Nur 210 Exam 1 (Galen) questions with
actual answers.
what grade level do you teach at ANS -4-5 grade level
is it the nurses job to know the cost of medications ANS -no
what can not be taken with any medication ANS -grapefruit
what order is the pharmackinetic phase ANS -absorption, distribution, metabolism, exceretion
where does absorption occur ANS -occurs in the small intestine
where does distribution occur ANS -occurs in the blood circulation and tissues
where does metabolism occur ANS -occurs in the liver
where does exceretion occur ANS -occurs in the kidneys
disintegration is what ANS -the breakdown of PO drug form into small particules
dissolution is what ANS -process of combining small drug particules with liquid to form a solution
drug absorption is what ANS -drug movement from GI tract into the bloodstream
why can't you use grapefruit ANS -the acidity mixes with the acid in tummy, speeds up absorption and
metabolism
is a drug 100% of medication ANS -no it has fillers
,what factors affect medication absorption ANS -blood circulation, pain, stress, exercise, food texture(fat
content, temp), pH, route of admin
factors affecting oral meds ANS -first pass effect, bioavailability
what is bioavailability ANS -the percentage thats left for body to use
what does first pass only effect ANS -oral and GI
factors of bioavailabilty ANS -absorption, first pass effect, drug form, route of administration, gastric
mucosa and mobility, admin with food, change in liver metabolism
drug distribution is what ANS -once the drug leaves the GI tract
drug distribution involves what ANS -movement of drug from circulation to body tissue, protein binding,
and free drugs
protein binding percentage used ANS -40% to protein 60% used to body
drug metabolism (biotransformation) is what ANS -process of body chemically changing a drug into a
form to be excreted, uses half life and loading dose
half life is what ANS -time it takes for amount of drug in body to be reduced by half
loading dose is what ANS -a higher dose given at the beginning of treatment
drug excretion (elimination) ANS -from the kidneys, creatinene clearance, BUN levels, glomerular
filtration rate. from the liver the bile, LFT test for liver function, feces, lungs, saliva, sweat, breast milk
, the tip of eye medicine should never what ANS -touch the conjunctiva sack
what do you need to warn when giving eye medicine ANS -blurred vision
how to administer inhaler ANS -shake before you puff, wait 2 mins, before each puff of same med/
inhaler, wait 5 mins if diff med/inhaler
why do you need to rinse your mouth out after using inhaler ANS -to avoid thrush a
how to administer ear drops for kids under 3 ANS -pull down and back "kids are short" leave head in
position for 3-5 mins
how to administer ear drops for kids over 3 and up ANS -pull up and back leave head in position for 3-5
mins
administering nose drops do what ANS -tilt head back
administering nose sprays do what ANS -sit upright / high flowers
interventions for nose drops and sprays ANS -have pt blow their nose prior
administration for NG / GI tubes ANS -pt in high flower, mix each med with 3cc of water, flush each med
with 3cc of water after each admin, finish with 15cc of water
what to do if NG / GI tube is connected to suction ANS -must keep it off for 30mins before admin
why does inflammation happen ANS -response to tissue injury or infection
what does cox 1 do ANS -protects stomach linning and regulates blood platelets
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