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N352 Exam 1 Questions and Answers 100% Accuracy | 2025/2026.

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N352 Exam 1 Questions and Answers 100% Accuracy | 2025/2026.

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N352 Exam 1 Questions and Answers
100% Accuracy | 2025/2026.
Drug

any chemical that can affect living processes

Pharmacology

the study of drugs and their interactions with living systems

Clinical pharmacology

the study of drugs in humans

Pharmacotherapeutics

the use of drugs to diagnose, prevent, or treat disease or to prevent pregnancy
-the medical use of drugs

3 most important characteristics of a drug

1. effectiveness
2.safety
3.selectivity

Other properties

-Reversible action
-predictability
-ease of administration
-freedom from drug interactions
-low cost
-chemical stability (can we store it?)
-possession of a simple generic name

factors that determine the intensity of drug responses

-administration
-pharmacokinetics
-pharmacodynamics
-sources of individual variation (characteristics unique to each patient)

Pharmacokinetics prossess

1. drug absorption
2.drug distribution
3.drug metabolism
4.drug excretion

Pharmacokinetics process

determines how much of an administered dose gets to its sites of action

,Pharmacodynamics proccess

determines the nature and intensity of the response
-impact of drugs on the body

Pharmacologic classification

describes how the drug acts

Therapeutic classification

describes what is being treated by the drug

Rights of Drug Administration

1. right drug
2.right patient
3.right dose
4. right route
5. right time
-right assessment
-right documentation
-right evaluation
-education
-patients right of refusal

The preadministration assessment

is to gather data needed for
1. evaluation of therapeutic and adverse effects
2. identification of high-risk patients
3. assessment of the patient's capacity for self-care

The analysis and diagnosis phase

1. judging the appropriateness of the prescribed therapy
2. identifying potential health problems treatment might cause
3. characterizing the patient's capacity for self-care

Planning

1. defining goals
2. establishing priorities
3. establishing criteria for evaluating success

Evaluation

1. therapeutic responses
2.adverse reactions and interactions
3. patient adherence
4. patient satisfaction with treatment

Nursing Care

,-Pre-administration Assessment
-Dosage & Administration route
-Evaluating & Promoting Therapeutic Effects- is what you want to happen, happening
-Minimizing Adverse Effects
-Minimizing Adverse Interactions- does it interact with other drugs or food that they eat?
-Making PRN decisions- this is happening less because of the strict guidelines
-Managing toxicity- they can become toxic so be aware of this

Prototype Drug

a drug to which all other drugs in the class are compared

The Food and Drug Administration (FDA)

reviews and regulates drugs for safety and efficacy

Chemical name

Describes chemical makeup
-N-acetyl-para-aminophenol

Generic Name

Less complex than chemical name
-only one is assigned per drug
-preferred names for nurses to use
-Acetaminophen

Trade name

-proprietary or brand names
-may be more than
-may have different active ingredients
-tylenol

OTC (over the counter)

the same trade name may be used for more than one drug

Pharmacokinetics

is how the body changes the drug

Pharmacodynamics

is how the drugs change the body

Absorption

involves movement of drug from site of administration to the blood stream
-differs with route of administration

Rate of absorption

determines how soon effects will begin

Amount of Absorption

, helps determine how intense effects will be

Factors that affect drug absorption

-rate of dissolution
-surface area
-blood flow
-lipid solubility
-pH partitioning

Routes of Administration

enteral (via the gut)
parenteral (by injection)

Intravenous (IV)
-parenteral

Barriers to Absorption-none (absorption is bypassed)

Absorption Pattern-instantaneous

Advantages-rapid onset, and hence ideal for emergencies
-precise control over drug levels
-permits use of irritant drugs

Disadvantages- irreversible
-expensive
-inconvenient
-difficult to do
-risk of fluid overload

Intramuscular (IM)
-parenteal

Barriers to Absorption-capillary wall (easy to pass)

Absorption Pattern-rapid with water-soluble drugs and slow with poorly soluble drugs

Advantages- permits use of depot preparations
-permits use of poorly soluble drugs

Disadvantages- drug must be water soluble
-possible discomfort
-inconvenient
-potential for injury

Subcutaneous (subQ)
-parenteral

same as IM

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