Pharm Comp Retention IPT 2

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1

Policies and procedures that guide the pharmacy department in providing safe, effective, and cost-effective drug therapy

The Joint Commission

2

The personnel in a hospital pharmacy are classified into three categories. In order, from highest to lowest, they are:

professional, technical, and support

3

The medication order must contain the following information:

dosage schedule and strength, patient's name, height, weight, date of birth, medical record number, medical condition, and known allergies, route of administration and direction of use, and instructions for preparing the drugs

4

A disadvantage of the floor stock system is:

potential for medication errors

5

Many unit-dose systems use which system during the cart exchange process?

24-hour medication cart

6

The roles and duties of the technician in the hospital setting are:

maintenance of medication records and compounding medications, preparing unit doses and packaging, computer data input and maintaining privacy, and working safety and communication skills.

7

Pharmacy technician re-certification requires:

20 continuing education credits with 1 being in pharmacy law every 2 years

8

Who monitors the use of scheduled drugs and those who prescribe them:

DEA

9

For scheduled drugs, federal law requires that records be kept on file for how many years, depending on a state's law?

2-5 years

10

use of incorrect abbreviations

one way in which a physician can cause a medication error

11

lack of appropriate labeling

one way in which a manufacturer or pharmacist can cause a medication error

12

monitor for any undesirable effects

what nurses and other health care professinals must do after administering medications

13

medication administration record

what should health care professionals should double-check medications against

14

process of cleaning to remove undesirable debris

sanitization

15

A vertical laminar airflow hood is used for

chemotherapeutic agents

16

The work surface of the laminar airflow hood should be cleaned with

70% isopropyl alcohol

17

Medication errors should be reported to which agency by using the program MedWatch?

FDA

18

Which of the following factors may cause the patient harm during administration of medication using pumps?

when equipment and technique are not sterile

19

The HEPA filter should be serviced and certified

every 6 months

20

Which of the following is used to measure the intensity of a patient's pain level?

pain scale

21

Risk factors for medication errors regarding human factors include all of the following, EXCEPT

reviewing medical records

22

Which of the following is NOT essential to avoid medication errors?

verifying the patient's Social Security number

23

Medication errors in the health care setting may occur in which of the following processes?

ordering medications, dispensing medications, and transcribing medications

24

According to the USP, low-risk compounding products can be kept in a refrigerator for

14 days

25

The work area is bathed by positive, pressurized flowing air called

laminar

26

Which of the following medications is NOT on the list of "highest alert" concerning medication errors?

penicillin injection

27

The process of killing all microorganisms and their pathogenic products is known as

sterilization

28

Which of the following is an example of leading zeros?

0.6

29

The most common sterile irrigations include

gentamicin irrigation solution

30

How long must the blower run in a laminar airflow hood prior to use?

30 minutes

31

Which of the following is a good risk reduction strategy for preventing medication errors?

documenting essential patient information

32

A device that uses a combination of heat, steam, and pressure to sterilize equipment is known as a(n)

autoclave

33

Which of the following does not influence prescribing errors?

expiration of license

34

Most experts agree that medication errors are due to a

poor system

35

HEPA filters need to be certified every

6 months

36

Which statement is false about parenteral products?

They must be chemically and physically unstable

37

Which of the following factors has been documented as the second most prevalent cause of medication errors?

illegible handwriting

38

The most effective method of destruction of all types of microorganisms is

autoclave

39

Which of the following organizations works to analyze dangerous medication errors?

FDA and ISMP

40

Medication errors may occur

in pharmacies, in hospitals, and during manufacturing

41

To avoid medication errors, patients should be encouraged to

ask questions about their medications

42

Small spills of body fluids on the counter surfaces of a pharmacy must be cleaned with

household bleach

43

Which of the following is false about disadvantages of parenteral administration?

more readily controls the therapeutic response of a drug

44

Wrong doses can easily be avoided by using

unit-dose systems

45

The process for compounding ophthalmics properly takes

from 1 to 2 weeks

46

Which of the following is true about a HEPA filter?

It removes 99% of possible contaminants

47

Which of the following is the most common cause of death in the United States?

medical errors

48

The process of entering a physician's order into a computer is called

transcription

49

The time from when a sterile drug product is compounded until it is administered to a patient is referred to as

beyond-use date

50

There is only one second-generation cyclic antidepressant. What is the trade name?

Wellbutrin

51

The trade name for fluvoxamine is

Luvox

52

Name of drug that can be given for Bipolar Disorder?

Depakene

53

True or False: Elavil can be give IM

True

54

Patients with renal or hepatic insufficiency should be started with low doses of which anti-depressant?

Paxil or Paroxetine

55

Sucrets Cough's Generic Name is

Dextromethorphan

56

What are the two types of Anti-Tussives?

opioids and nonopioids

57

Can Codeine be given SC?

Yes

58

Only one of these Anti-Tussives can be given BID only. What is the trade name of this drug?

Tussionex

59

A drug distribution system that provides medication in its final unit of use form

unit-dose system

60

A group of medications provided to a hospice patient by the hospice pharmacy to provide a "start" in treatment for most urgent problems that can develop during the last days or weeks of life

starter kit

61

An intravenous feeding that supplies all the nutrients necessary for life

total parenteral nutrition

62

A safe and economical way of distributing a drug

drug distribution system

63

A high-volume pharmacy that fills prescriptions for a number of individual pharmacies

central fill pharmacy

64

A drug distribution system that combines a unit-of-use medication package with a non-unit-dose drug distribution system

blended dose system

65

A drug dispensing system that is computer or robot based

automatic dispensing system

66

An established commercial website that enables a patient to obtain medications by way of the Internet

Internet pharmacy

67

Originally a facility, usually within a hospital, intended to care for the terminally ill, in particular, by providing physical comfort to the patient and emotional support and counseling to the patient and the family; currently hospice care is also provided in home settings

hospice

68

A licensed pharmacy that uses the mail or other carriers to deliver prescriptions to patients

mail-order pharmacy

69

An organization involving a licensed professional pharmacy or practice that provides medications and clinical services to long-term care facilities and other residents

long-term care pharmacy org

70

A range of health and health-related support services provided over an extended period of time

long-term care

71

The practice of pharmacy that provides medications, home health care products and services, and pharmaceutical care to patients at home

home health care pharmacy

72

Feedings given through a tube passed directly into the stomach or intestines

enteral nutrition

73

A mail-order pharmacy that concentrates on specific areas of the prescription drug market

specialty mail-order pharmacy

74

Vials containing particular compounds, usually in freeze-dried form used in nuclear pharmacy

reagent kit

75

A drug that is or has been made to be radioactive

radiopharmaceutical

76

A combination of amino acids, dextrose, fats, vitamins, minerals, electrolytes, and water administered intravenously

parenteral nutrition

77

A pharmacy that is specially licensed to work with radioactive materials

nuclear pharmacy

78

A medication package in which all medications for a specific medication time are packaged together

multiple medication package

79

A drug distribution system that combines unit-dose medications blister packaged onto a multiple dose card

modified unit dose system

80

These cassettes contain either one-week or two-week medication strips that also contain reserve closes in a narrow plastic slidetray design.

modular cassette

81

One of the fastest-growing parts of the health care market is

home health care pharmacy

82

The major sources of payment for home health services are:

Medicare and Medicaid

83

TPNs consist of:

amino acid and dextrose, fats and electrolytes, and vitamins and trace elements

84

Hospice pharmacy services can be divided into two areas:

clinical services and dispensing services

85

Ambulatory care services provide:

mobile imaging, rehabilitation, and dialysis centers

86

Mucous membranes of the eyes

conjunctiva

87

A method of cleaning equipment used for instruments that cannot be exposed to the high temperatures of steam sterilization

chemical sterilization

88

Date after which a product is no longer effective and should not be used

beyond use date

89

A sterilizing machine. It uses a combination of heat, steam, and pressure to sterilize equipment

autoclave

90

Preparing and handling sterile products in a manner that prevents microbial contamination

aseptic technique

91

A method of sterilization that uses heated dry air at a temperature of 320 degrees to 365 degrees for 90 minutes to 3 hours

dry heat sterilization

92

The use of a gas such as ethylene oxide to sterilize medical equipment

gas sterilization

93

A system of circulating filtered air in parallel-flowing planes in hospitals or other health care facilities. The system reduces the risk of airborne contamination and exposure to chemical pollutants in surgical theaters, food preparation areas, hospital pharmacies, and laboratories.

laminar airflow hood

94

Nutrition system involving the intravenous infusion directly into a vein of lipids, proteins, electrolytes, sugars, salts, vitamins, and essential elements.

total parenteral nutrition

95

The complete destruction of organisms before they enter the body

surgical asepsis

96

Complete destruction of all forms of microbial life.

sterilization

97

A process of cleaning to remove undesirable debris

sanitization

98

Complete destruction of organisms after they leave the body

medical asepsis

99

Bypassing the skin and gastrointestinal tract; injected

parenteral

100

Parenteral products must have the following unique qualities:

must be sterile, be free from contamination by endotoxins, and free from visible particles

101

A disadvantage of parenteral administration is that:

asepsis is required at administration

102

Important properties of parenteral preparations that must be considered include:

compatability and osmolality

103

Methods of sterilization include:

application of steam under pressure, dry heat and gas, and chemicals and radiation.

104

Used to remove particulates and microorganisms from solutions:

filters

105

Laminar airflow hoods are used to prepare sterile compounds by circulating air through HEPA filters to remove how much possible contaminants?

99%

106

Sneezing produces how many aerosol droplets?

200,000

107

Inventory control systems that allow monthly drug use reviews

perpetual inventory system

108

A list of drugs and devices that routinely need to be reordered

want book

109

The stock of medications a pharmacy keeps immediately on hand

inventory

110

A document showing received items; it should match the purchase order exactly

receiving report

111

An inventory control system that allows inventory to be tracked as it is used

point-of-sale master

112

A mathematical calculation of the number of times the average inventory is replaced over a period of time (usually annually)

inventory turnover rate

113

Controlling the amount of product on hand to maximize the return on investment

inventory control

114

Several important factors and issues with regard to inventory are:

How much inventory should be maintained, when should inventory levels be adjusted, and where should inventory be stored

115

A common inventory management error is

miscounting the final inventory and creating labels that are not easily read

116

One of the simplest and most widely used methods of inventory control is

the want book

117

Board regulation requires that a pharmacist should keep what type of inventory for each controlled substance in Schedule II, which has been received, dispensed or disposed of?

perpetual inventory

118

An advantage of computerized inventory control systems is

time saving for the pharmacy and the business office.