NURS 5115 Final Exam With
Complete Solution
What is included in the subjective assessment for med administration? -
ANSWER -PMH and past surgeries
-med history
-at home meds
-allergies (& reaction)
-current condition/age
-diet
What is included in the objective assessment for med administration? -
ANSWER -mental status assessment
-fine motor skills
-swallowing ability
-vital signs
-other meds
-labs (renal and liver function)
-med levels in blood
What is SGOT? - ANSWER serum glutamaic oxoloacete transaminase -
enzyme indicative of either liver or heart damage
,What should be known about a med before administering? - ANSWER
-generic and brand name
-classification/action
-expected therapeutic effect
-side effects
-adverse reactions
-allergic reactions
-route
-dosage
predictable often unavoidable secondary effect produced at usual
therapeutic dose - ANSWER side effect
What are common side effects? - ANSWER nausea, emesis, diarrhea
unintended, undesirable, and often unpredictable drug effects that can be
mild or severe - ANSWER adverse reaction
What does the route of med administration affect? - ANSWER absorption
What is the dosage of a med based on? - ANSWER age, body weight, and
current condition of patient
time interval between when medication is given and the first sign of its effect
- ANSWER onset
time it takes for medication to reach its highest effective concentration -
ANSWER peak action
,time period from onset of action to time when a response is no longer seen -
ANSWER duration of action
blood serum concentration reached and maintained after repeated fixed
doses - ANSWER plateau
range of plasma concentration that produces the desired drug effect without
toxicity - ANSWER therapeutic range
highest serum concentration level - ANSWER peak
lowest serum concentration level - ANSWER trough
When should blood level be drawn to get trough level? - ANSWER
immediately before next dose
What is included in a complete medication order? - ANSWER -patient's full
name
-date and time order was written
-medication name
-dosage
-route of administration
-time/frequency of administration
-signature of prescriber
AC= - ANSWER before meals
PC= - ANSWER after meals
What else should be included in a medication order if it is ordered prn? -
, ANSWER reason for administration
What should always be charted after giving prn medication? - ANSWER
effectiveness (must do follow up assessment)
What medications must ALWAYS be verified by two nurses? - ANSWER
insulin, digoxin, and heparin
How many times should the label on a medication that is being administered
be read? - ANSWER 3 times
A medication should not be used if its label is... - ANSWER illegible
Which nurse is at fault if a medication error occurs? - ANSWER the nurse who
administers the medication - only administer medications that YOU prepare
Where should medications be kept after they are prepared? - ANSWER in
sight or locked away
How should medications be mixed with food/drink? - ANSWER in the
smallest amount possible
Which medications cannot be crushed? - ANSWER extended release, timed
release, sustained release, or controlled release
Medication bottles are __________, but medications themselves are considered
___________ - ANSWER clean; sterile
How do we maintain aseptic technique in regards to medications? - ANSWER
-do not touch med with hands
-discard if med falls on floor
-do not talk over meds
Complete Solution
What is included in the subjective assessment for med administration? -
ANSWER -PMH and past surgeries
-med history
-at home meds
-allergies (& reaction)
-current condition/age
-diet
What is included in the objective assessment for med administration? -
ANSWER -mental status assessment
-fine motor skills
-swallowing ability
-vital signs
-other meds
-labs (renal and liver function)
-med levels in blood
What is SGOT? - ANSWER serum glutamaic oxoloacete transaminase -
enzyme indicative of either liver or heart damage
,What should be known about a med before administering? - ANSWER
-generic and brand name
-classification/action
-expected therapeutic effect
-side effects
-adverse reactions
-allergic reactions
-route
-dosage
predictable often unavoidable secondary effect produced at usual
therapeutic dose - ANSWER side effect
What are common side effects? - ANSWER nausea, emesis, diarrhea
unintended, undesirable, and often unpredictable drug effects that can be
mild or severe - ANSWER adverse reaction
What does the route of med administration affect? - ANSWER absorption
What is the dosage of a med based on? - ANSWER age, body weight, and
current condition of patient
time interval between when medication is given and the first sign of its effect
- ANSWER onset
time it takes for medication to reach its highest effective concentration -
ANSWER peak action
,time period from onset of action to time when a response is no longer seen -
ANSWER duration of action
blood serum concentration reached and maintained after repeated fixed
doses - ANSWER plateau
range of plasma concentration that produces the desired drug effect without
toxicity - ANSWER therapeutic range
highest serum concentration level - ANSWER peak
lowest serum concentration level - ANSWER trough
When should blood level be drawn to get trough level? - ANSWER
immediately before next dose
What is included in a complete medication order? - ANSWER -patient's full
name
-date and time order was written
-medication name
-dosage
-route of administration
-time/frequency of administration
-signature of prescriber
AC= - ANSWER before meals
PC= - ANSWER after meals
What else should be included in a medication order if it is ordered prn? -
, ANSWER reason for administration
What should always be charted after giving prn medication? - ANSWER
effectiveness (must do follow up assessment)
What medications must ALWAYS be verified by two nurses? - ANSWER
insulin, digoxin, and heparin
How many times should the label on a medication that is being administered
be read? - ANSWER 3 times
A medication should not be used if its label is... - ANSWER illegible
Which nurse is at fault if a medication error occurs? - ANSWER the nurse who
administers the medication - only administer medications that YOU prepare
Where should medications be kept after they are prepared? - ANSWER in
sight or locked away
How should medications be mixed with food/drink? - ANSWER in the
smallest amount possible
Which medications cannot be crushed? - ANSWER extended release, timed
release, sustained release, or controlled release
Medication bottles are __________, but medications themselves are considered
___________ - ANSWER clean; sterile
How do we maintain aseptic technique in regards to medications? - ANSWER
-do not touch med with hands
-discard if med falls on floor
-do not talk over meds
