Delgado LPN - Pharmacology - Test
One Questions and Answers
Harrison Narcotic Act of 1914 - Provision - ANSWER-Regulates manufacture,
importation, and sale of opium, cocaine, and their derivatives.
Amendments have added addictive synthetic drugs to the regulated drug listing.
Harrison Narcotic Act of 1914 - Application - ANSWER-Individuals who produce, sell,
dispense (pharmacists), and prescribe (dentists, physicians) these drugs must be
licensed and registered; prescriptions must be in triplicate.
Hospitals order drugs on special blanks that bear hospital registry number.
The following information is recorded for each dose:
a. Name of drug.
b. Amount of drug.
c. Date and time drug obtained.
d. Name of physician prescribing drug.
e. Name of client receiving drug.
f. Nurse's signature and type of license (RN, LVN, or LPN).
Controlled Substance Act of 1970 - Provisions - ANSWER-Regulates potentially
addictive drugs as to prescription, use, and possession.
a. Regulations refer to use in hospital, office, research, and emergency situations.
b. Regulations cover narcotics, cocaine, amphetamines, hallucinogens, barbiturates,
and other sedatives.
Controlled drugs are placed in five different schedules or categorical listings, each
governed by different regulations.
a. The regulations govern manufacture, transport, and storage of the controlled
drugs.
b. The use of the drugs is controlled as to prescription, authorization, the mode of
dispensation, and administration.
Controlled Substance Act of 1970 - Application - ANSWER-The nurse is to keep the
stock supply of controlled drugs under lock and key.
a. Nurse must sign for each dose (tablet, mL) of drug.
b. Key is held by the nurse responsible for administration of medication.
c. At the end of each shift, nurse must account for all controlled drugs in the stock
supply.
· Violations of the Controlled Substance Act.
a. Violations are punishable by fine, imprisonment, or both.
,b. Nurses, upon conviction of violation, are subject to losing their licenses to practice
nursing.
A drug listed in the what publications is designated as official by the Federal Food,
Drug, and Cosmetic Act (FDC)? - ANSWER-· United States Pharmacopeia (USP).
· National Formulary (NF).
· Homeopathic Pharmacopeia of the United States.
Publications contain what information on each drug entry? - ANSWER-· Source.
· Chemical and physical composition.
· Method of storage.
· General type or category.
· Range of dosage and usual therapeutic dosage.
Five steps of the nursing process? - ANSWER-1. Assessment
2. Diagnosis
3.Planning
4.Implementation
5.Evaluation
In the Nursing process - Assessment - what do you do? - ANSWER-With regard to
relating the nursing process to the nursing functions associated with medications,
assessment includes taking a drug history for three reasons:
(A) to evaluate the patient's need for medication
(B) to obtain his or her current and past use of over-the-counter medications,
prescription medications, herbal products, and street drugs; and
(C) to identify problems related to drug therapy. Nurses will also want to identify risk
factors such asallergiesto certain medications (e.g., penicillin's) or the presence of
other diseases that may limit the use of certain types of drugs (e.g.,
sympathomimetic agents in patients with hypertension).
In the Nursing process - Diagnosis - what do you do? - ANSWER-To deal effectively
with identified problems (i.e., diagnoses), the nurse must recognize both the
causative and contributing factors. The etiology and contributing factors are those
clinical and personal situations that can cause the problem or influence its
development
In the Nursing process - Planning - what do you do? - ANSWER-Planning, with
reference to the prescribed medications, planning must include medication education
for your patient. Including but not limited to:
, 1. Drug name
2. Dosage
3. Route and administration times
4. Anticipated therapeutic response
5. Common adverse effects
6. Serious adverse effects
7. What to do if a dose is missed
8. When, how, or whether to refill the medication
In the Nursing process - Implementation- what do you do? - ANSWER-Orders are
carried out
In the Nursing process - Evaluation - what do you do? - ANSWER-evaluates for
therapeutic effects or the development of adverse effects of the medication,
determines the patient's ability to receive patient education and to self-administer
medications, and notes the potential for compliance
What is a cause Drug diversion? - ANSWER-the illegal transfer of regulated drugs
(like narcotics) from the patient for whom it was prescribed to another person, such
as a nurse, for their own (or others') use
ALL Nurses have a legal and ethical obligation to protect patients and the profession
from ? - ANSWER-impaired nurses. Failure to do so could also result in disciplinary
action against the nurse whom withheld information.
Nurses who give drugs are required to follow these three levels of rules: - ANSWER-
1. Federal laws, which describe rules that control how certain drugs may be given
2. State laws and regulations, or rules, which say who may prescribe, dispense (give
a supply), and administer (or give) drugs and the process to be used; and
3. Individual hospital or agency rules, which may use other guidelines or policies
about how and when drugs are given and the records that must be kept to record
drug treatment.
which include opioids (narcotics) and some sedatives or tranquilizers - ANSWER-
Controlled substances
antibiotics and oral contraceptives - ANSWER-Prescription drugs
are available without a prescription - ANSWER-Over-the-counter (OTC) drugs
The Food, Drug, and Cosmetic Act of 1938charged the FDA with? - ANSWER-vthe
responsibility of regulating new drugs.The FDA has the power to approve new drugs
or recall unsafe ones.
Rules and regulations evolved by the FDA divide new drug development into four
stages:
(1) Preclinical research and development
One Questions and Answers
Harrison Narcotic Act of 1914 - Provision - ANSWER-Regulates manufacture,
importation, and sale of opium, cocaine, and their derivatives.
Amendments have added addictive synthetic drugs to the regulated drug listing.
Harrison Narcotic Act of 1914 - Application - ANSWER-Individuals who produce, sell,
dispense (pharmacists), and prescribe (dentists, physicians) these drugs must be
licensed and registered; prescriptions must be in triplicate.
Hospitals order drugs on special blanks that bear hospital registry number.
The following information is recorded for each dose:
a. Name of drug.
b. Amount of drug.
c. Date and time drug obtained.
d. Name of physician prescribing drug.
e. Name of client receiving drug.
f. Nurse's signature and type of license (RN, LVN, or LPN).
Controlled Substance Act of 1970 - Provisions - ANSWER-Regulates potentially
addictive drugs as to prescription, use, and possession.
a. Regulations refer to use in hospital, office, research, and emergency situations.
b. Regulations cover narcotics, cocaine, amphetamines, hallucinogens, barbiturates,
and other sedatives.
Controlled drugs are placed in five different schedules or categorical listings, each
governed by different regulations.
a. The regulations govern manufacture, transport, and storage of the controlled
drugs.
b. The use of the drugs is controlled as to prescription, authorization, the mode of
dispensation, and administration.
Controlled Substance Act of 1970 - Application - ANSWER-The nurse is to keep the
stock supply of controlled drugs under lock and key.
a. Nurse must sign for each dose (tablet, mL) of drug.
b. Key is held by the nurse responsible for administration of medication.
c. At the end of each shift, nurse must account for all controlled drugs in the stock
supply.
· Violations of the Controlled Substance Act.
a. Violations are punishable by fine, imprisonment, or both.
,b. Nurses, upon conviction of violation, are subject to losing their licenses to practice
nursing.
A drug listed in the what publications is designated as official by the Federal Food,
Drug, and Cosmetic Act (FDC)? - ANSWER-· United States Pharmacopeia (USP).
· National Formulary (NF).
· Homeopathic Pharmacopeia of the United States.
Publications contain what information on each drug entry? - ANSWER-· Source.
· Chemical and physical composition.
· Method of storage.
· General type or category.
· Range of dosage and usual therapeutic dosage.
Five steps of the nursing process? - ANSWER-1. Assessment
2. Diagnosis
3.Planning
4.Implementation
5.Evaluation
In the Nursing process - Assessment - what do you do? - ANSWER-With regard to
relating the nursing process to the nursing functions associated with medications,
assessment includes taking a drug history for three reasons:
(A) to evaluate the patient's need for medication
(B) to obtain his or her current and past use of over-the-counter medications,
prescription medications, herbal products, and street drugs; and
(C) to identify problems related to drug therapy. Nurses will also want to identify risk
factors such asallergiesto certain medications (e.g., penicillin's) or the presence of
other diseases that may limit the use of certain types of drugs (e.g.,
sympathomimetic agents in patients with hypertension).
In the Nursing process - Diagnosis - what do you do? - ANSWER-To deal effectively
with identified problems (i.e., diagnoses), the nurse must recognize both the
causative and contributing factors. The etiology and contributing factors are those
clinical and personal situations that can cause the problem or influence its
development
In the Nursing process - Planning - what do you do? - ANSWER-Planning, with
reference to the prescribed medications, planning must include medication education
for your patient. Including but not limited to:
, 1. Drug name
2. Dosage
3. Route and administration times
4. Anticipated therapeutic response
5. Common adverse effects
6. Serious adverse effects
7. What to do if a dose is missed
8. When, how, or whether to refill the medication
In the Nursing process - Implementation- what do you do? - ANSWER-Orders are
carried out
In the Nursing process - Evaluation - what do you do? - ANSWER-evaluates for
therapeutic effects or the development of adverse effects of the medication,
determines the patient's ability to receive patient education and to self-administer
medications, and notes the potential for compliance
What is a cause Drug diversion? - ANSWER-the illegal transfer of regulated drugs
(like narcotics) from the patient for whom it was prescribed to another person, such
as a nurse, for their own (or others') use
ALL Nurses have a legal and ethical obligation to protect patients and the profession
from ? - ANSWER-impaired nurses. Failure to do so could also result in disciplinary
action against the nurse whom withheld information.
Nurses who give drugs are required to follow these three levels of rules: - ANSWER-
1. Federal laws, which describe rules that control how certain drugs may be given
2. State laws and regulations, or rules, which say who may prescribe, dispense (give
a supply), and administer (or give) drugs and the process to be used; and
3. Individual hospital or agency rules, which may use other guidelines or policies
about how and when drugs are given and the records that must be kept to record
drug treatment.
which include opioids (narcotics) and some sedatives or tranquilizers - ANSWER-
Controlled substances
antibiotics and oral contraceptives - ANSWER-Prescription drugs
are available without a prescription - ANSWER-Over-the-counter (OTC) drugs
The Food, Drug, and Cosmetic Act of 1938charged the FDA with? - ANSWER-vthe
responsibility of regulating new drugs.The FDA has the power to approve new drugs
or recall unsafe ones.
Rules and regulations evolved by the FDA divide new drug development into four
stages:
(1) Preclinical research and development
