Concept of Safety - Answer-prevention of healthcare errors and the elimination or mitigation of patient injury caused by healthcare errors
NPSF - Answer-National Patient Safety Foundation
Two Dimensions of Safety - Answer--what the nurse does individually (nurse personally furthers edu)
-the...
NURS 163 Week 3 Exam Questions and
Answers
Concept of Safety - Answer-prevention of healthcare errors and the elimination or
mitigation of patient injury caused by healthcare errors
NPSF - Answer-National Patient Safety Foundation
Two Dimensions of Safety - Answer--what the nurse does individually (nurse personally
furthers edu)
-the healthcare system (rules for practice that they have in place and education
provided for the nurses help on behalf of the institution)
*KNOWLEDGE* The nurses role in safety in the healthcare system - Answer--
enhancing technology
-bar codes
-electronic physicians orders
-focusing on why instead of who (Just Culture)
*KNOWLEDGE* What the nurse does in his/her individual practice - Answer--only use
approved abbreviations
-6 rights of med admin
-scanning bar codes
-reviewing unknown meds
-effective communication
-hand washing/gloves
*SKILLS* The nurses role in safety in the healthcare system - Answer--quality
assurance (JCO)
-fall risk protocols
-in-service training
*SKILLS* What the nurse does in his/her individual practice - Answer--effective
communication
-prevent hazards in room
-predict/manage harmful situations
-review national pt safety goals
*ATTITUDES* The nurses role in safety in the healthcare system - Answer--
collaboration across the healthcare team
-value role
-Just Culture
, *ATTITUDES* What the nurse does in his/her individual practice - Answer--maintain a
positive attitude
-bedside report
-interdisciplinary rounding
Drug Testing Methods - Answer--most testing is preformed on people who are healthier,
younger, and have been exposed to fewer medical interventions
Geropharmacology - Answer--the study of how older adults respond to medications
Risks Related to Physiological Changes of Aging - Answer--adverse drug event (any
injury from the use of a drug)
-more important to consider physiologic age than chronological age
-more physiological changes, greater risk of altered response
Pharmokinetics - Answer--the study of drug actions in the body
-absorption, distribution, metabolism, excretion
Absorption - Answer--most drugs are absorbed through the GI tract
First Pass Effect - Answer--oral meds go through the liver before entering circulation
-some meds need to be activated by the liver (less effective because of reduced liver
function)
Changes Related to Drug Absorption - Answer-reduced in older adult:
-gastric motility and emptying time (slows onset of drug)
-GI blood flow
-gastric acidity (irregular effects)
-liver mass and blood flow (increased drug effects)
Distribution - Answer--how its carried throughout the body
-changes in total body mass, body water, and body fat will alter the distribution of
certain drugs
-changes in hemoglobin and plasma protein albumin results in fewer sites for protein
bound drugs
Changes Related to Distribution - Answer--water-soluble drugs will remain in higher
concentrations d/t less total body water
-fat-soluble drugs trapped in the fatty tissue d/t decreased muscle mass and increased
adipose tissue
-protein-bound drugs have increased amounts of unbound active drugs in circulation
Metabolism - Answer--the biotransformation of substances in the body to be eliminated
more easily
-liver is primary site
-half-life may be doubled
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