week 1 nurs 180
The nurse knows the importance of administering the right medication to the patient and that
drugs have many names. It is therefore most important that drugs be ordered by which
name? - ANS-Generic
\1. Drugs may elicit different responses depending on individual client factors. List these
factors? - ANS-•Age
•Sex
•Body mass
•Health status
•Genetics
\10. How does a laboratory become an FDA laboratory? - ANS-
\11. Describe clinical investigation? - ANS-•Takes place in three different stages termed
clinical phase trials
•Longest part of approval process
•Evaluates human benefits
•Tests on healthy humans first, then on those with the target ailment
\12. Define controlled substances? - ANS-•Are restricted by the Controlled Substances Act
of 1970
•Are frequently abused
•Have a high potential for addiction or dependence
•Have restricted use
•Are placed into one of five schedules
•Drugs that have a high potential for addiction are considered controlled substances.
\13. What are scheduled 2 medications? - ANS-•May be dispersed only in cases where
therapeutic value has been determined
•Drugs, substances, or chemicals defined as drugs with a high potential for abuse, with use
potentially leading to severe psychological or physical dependence. These drugs are also
considered dangerous.
•Dilaudid, methadone, meperidine, morphine, fentanyl (cocaine also schedule II),Ritalin...
\14. What is the preclinical investigation for medication testing? - ANS-•Involves laboratory
research
•Tests done on cells and animals
•Determines drug-dose range
•Examines adverse effects
•Results considered inconclusive
Median Lethal dose (L50)
\15. List the names of drugs that have the highest potential for addiction? - ANS-Controlled
substances are drugs
Heroin
lysergic acid diethylamide
marijauna
peyote
methaqualone
3,4-methylphenidate (ecstasy)
, \16. Describe physical dependence to medication? - ANS-•The presence of physical
withdrawal symptoms (muscle tremors) is seen when a person is physically dependent on a
drug and the drug is removed.
\17. List the 5 rights of medication administration? - ANS-•Right patient
•Right medication
•Right dose
•Right route of administration
•Right time of delivery
\18. What are the important points to medication administration that ensure patient safety? -
ANS-Verify orders before drug administration.
Know how to prepare and administer drug safely
•Before drug is administered, the nurse must know all variables of the patient's condition.
•Be prepared to recognize and react to adverse effects
\19. What does the nurse do if the wrong medication is ordered for N/G tube administration?
- ANS-•If a medication error does occur the nurse must first assess the patient, then report
error to the physician and lastly document the error in an incident report.
\2. Physician has prescribed a brand name drug for the client. The client tells the nurse that
the medication is too expensive. What is the best plan by the nurse? - ANS-have the dr
prescribe the generic version
\20. How many mls are in 2 tsps.? - ANS-10ml
\21. What are the effects of medication on patients that are malnourished? - ANS-may alter
pharmacokinetic processes and drug responses, resulting in toxicity.
\22. 1 tsp = how many mls? - ANS-5
\23. Why are medications with the highest therapeutic index the safest medications? -
ANS-there is a large therapeutic window between the effective concentration and the toxic
concentration of a medication, so the drug is relatively safe.
\24. What labs are important to assess for medication administration to older patients? -
ANS-Kidney and liver function tests
\25. What action does the nurse take when administering a medication in the morning that
should be administered at night? - ANS-Notify PCP right away
\27. What organ is responsible for biotransformation of a drug? - ANS-Liver
\28. What action occurs with the initial transformation of a drug? - ANS-metabolism
\29. Describe the pharmacological classification of a drug? - ANS-•Based on the drug's
mechanism of action, or how the drug produces its effect
•At molecular, tissue, or body-system level
•More specific than therapeutic classification
•Diuretic, Vasodilator
\3. The nurse is teaching a class for clients about over-the-counter (OTC) medications. How
does the nurse determine that education has been effective? - ANS-Read all labels carefully
and call physician if there is any questions
Advantages:
•No health care provider appointment required
•Often less expensive than prescription drugs
•Patients may treat themselves safely if they carefully follow directions on the label and call
MD if instructions are not clear.
Disadvantages:
•Patient may choose wrong drug.
The nurse knows the importance of administering the right medication to the patient and that
drugs have many names. It is therefore most important that drugs be ordered by which
name? - ANS-Generic
\1. Drugs may elicit different responses depending on individual client factors. List these
factors? - ANS-•Age
•Sex
•Body mass
•Health status
•Genetics
\10. How does a laboratory become an FDA laboratory? - ANS-
\11. Describe clinical investigation? - ANS-•Takes place in three different stages termed
clinical phase trials
•Longest part of approval process
•Evaluates human benefits
•Tests on healthy humans first, then on those with the target ailment
\12. Define controlled substances? - ANS-•Are restricted by the Controlled Substances Act
of 1970
•Are frequently abused
•Have a high potential for addiction or dependence
•Have restricted use
•Are placed into one of five schedules
•Drugs that have a high potential for addiction are considered controlled substances.
\13. What are scheduled 2 medications? - ANS-•May be dispersed only in cases where
therapeutic value has been determined
•Drugs, substances, or chemicals defined as drugs with a high potential for abuse, with use
potentially leading to severe psychological or physical dependence. These drugs are also
considered dangerous.
•Dilaudid, methadone, meperidine, morphine, fentanyl (cocaine also schedule II),Ritalin...
\14. What is the preclinical investigation for medication testing? - ANS-•Involves laboratory
research
•Tests done on cells and animals
•Determines drug-dose range
•Examines adverse effects
•Results considered inconclusive
Median Lethal dose (L50)
\15. List the names of drugs that have the highest potential for addiction? - ANS-Controlled
substances are drugs
Heroin
lysergic acid diethylamide
marijauna
peyote
methaqualone
3,4-methylphenidate (ecstasy)
, \16. Describe physical dependence to medication? - ANS-•The presence of physical
withdrawal symptoms (muscle tremors) is seen when a person is physically dependent on a
drug and the drug is removed.
\17. List the 5 rights of medication administration? - ANS-•Right patient
•Right medication
•Right dose
•Right route of administration
•Right time of delivery
\18. What are the important points to medication administration that ensure patient safety? -
ANS-Verify orders before drug administration.
Know how to prepare and administer drug safely
•Before drug is administered, the nurse must know all variables of the patient's condition.
•Be prepared to recognize and react to adverse effects
\19. What does the nurse do if the wrong medication is ordered for N/G tube administration?
- ANS-•If a medication error does occur the nurse must first assess the patient, then report
error to the physician and lastly document the error in an incident report.
\2. Physician has prescribed a brand name drug for the client. The client tells the nurse that
the medication is too expensive. What is the best plan by the nurse? - ANS-have the dr
prescribe the generic version
\20. How many mls are in 2 tsps.? - ANS-10ml
\21. What are the effects of medication on patients that are malnourished? - ANS-may alter
pharmacokinetic processes and drug responses, resulting in toxicity.
\22. 1 tsp = how many mls? - ANS-5
\23. Why are medications with the highest therapeutic index the safest medications? -
ANS-there is a large therapeutic window between the effective concentration and the toxic
concentration of a medication, so the drug is relatively safe.
\24. What labs are important to assess for medication administration to older patients? -
ANS-Kidney and liver function tests
\25. What action does the nurse take when administering a medication in the morning that
should be administered at night? - ANS-Notify PCP right away
\27. What organ is responsible for biotransformation of a drug? - ANS-Liver
\28. What action occurs with the initial transformation of a drug? - ANS-metabolism
\29. Describe the pharmacological classification of a drug? - ANS-•Based on the drug's
mechanism of action, or how the drug produces its effect
•At molecular, tissue, or body-system level
•More specific than therapeutic classification
•Diuretic, Vasodilator
\3. The nurse is teaching a class for clients about over-the-counter (OTC) medications. How
does the nurse determine that education has been effective? - ANS-Read all labels carefully
and call physician if there is any questions
Advantages:
•No health care provider appointment required
•Often less expensive than prescription drugs
•Patients may treat themselves safely if they carefully follow directions on the label and call
MD if instructions are not clear.
Disadvantages:
•Patient may choose wrong drug.
