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Exam (elaborations)

ICHS NURS 1141 Wk 1-6 | UPDATED Questions with 100% Verified Answers

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ICHS NURS 1141 Wk 1-6 | UPDATED Questions with 100% Verified Answers

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ICHS NURS 1141 Wk 1-6 | UPDATED Questions with 100%
Verified Answers
Q1: 5 steps of nursing


A: 1. Assessment 2. Human Needs Statement (NURS DIAG) 3. Planning 4. Implementation 5. Evaluation


Q2: Assessment


A: Collect and organize data Objective and Subjective Know all the meds they take


Q3: Human Needs Statement


A: AKA Nursing Diagnosis related to, as evidenced by


Q4: Planning


A: Prioritize human needs statement Identify outcomes SMART


Q5: Implementation


A: Carry out the plan Nursing interventions 9 rights for drug therapy


Q6: Evaluation


A: Are outcomes met? Continuous process Monitor pt response to drug therapy


Q7: 9 rights of medication administration


A: Right drug Right dose Right time Right route Right patient Right documentation Right reason Right response Right to
Refuse

Q8: Pharmacokinetics ADME


A: The process by which drugs are absorbed, distributed within the body, metabolized, and excreted.


Q9: Absorbtion


A: The process by which nutrient molecules pass through the wall of the digestive system into the blood From the
location of administration IV (fastest), IM, SQ, PO, PR Main site is GI

, Q10: Bioavailability


A: Rate at and the extent to which a nutrient is absorbed and used


Q11: Factors that affect absorbtion


A: Route of administration Presence of food in the stomach Drug Formulation


Q12: First pass effect


A: The initial metabolism in the liver of a drug absorbed from the gastrointestinal tract before the drug reaches systemic
circulation through the bloodstream. Reduces the bioavailability of the drug to less than 100% Drug goes thru "metal
detector" than back into blood stream Enteral- GI tract Parenteral- IV

Q13: Loading dose


A: initial higher dose of a drug that may be given at the beginning of a course of treatment before dropping down to a
lower maintenance dose. A loading dose is most useful for drugs that are eliminated from the body relatively slowly,
i.e. have a long systemic half- life

Q14: Distribution


A: Sent to specific areas of the body by body fluid. Binds to specific binding sites Highway of the body is the blood
stream

Q15: Albumin


A: Most common blood protein and carries the majority of protein-bound drug molecule


Q16: Metabolism (aka biotransformation)


A: Breaks down a drug, like a coffee filter for PO medications and sends it out to your body. Main site is the liver. Can
also metabolize in lungs, kidneys, blood, and intestines.

Q17: Excretion


A: Elimination of drugs from the body Main site is kidneys 90% Bowel and exocrine glands


Q18: Half life


A: The time required for one-half (50%) of a given drug to be removed from the body Can do labs to determine how
much is left in the body (ex lithium or digoxin) Pts with renal failure have a hard time excreting medication. Helps
determine how much to give a pt.

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