TIjkbookjkandjkevolve)
Thejknursejkrecognizesjkthatjkthejkadministrationjkofjkajkdrugjkinfluencesjkcelljk
physiology.jkWhatjkisjkthejktermjkforjkthisjkconcept?jk-
jkCORRECTjkANSWER✔Pharmacodynamicsjk(drugjkimpactsjkbody)
Whichjkincorrectjkstatementjkbyjkajknewjknursejkindicatesjkthatjkfurtherjkstudyjk
isjkneeded?jk-
jkCORRECTjkANSWER✔Drugsjkarejkdefinedjkasjksubstancesjkthatjkhavejkbe
enjkFDAjkapproved.
Whatjkarejkthejkthreejkmostjkimportantjkcharacteristicsjkthatjkanyjkdrugjkcanjkha
ve?jkSelectjkalljkthatjkapplyjk-jkCORRECTjkANSWER✔-
effectivenessjk(doesjkitjkworkjkorjknot)
-safety
-selectivity
Whichjkstatementjkbestjkindicatesjkthatjkthejknursejkunderstandsjkthejkmeaningj
kofjkpharmacokinetics?jk-
jkCORRECTjkANSWER✔"Itjkexplainsjkhowjkdrugsjkarejkabsorbedjkandjkdist
ributed."
Whatjkarejkthejk4jkprocessjkofjkpharmacokinetics?jk-
jkCORRECTjkANSWER✔-absorption
-distribution
,-metabolism
-excretion
Whatjkdoesjkthejknursejkreviewjkwhenjkstudyingjkthejkimpactjkajkdrugjkhasjkonjkt
hejkbody?jk-jkCORRECTjkANSWER✔hejkdrug'sjkpharmacodynamics
Thejknursejkteachesjkajkpatientjknotjktojkconsumejkalcoholjkwithjknitroglycerin,j
kbecausejkbloodjkpressurejkoftenjkdropsjksignificantlyjkwhenjknitroglycerin jkisj
ktakenjkwithjkalcohol.jkWhichjkdrugjkpropertyjkdoesjkthisjkillustrate?jk-
jkCORRECTjkANSWER✔DrugjkInteraction
PriorjktojkadministeringjkdrugjkXjktojktreatjkajkpatient'sjkhighjkbloodjkpressure,jkt
hejknursejkreviewsjkinformationjkaboutjkthejkdrug.jkThejknursejkfindsjkthatjkitjkre
ducesjkbloodjkpressurejkwithoutjkseriousjkharmfuljkeffects,jkbutjkitjkalsojkcause
sjkthejkpatientjktojkhavejknauseajkandjkajkheadache.jkBasedjkonjkthisjkinformatio
n,jkwhichjkpropertyjkofjkanjkidealjkdrugjkisjkthisjkdrugjklacking?jk-
jkCORRECTjkANSWER✔selectivity jk(morejkselectivejkajkdrug=lessjksidejke
ffects/adversejkeffects)
Characteristicsjkuniquejktojkeachjkpatientjkcanjkinfluencejkpharmacokineticjka
ndjkpharmacodynamicjkprocesses.jkWhatjkcharacteristicsjkmayjkdeterminejkth
ejkpatient'sjkresponsejktojkajkdrug?jkSelectjkalljkthatjkapply.jk-
jkCORRECTjkANSWER✔-age
-weight
-genderjk
-genetics
,Pharmacotherapeuticsjk-
jkCORRECTjkANSWER✔howjkdrugsjkproducejkeffects,jkbothjktherapeutic,j
kandjkadversejkreactions,jkreasonsjkandjkrationales
AjkpatientjkisjkgivenjkanjkopioidjkanalgesicjktheirjkRRjkisjk8,jkHRjkisjk82,jkandjkBP
jk120/78.jkWhatjknursingjkinterventionjkwouldjkyoujkdo?jk-
jkCORRECTjkANSWER✔-
givejknaloxenejktojkreversejkopiodjkeffectsjkbecausejkpt'sjkrespiratoryjkwasjkext
remelyjklow.
Medicationjkerrorjk-
jkCORRECTjkANSWER✔canjkharmjkthejkpatientjkandjkcanjkbejkpotentiallyjk
fataljk(jkyoujkmustjkfirstjkassessjkthejkpatient,jkmakejksurejkhisjkconditionjkisjksta
bilized,jkletjkajksupervisorjkknowjkorjkHCP,jkandjkfilejkanjkincidentjkreport)
Ifjkyourjkprotein(albumin)jklevelsjkarejklowjkwhatjkhappensjktojkthejkdrugjkinjkyo
urjkbody?jk-
jkCORRECTjkANSWER✔drugjkisjkfreejkinjkbodyjkwhichjkcanjkleadjktojktoxici
tyjkofjkdrugjkaccumulation
Ifjktwojkdrugsjkarejkcompetingjkforjkthejksamejkproteinjkreceptorjkorjkotherjkrece
ptorjkwhatjkhappens?jk-jkCORRECTjkANSWER✔-
thejkonejkwithjkthejkstrongerjkaffinity/
dosejkisjkboundjktojkthejkreceptorjkwhichjkleadsjkforjkthejkotherjkdrugjktojkmovejkf
reelyjkaroundjkthejkbody.
Whatjkarejkthejk6jkdrugjkrightsjkforjkmedicationjkadministration?jk-
jkCORRECTjkANSWER✔1.jkrightjkpatient
, 2.rightjkdrug
3.jkrightjkdose
4.rightjkroute
5.jkRightjktime
6.jkrightjkdocumentation
7.rightjkindication
8.rightjkrefusal
Whyjkisjkitjkimportantjktojkeducatejkourjkpatientsjkaboutjkdrugjktherapy?jk-
jkCORRECTjkANSWER✔tojkmakejksurejkthatjkourjkpatientjkisjkcompliantjk(p
atientjkcarejkandjkpatientjkeducation)
Whatjkisjkthejknurse'sjkrolejkasjkanjkadvocate?jk-
jkCORRECTjkANSWER✔wejkarejkthejklastjklinejkofjkdefensejkforjkthejkpatien
t
Preadministrationjkassessmentjk-jkCORRECTjkANSWER✔-
collectingjkbaselinejkdatajk(vitals,jklabs,jkotcjkmeds/
otherjkmeds,jkPMH,jkallergies)
-
identifyingjkhighjkriskjkpatientsjk(jkliverjkandjkkidneyjkimpairment,jkgeneticjkfa
ctors,jkdrugjkallergies,jkpregnantjkpatients,jkolderjkadults,jkpediatricjkgroup)
DosagejkandjkAdministrationjk-jkCORRECTjkANSWER✔-
certainjkdrugsjkhavejkmorejkthanjkonejkindication
-manyjkdrugsjkarejkadministeredjkmorejkthanjkonejkroute