Exam (elaborations)
NUR 331 Exam 1 Questions And Correct Answers
- Course
- Institution
NUR 331 Exam 1 Questions And Correct Answers...
[Show more]
Content preview
NUR 331 Exam 1 Questions And Correct Answers6 rights of medication administration
1. Right medication
2. Right patient
3. Right dose
4. Right time
5. Right documentation
6. Right route
Tips for preventing med errors
-Use two forms of patient ID
-Check med label at least 3x prior to administration
-Explain to pt. which med you are administering and show it to them (sometimes they
know their own meds well and may stop you from handing them the wrong drug!)
-Waste high-alert drugs with someone else watching!
conversation/distraction while preparing meds
Safety : terminology, when not to crush PO meds, high alert meds, etc.
Look alike/sound alike drugs : part of why it is so important to scan meds and check
labels multiple times! Atenolol vs. albuterol; carvedilol vs. captopril ; epinephrine vs.
norepinephrine, etc.
Crushing: medications that should never be crushed include buccal, sublingual,
sustained-release and enteric-coated. Too much of the medication will be released into
the blood stream too quickly. This increases the risks of overdose/SEs and means there
could be a period of time where you won't be benefitting at all
High-alert: insulin, opiates and narcotics, injectable potassium chloride (phosphate),
,intravenous anti-coagulants (heparin, warfarin) and sodium chloride solutions above
0.9%
Mnemonic: Islands On Neptune, Pretty Cool Spot
Forms and routes: which routes work more quickly, less quickly?
Forms:
• Tablets/Capsules
• Liquids
• Transdermal
• Topicals
• Instillations (drops)
• Inhalations
• Nasogastric/Gastrostomy Tubes
• Suppositories
• Parenteral
Routes: IV, IM, SC, PR, PO, inhalation, transdermal
, IV most rapid onset, inhalation can also be quite rapid. Oral largely dependent on
first-pass effect, not as reliable. Don't have to worry as much about first-pass for rectal.
Transdermal avoids first-pass all together and is longacting but absorbed very slowly
Pharmacokinetics
study of how the body handles a drug that has been introduced into its system.
Absorption distribution, metabolism and excretion
Pharmacodynamics
what the drug does to the body. Potency, half-life, duration of action, etc.
Absorption
the movement of unmetabolized drug from administration site to body circulatory
system
Bioavailability
the degree to which a substance/drug becomes totally available to its intended
biological sites
Distribution
the reversible movement of a drug from one site in the body to another, via blood to
different tissues
Metabolism
the process of biotransformation-usually by enzymes-in which one chemical species is
changed into another
Excretion
excretion-the removal of drugs from the body, either as a metabolite or unchanged drug
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Easton. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75057 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now