All Solved Correctly 2026-2027 Edition.
General Properties of Drugs - Answer Effectiveness
Selectivity
Safety
Effectiveness - Answer
Selectivity - Answer Receptors make selectivity possible
All receptors are the thing that make selectivity possible
Having different receptors helps the drug bind to specific places
For example you want your blood pressure medicine to bind to an A receptor (just an example
receptor) in the heart but not a B receptor in the stomach
Safety - Answer 1. Quality and safety education for nurses (QSEN)
-Knowledge skills and attitudes needed in future nurses
2. National patient safety goals
-Created by the joint commission
-High risk activities
*Associated w giving meds (adequate labeling and things like that)
-"Do not use" abbreviations (table 1.3)
*List of abbreviations that have led to mistakes or close catches
3. High alert medications
-Drugs that have high risk for causing patient harm (box 1.2)
-Drugs in this category are noted as such
-Extra checks
4. No drug is completely safe
5. Pregnancy categories
-Gauges safety and risk/benefits of giving
-No longer used, now as evidence based registry of drug info
6. Beers criteria
-List of medications best not used in the elderly
,Patient education - Answer Instruction to patient to promote health
What should be included in patient education? - Answer -What the drug is, why they are
taking the drug, Include when to take the drug, how to take the drug (w food/water things like
that), possible adverse effects of the drug to look for
-Answer any questions the patient may have about the medication
Why is it important to educate the patient? - Answer -This is important because if a drug is not
taken properly it can be harmful
-The patient may also not want to take the drug if they know nothing about it
What are the priorities in educating a patient with a new medication? - Answer -These are the
same as above
-If the med is new will prob need to spend more time talking about it w the patient
-Be sure to answer any questions and/or concerns
The Six Rights of Medication Administration - Answer -Right Drug
-Right Patient
-Right Dose
-Right Route
-Right Time
-Right Documentation
Right drug - Answer -Verify orders w medication administration record (MAR)
-Check labels against the MAR at least 3 times before administering medications
-Only administer the medications you prepare
-If a pt questions a medication, stop and check
-You only give drugs that you prepare
Right dose - Answer -Correct calculations
-Use the proper tools to measure doses
-Crushing meds
, -Look for XL, DR, SR (sustained released meds)
-These meds allow the entire dose for the day in 1 pill that slowly release through the day
-If the pill is crushed tho it will not be slowly released it will be completely released
-enteric coated medications (Aspirin is an example of this)
-These have the intention of protecting the stomach from the pill until it reaches the small
intestine
-So if these are crushed it could potentially cause stomach issues
Right patient - Answer -Always use 2 patient identifiers before administering medication
-Name, date of birth
-Do this every time
-Barcode scanning
-also check is the med is right for the pt at that time
-If you are about to give a blood pressure medication you want to know what the patient's
blood pressure is to make sure they need it
Right route - Answer -So what do you do if there is not a route specified
-There should always be one given so do not give the drug until that is clarified
-What to do if it isn't the appropriate route for the situation?
-You should get it changed
-If the pt is nauseated but is supposed to get an oral medication question if it can be given
another way
-Be sure that the drug you are preparing is indicated for the route you are planning to utilize
-Don't give a patient medication via IV that was supposed to be taken as an oral liquid or vice
versa
Right time - Answer -Why are some meds ordered for 3x daily and others ordered Q8
-This comes down to the need for consistent blood levels
-Ask yourself:
-Is this a "time-critical" medication
-Needs to be done by a certain time
-Is the drug-related to a procedure or activity?
-Pain meds before therapy etc.
-Will it affect sleep or wakefulness?
Right documentation - Answer -When should you document that a med was given?