NUR 256 Latest ,recent and frequently
tested EXAM 3 with comprehensive
questions and verified accurate
solution (detailed & elaborated)
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,9 rights of medication administration - correct ans:Right drug
Right dose
Right time
Right route
Right patient
Right documentation
Right reason
Right response
Right to Refuse
Absorption - correct ans:occurs when medication molecules pass into the blood from the site of
medication administration
Therapeutic effect - correct ans:is the expected or predicted physiological response caused by a
medication
therapeutic range - correct ans:that concentration of drug in the blood serum that produces the desired
effect without causing toxicity
Adverse effects - correct ans:A general term for any undesirable effects that are a direct response to one
or more drugs.
side effects - correct ans:is a predictable and often unavoidable adverse effect produced at a usual
therapeutic dose
toxic effect - correct ans:often develop after prolonged intake of a medication or when a medication
accumulates in the blood because of impaired metabolism or excretion. Excess amounts of a medication
within the body sometimes have lethal effects, depending on its action
synergistic effect - correct ans:interaction of two or more medicines that results in a greater effect than
when the medicines are taken alone
,idiosyncratic reaction - correct ans:in which a patient overreacts or underreacts to a medication or has a
reaction different from normal
medication tolerance - correct ans:more medication is required to achieve the same therapeutic effect
(occurs over time)
Onset of medication action - correct ans:Time it takes after you administer a medication for it to
produce a therapeutic effect
Peak action - correct ans:Time it takes for a medication to reach its highest effective peak concentration
Trough - correct ans:Minimum blood serum concentration of medication reached just before the next
scheduled dose
Duration of action - correct ans:Length of time during which a medication is present in a concentration
great enough to produce a therapeutic effect
Plateau - correct ans:Blood serum concentration reached and maintained after repeated, fixed doses
oral medications - correct ans:-have a slower onset of action and more prolonged effects than
parenteral medication
-food sometimes effects the absorption of medications so you must determine which medications are to
be administered with or without food
-many medications interact with nutritional and herbal supplements, some interact with food (grape
fruit, milk, etc.) this information must be looked up in the drug book prior to administration
-most tablets and capsules need to be swallowed with 60-240mL of fluid as long as the patient isn't on
fluid restrictions
when giving oral medications what you contraindications should you assess for? - correct ans:-
alterations in GI function (nausea, vomiting, reduced mobility)
-inability to swallow
- unconsciousness, confused, or unwillingness to swallow
, -gastric suction
-NPO prior to surgery or procedure
how do you protect patients from aspiration? - correct ans:-assess the patients ability to swallow
-aspiration occurs when food, fluid, or medication intended for GI administration inadvertently enters
the respiratory tract
how do you assess gag reflex - correct ans:-place the patient on a 90 degree angle and check for the
presence of their gag reflex (this checks for their ability to swallow and cough) after gag reflex is checked
offer water
-if ability to swallow medications isn't present withhold medication and notify provider
if patient cannot swallow meds whole what do you do? - correct ans:the pills need to be crushed or
capsule opened but you need to check the drug book first
-put 1 tsp of applesauce pr pudding into a plastic cup and place crushed or opened meds into food (give
each crushed medication separately)
never crush what kind of tablets or capsules? - correct ans:enteric coated
do you need to watch patients take medications or can you leave medication with the patients? - correct
ans:DO NOT leave medications at the bedside, you need to watch the patient take the medication prior
to leaving the room
you can only split what kind of tablets with pill cutter? - correct ans:scored
how to give sublingual medications? - correct ans:-place medication under tongue and allow to dissolve
completely (do not allow to swallow or chew)
-avoid liquids until med is dissolved
-leads to more rapid onset of action
tested EXAM 3 with comprehensive
questions and verified accurate
solution (detailed & elaborated)
GRADED A+
Professional Academic Assistance Services
Services Offered
Proctored Exam Assistance
Online Class Management (Full Course Support)
Exam Preparation & Study Materials
Assignments and Coursework Support
Essays and Research Papers
Discussion Posts and Replies
,9 rights of medication administration - correct ans:Right drug
Right dose
Right time
Right route
Right patient
Right documentation
Right reason
Right response
Right to Refuse
Absorption - correct ans:occurs when medication molecules pass into the blood from the site of
medication administration
Therapeutic effect - correct ans:is the expected or predicted physiological response caused by a
medication
therapeutic range - correct ans:that concentration of drug in the blood serum that produces the desired
effect without causing toxicity
Adverse effects - correct ans:A general term for any undesirable effects that are a direct response to one
or more drugs.
side effects - correct ans:is a predictable and often unavoidable adverse effect produced at a usual
therapeutic dose
toxic effect - correct ans:often develop after prolonged intake of a medication or when a medication
accumulates in the blood because of impaired metabolism or excretion. Excess amounts of a medication
within the body sometimes have lethal effects, depending on its action
synergistic effect - correct ans:interaction of two or more medicines that results in a greater effect than
when the medicines are taken alone
,idiosyncratic reaction - correct ans:in which a patient overreacts or underreacts to a medication or has a
reaction different from normal
medication tolerance - correct ans:more medication is required to achieve the same therapeutic effect
(occurs over time)
Onset of medication action - correct ans:Time it takes after you administer a medication for it to
produce a therapeutic effect
Peak action - correct ans:Time it takes for a medication to reach its highest effective peak concentration
Trough - correct ans:Minimum blood serum concentration of medication reached just before the next
scheduled dose
Duration of action - correct ans:Length of time during which a medication is present in a concentration
great enough to produce a therapeutic effect
Plateau - correct ans:Blood serum concentration reached and maintained after repeated, fixed doses
oral medications - correct ans:-have a slower onset of action and more prolonged effects than
parenteral medication
-food sometimes effects the absorption of medications so you must determine which medications are to
be administered with or without food
-many medications interact with nutritional and herbal supplements, some interact with food (grape
fruit, milk, etc.) this information must be looked up in the drug book prior to administration
-most tablets and capsules need to be swallowed with 60-240mL of fluid as long as the patient isn't on
fluid restrictions
when giving oral medications what you contraindications should you assess for? - correct ans:-
alterations in GI function (nausea, vomiting, reduced mobility)
-inability to swallow
- unconsciousness, confused, or unwillingness to swallow
, -gastric suction
-NPO prior to surgery or procedure
how do you protect patients from aspiration? - correct ans:-assess the patients ability to swallow
-aspiration occurs when food, fluid, or medication intended for GI administration inadvertently enters
the respiratory tract
how do you assess gag reflex - correct ans:-place the patient on a 90 degree angle and check for the
presence of their gag reflex (this checks for their ability to swallow and cough) after gag reflex is checked
offer water
-if ability to swallow medications isn't present withhold medication and notify provider
if patient cannot swallow meds whole what do you do? - correct ans:the pills need to be crushed or
capsule opened but you need to check the drug book first
-put 1 tsp of applesauce pr pudding into a plastic cup and place crushed or opened meds into food (give
each crushed medication separately)
never crush what kind of tablets or capsules? - correct ans:enteric coated
do you need to watch patients take medications or can you leave medication with the patients? - correct
ans:DO NOT leave medications at the bedside, you need to watch the patient take the medication prior
to leaving the room
you can only split what kind of tablets with pill cutter? - correct ans:scored
how to give sublingual medications? - correct ans:-place medication under tongue and allow to dissolve
completely (do not allow to swallow or chew)
-avoid liquids until med is dissolved
-leads to more rapid onset of action
