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NUR 3210 Exam 1 Questions & answers
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NUR 3210 Exam 1 Questions & answers
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NUR 3210 Exam 1pharmacology - ANS-the study of medicine
therapeutic application - ANS-
Therapeutic application - ANS-for what reason the drug is given (many drugs have more
than one reason for why it's given) ex. aspirin used to be given for pain, now given for
cardiac dysfunction
Mechanism of action - ANS-where does the medication travel in the body and how does
it have an effect on that body system
Adverse drug reactions - ANS-any undesirable, unexpected, or unintended response
associated when taking the drug at the therapeutic dose
Response - ANS-desired outcome based on individual factors
Analgesics (pain medication; ex. ibuprofen) - ANS-what is the most frequently
prescribed type of drug?
Patient safety (max benefit w/ min harm) - ANS-what is the main priority for the nurse
with the administration of drugs?
Nursing process - ANS-resource supported, systematic, organizational framework that
forms the foundation of professional nursing practice to ensure thorough, individualized,
and quality nursing care to patients
(AD-PIE) Assessment, diagnosis (identification of human need statements), planning
(with outcome identification), implementation (including patient education), evaluation -
ANS-identify the 5 phases of the nursing process
Assessment - ANS-analysis of all drug use (prescription, OTC, herbal) and their
symptoms (any adverse reactions) as well as patient compliance and understanding (so
they are able to make informed decisions about their care) (part of nursing process);
this data is collected from patient, family, group, and/or community sources) (part of
nursing process)
,Diagnosis (identification of human need statements) - ANS-focus on what patient needs
when organizing data; three main areas of concern: 1. Promote therapeutic benefits
(maximize benefits), 2.minimize adverse drug effects/toxicity (minimize harm), 3.
Maximize pt's ability for self care (comes with pt education/teaching & making sure pt
has resources needed to safely/effectively take their prescribed medications) (part of
nursing process)
Planning - ANS-identify SMART (specific, measurable, attainable, realistic, timely) goals
and outcome criteria (consider what SMART looks like in clinical setting), then select
and prioritize nursing interventions (outcomes can be physiologic, psychological,
spiritual, sexual, cognitive, motor, behavioral, and other domains) (part of nursing
process)
Implementation (including patient education) - ANS-putting assessment, diagnosis, and
plan into action (ex. administer drug if lowering BP is the goal); initiation and completion
of specific nursing actions (based on clinical judgement and knowledge designed to
enhance outcomes) as defined by the statement of human needs and outcome
identification requiring constant communication and collaboration with the patient and
with members of the health care team, family members/other caregivers (part of nursing
process)
Evaluation - ANS-occurs at every phase of the nursing process, but especially after the
nursing care plan has been implemented; includes monitoring response to interventions
and well-documenting the fulfillment of outcomes and the patient's therapeutic response
to the drugs (including possible adverse and/or toxic effects) based on the established
standards of care (part of nursing process)
Drug, dose, time, route and form, patient, documentation, reason or indication,
response, refuse - ANS-identify the nine rights of drug administration
Refuse - ANS-if a pt decides to _____ a medication, step back and ask what makes
them not want to take it and try to educate, "you aren't hurting me by not taking your
medication, you're hurting yourself" then document
Storage, preparing, administering (1. With the MAR (medication administration record)
when removing it from storage, 2. when preparing it for administration, 3. Before
administering it to the pt) - ANS-list the three checks of medication administration
Holistic care - ANS-care from all aspects (mind/body/spirit) rather than just from the
neck down
, Ethnopharmacology - ANS-the study of the effect of ethnicity on drug responses,
specifically drug absorption, metabolism, distribution, and excretion as well as the study
of genetic variations to drugs (i.e. pharmacogenetics)
Culture - ANS-the customary beliefs, social forms, and material traits of a racial,
religious, or social group
Pharmacogenomics - ANS-the study of genetics in drug response (how certain genetic
traits effect drug response
Drug polymorphism - ANS-variation in response to a drug because of a patient's age,
gender, size, body composition, and other characteristics on the pharmacokinetics of
specific drugs
Black box warning - ANS-a type of warning that appears in a drug's prescribing
information and is required by the US Food and Drug Administration (FDA) to alert
prescribers of serious adverse events that have occurred with the given drug
FDA (U.S. Food and Drug Administration) - ANS-which Department of Health and
Human Services (HHS) is responsible for regulation and oversights of all medications?
DEA (drug enforcement agency) - ANS-group designed to slow spread of opioid
process
Narcotic - ANS-a legal term established under the Harrison Narcotic Act of 1914. The
term is currently used in clinical settings to refer to any medically administered
controlled substance and in legal settings to refer to any illicit or "street" drug; also
referred to as opioid
Opioid - ANS-another term for narcotic
HIPPA (Health Insurance Portability and Accountability Act) - ANS-ensures all health
care providers, health and life insurance companies, employers and schools maintain
privacy regarding health information (ensure health information is protected); also
protects health insurance coverage for workers and their families when they change
jobs
Ethics - ANS-the rules of conduct recognized in respect to a particular class or group of
human actions
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