur in which of the following circumstances?
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-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
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Which of the following is NOT a break in OSHA standards?
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recapping needles using the "scoop" method if necessary
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Housekeeping practices that increase quality assurance include all EXCEPT
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check labels for storage requirements only if the medication is a new one to the practice
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The allied health professional should NOT administer medications
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prepared by another allied health professional
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Percutaneous routes of medication administration usually have a slow rate of absorption and are difficult to apply.
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True
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Which of the following includes an incorrect "right" in the seven rights of medication administration?
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right drug, right patient, right technique, right documentation, right storage
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To ensure the correct dose of a medication, use which of the following?
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-Compare the medication to the physician's order using the three "befores." -Do any calculations required, double-checking the results, prior to giving the medication, and use the proper device to give the most accurate measurement of the dose.
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Checklists for documentation should include all of the following EXCEPT
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the route of medication unless it was given by mouth—then the route does not require documentation
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Housekeeping practices that increase quality assurance include all EXCEPT
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check labels for storage requirements only if the medication is a new one to the practice
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In organizing medications the allied health professional should do all of the following EXCEPT stock medications
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with similar names together regardless of the route of administration
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The seven rights of medication administration should always be the same and should have no deviation from office to office.
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True
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Factors that should be considered for patient safety with medication administration include all of the following EXCEPT
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any environment in the office is permissible for the preparation of the medication
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The parenteral route of medication administration
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-may be used when a rapid drug action is desired -tends to require a smaller amount of medication to provide the desired effect -provides a more rapid absorption -increases the risk of infection and tissue damage
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The oral route of medication administration is preferred because of which of the following EXCEPT
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length of time for absorption
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Usually, which of the following oral medication tablets may be crushed?
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effervescent
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When administering liquid oral medications
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hold the medicine cup at eye level to measure the medication
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For ease of swallowing oral solid medications, place the drug on the back of the tongue.
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True
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Storage of solid oral medications can be in any convenient place without consideration of moisture, light, or heat.
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False
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When preparing medications for administration, the inside of the container top should not be touched.
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True
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Oral medications should be used EXCEPT if the medication
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has changed colors has a strong or unexpected odor is out of date has disintegrated ****all of the above are reasons to not use
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Rectal medications are used to
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-relieve discomfort locally -stimulate evacuation of the bowels -provide systemic medications
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When administering rectal medications
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-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
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A scored tablet is usually a sign that the tablet can be split or divided.
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True
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Oral administration of medications may be altered by which of the following EXCEPT
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-the ability to swallow -food and digestive disorders -secretions of the GI tract -consciousness of the person
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When using an oral syringe
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-draw the medication to the desired line for administration -wash the syringe immediately after use
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When administering medications
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-always pour the medication into the cap and do not touch the drug -use the 3 + 7 rules -give the drug with sufficient liquid for ease of swallowing
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Topical medications may be in the form of: 1. powders 2. soaks 3. compresses and dressings 4. creams and ointments 5. gels and lotions
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1, 2, 3, 4, and 5
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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
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Ophthalmic medications
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-must contain a label of "ophthalmic" -must remain sterile -should be administered in the conjunctival sac
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Sublingual medications can be either sprays or small porous tablets.
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True
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Drugs applied to the cornea will not produce pain because the cornea has no blood or nerve supply.
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False
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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
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Drugs should not be instilled directly on the cornea.
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True
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Patches, disks, and dots may be used therapeutically for
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-nausea due to motion sickness -hormones -pain
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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
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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
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1, 2, 3, 4, and 5
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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
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1, 2, 3, and 4
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Otic medications
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should be at room temperature for administration
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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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The parts of a syringe include all of the following EXCEPT
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needle
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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.
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False
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Medications that are given by injection have a longer duration of action than those taken orally.
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False
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Parenteral medications must be
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-sterile -in vials
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All of the following are important in selecting a needle for injection EXCEPT
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amount of medication to be administered
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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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Needle points come in which of the following?
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-short bevel -intradermal bevel -regular point
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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?
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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
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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
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2, 7, 8, and 10
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Acetaminophen has advantages over aspirin. Which of the following is NOT an advantage of acetaminophen?
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It can cause liver damage.
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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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The side effects of opioid medications in the elderly include all the following EXCEPT
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hyperexcitability
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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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Antihistamines are used for the anxiety associated with pain.
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True
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Analgesics that contain the word compound or "dan" have what as an ingredient?
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aspirin
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Nonopioid analgesics are available
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by prescription and OTC
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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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Immunizations
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-are also called vaccinations -produce artificial active immunity -are preventive medicine
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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
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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 -vaccine manufacturer, lot number, expiration date
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MMR vaccine should ideally be given at what age?
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15-18 months
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Hepatitis B vaccine should be given to which of the following people?
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health care workers patients on hemodialysis
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Sera for immune purposes may be obtained from all of the following EXCEPT
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mice
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Oral polio vaccine (Sabin vaccine) is the vaccine of choice for immunization against polio in the United States.
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False
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Which of the following is NOT true of passive immunity?
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It is used for disease prevention and therapeutics. (incor)
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Tetanus toxoid is NOT administered to a person
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with a dirty wound at any time
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The agency that determines immunization schedules and the immunization needs for a specific locale is the
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(incorrect) health department
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Vaccines have had very little effect on extending life; rather, disease treatment is more effective.
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False
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VIS documents are not required for pneumococcal, influenza, and hepatitis A vaccines although these documents are recommended.
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True
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Persons taking immunosuppressants are more prone to infectious diseases.
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True
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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
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Which of the following is NOT true of sulfonamides?
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Sulfonamides are true antibiotics.
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Which of the following is NOT true about drugs for tuberculosis?
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Medications for TB, whether prophylactic or therapeutic, are given for about a month and then discontinued.
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Only a person who has a drug-resistant microbial infection must worry about contracting a drug-resistant disease.
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False
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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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Benign tumors are named by the site plus "oma," as in
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lipoma adenoma
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Side effects of antineoplastics include
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alopecia nausea and vomiting stomatitis anemia
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Toxic effects of chemotherapeutic agents include
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cardiotoxicity hepatotoxicity neurotoxicity
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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.
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False
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Antibiotics used as chemotherapeutic agents are the same as those used for infectious diseases.
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False
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When administering medications, which of the following should be documented?
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Past allergic reactions Any signs of an adverse reaction Religious or personal beliefs that may affect the use of the medication
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Quality assurance results in the highest level of patient care and is consistent with high principles of professional conduct.
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True
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Which of the following includes an incorrect "right" in the seven rights of medication administration?
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Right drug, right patient, right technique, right documentation, right storage
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The goal of medication administration to prevent errors includes all of the following EXCEPT
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Choosing the most convenient route of medication administration
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Quality assurance includes which of the following?
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Checking medication shipments for proper conditions during transportation Organizing medications to prevent medication errors Protecting labels when pouring medications
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Medication errors with parenteral medications can be easily corrected if caught within 10 minutes.
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False
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OSHA standards include all of the following EXCEPT
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IT IS NOT "no recapping of needles and other sharps"
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Rectal medications are usually given if the patient
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Is vomiting Has difficulty swallowing
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A scored tablet is usually a sign that the tablet may be split or divided.
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True
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To aid in taking oral medications, the patient may
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Place the solid medication on the back of the tongue Mix the medication in thick liquids, such as applesauce, unless this is contraindicated Make sure the mouth is moist
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Rectal medications may be
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Suppositories Enemas Creams Ointments
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The main danger of oral medication administration is aspiration of the drug into the respiratory tract.
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True
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Nasal medications
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May be administered by dropper, atomizer, or aerosol spray Ar commonly used as decongestants Are relatively safe when used in small doses for a limited time
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Patches are used therapeutically for
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Angina Allergy testing Smoking cessation
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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
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1, 2, and 4
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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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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
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1, 2, 3, 4, and 5
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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 ear
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Syringes are measured in 1. 0.01 mL 2. 0.1 mL 3. minims 4. milliliters 5. units
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1, 2, 3, 4, and 5
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Failure to administer medications by the parenteral route correctly may result in all of the following EXCEPT
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Retrieval of the medication after administration
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When preparing an injection from both a vial and an ampule, the medication from the ampule should be drawn into the syringe first.
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False
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When preparing a medication from an ampule, all of the following are important EXCEPT
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Using a filter needle to administer the medication
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The side effects of NSAIDs include
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GI distress
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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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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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The dangers of pain medication are enhanced by
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Illicit use of drugs Prolonged use of medications Illegal use of analgesics
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The advantages of oral nonprescription analgesics include all of the following EXCEPT they
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Affect bleeding times
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Idiosyncratic reactions to analgesics include
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Restlessness Agitation Itching
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Analgesics that contain the word "cet" have what as an ingredient?
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Acetaminophen
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All of the following are considered mild side effects of immunizations EXCEPT
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Anaphylaxis
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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 is long lasting
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MMR and varicella vaccine may be given to pregnant women.
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False
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A person with which of the following should receive tetanus immunization?
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A puncture wound
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Viruses are difficult to treat because a virus is dependent on a host cell.
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True
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Ineffectiveness of antibiotics is related to all of the following EXCEPT
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IT IS NOT "saving some of the medications for future infections"
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Antimalarial drugs often have which of the following in their name?
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quin
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Which of the following is NOT a way to classify penicillins?
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Time of action
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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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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
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Prophylactic use of antibiotics may be appropriate with some patients, such as older adults or persons with congenital diseases.
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True
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The signs of allergic reactions to antibiotics include all of the following EXCEPT
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Liver and renal changes
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Nausea from chemotherapy may be reduced by eating
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Cold food or food at room temperature Small meals several times a day
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Chemotherapy is most effective on small tumors because they have a more efficient blood supply.
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True
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Exposure to radioisotopes may lead to radiation exposure to anyone around the isotopes.
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True
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Cancer is routinely treated with
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Surgery Medications Radiation
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Benign tumors are named by the site plus "oma," as in
answer
Lipoma Adenoma
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The patient may better tolerate chemotherapy and its side effects by
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Avoiding highly seasoned foods
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Drugs to treat cancer are
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Carcinogenic Teratogenic Mutagenic