NUR 202 Funds Exam 3 Questions and Answers Latest Update
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Course
NUR 202
Institution
NUR 202
Absorption - Answer-The process by which the drug is transferred from the body into the bloodstream
Distribution - Answer-Availability of the drug to the body and tissues
Metabolism - Answer-Original form of the drug to a new form (happens in the liver)
Elimination - Answer-Drug being remo...
NUR 202 Funds Exam 3 Questions and
Answers Latest Update
Absorption - Answer-The process by which the drug is transferred from the body into
the bloodstream
Distribution - Answer-Availability of the drug to the body and tissues
Metabolism - Answer-Original form of the drug to a new form (happens in the liver)
Elimination - Answer-Drug being removed from the body
Chemical name - Answer-Identifies the drugs atomic and molecular structure
Generic name - Answer-Assigned by the manufacturer that first develops the drug
Official name - Answer-Name by which the drug is identified in official publications
Trade name - Answer-Brand name that is copyrighted by the company that sells the
drug
Who do we worry about with drugs? - Answer--Peripheral vascular disease
-Diabetes mellitus
-Kidney/renal issues
-Elderly
-Kids
Therapeutic range - Answer-Range/area where drug is expected, concentration of drug
in the bloodstream that produces a therapeutic effect without being toxic
Peak - Answer-Highest level of med
Trough - Answer-Lowest level of med
Half-life - Answer-When the med decreases by half
Knowledge required prior to drug administration - Answer--Medication category/class
-Mechanism of action
-Therapeutic effects
-Side effects
-Adverse effects
-Toxic effects
-Medication interactions
-Precautions/contraindications
Nursing medication responsibilities - Answer--Prepare, administer, and evaluate
patient's response
-Maintain knowledge of medications
-Skills/dexterity of meds
-Accuracy of meds (report med errors)
-Know how to properly store and administer narcotics
-Be aware of laws
Standing order - Answer-Routine order, carried out until cancelled out by another order
PRN - Answer-As needed
Single or one time order - Answer-Carried out only once, at a time specified by the
prescriber (Narcan)
Now order - Answer-Less urgent than STAT order, needs an official order within 60-90
minutes
STAT order - Answer-Carried out immediately
Taking med orders - Answer--Name
-Date
-Time
-Route
-Dosage
-Drug
-Frequency
-Signed by MD
VORB - Answer-Verbal order read back
What are the three medication checks? - Answer-1. When nurse reaches for the
container of med
2. After retrieval and compared with CMAR
3. Before giving dose to patient
Medication errors - Answer--When three checks are not performed
-*when preparing the meds (being distracted)*
, Identifying the patient - Answer--Checking the identification bracelet
-Validating the patient's name (first identifier)
-Validating the patient's identification #, medical record number, and/or birthdate
(second identifier)
-Ask the patient to state name/dob/allergies if possible
Right time for medication - Answer-30 minutes before or after prescribed time
Right knowledge of med - Answer-Nurse's job to explain medication
Medication reconciliation - Answer--Look for changes or discrepancies
-Done with admission, status change, transfer, and discharge
-Verification- ask the patient what meds they are on (OTC, herbal, prescription)
-Clarification- review these meds (are they compatible)
Self-administration of meds - Answer--Dexterity
-Document that patient knows how and can do it
What should you do if you hold a med? - Answer-Document rationale
What should you do if there is a med refusal? - Answer--Notify MD
-In patient's rights
-Document why
When does the last med check occur? - Answer-In the patient's room
-Show the patient each med
-Compare meds to MAR in patient's room
Is it okay to leave medications at the bedside? - Answer-NO
Is it okay to give meds that were prepared by another nurse? - Answer-NO
Nursing considerations for oral meds - Answer--Patient may unintentionally or
intentionally pocket meds
-Assess for aspiration risk (decreased gag reflex, surgery, anesthesia)
-Give 4-6oz of water with meds
-Offer pills in a cup
Can you chew a lozenges? - Answer-NO
Contraindications for oral meds - Answer--Cannot be in semi-fowlers or high fowlers
position
-Never mix meds with large amounts of foods or liquids (putt apple sauce in a spoon
and drop med in)
-Avoid grapefruit juice, milk, empty stomach
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