NUR 334 Exam 1 B
What is the nurses role in medication administration? - answer administering meds
safely using the 6 rights of medication administration
What are the 6 rights of med admin? - answer Right Medication, Dose, Time, Route,
Patient, and Documentation.
what are the 4 additional rights of med admin? - answer right assessment, right to
refuse, right evaluation, and right education
What are the most common complementary/alternative medications? - answerst. john's
wart for depression
valerian root for insomnia
ginger for nausea
What does it mean when a medication is used off label? - answerit is used to treat an
illness other than that it was intended for, but is still effective
what is the off label use for metformin? - answerpolycystic ovarian syndrome
what is the off label use for diphenhydramine? - answersleep aid
What is the difference between a generic name and a trade name? - answer- The drug
trade name is sometimes called the proprietary name, suggesting ownership.
- a generic name does not have to contain the same inactive ingredients, but it does
have the same active ingredient and has the same effect when taken the same way
what is the first pass effect? - answerThe metabolism of a drug and its passage from
the liver into the circulation which results in the med being not nearly as strong as if the
same dose were to be administered through a parenteral route
What are the categories of teratogenic drugs? - answer- A: safest category of drugs,
have shown to pose no threat to a fetus during the first trimester of pregnancy
- B: either no human studies have been conducted yet but animal studies show no risk
OR human studies show no risk but animal studies show risk
- C: no studies have been conducted on the safety OR animal studies indicate possible
risk but no human studies have been done
- D: benefits of these drugs to mothers may outweigh the risks, there is evidence that
they may harm a fetus; ONLY PRESCRIBED IF NO OTHER OPTION AND MOTHER'S
LIFE IS AT STAKE
- X: shown in both human and animal studies to pose a serious risk to a fetus, or there
is data from actual pregnancies that indicate this risk
, What is the difference between pharmacokinetics and pharmacodynamics? - answer-
kinetics = what the body does to the drug
- dynamics = what a drug does to the body
what does the term bioavailability mean? - answerphysiological ability of the drug to
reach its target cells and produce its effect
What is the difference between a drug allergy and a drug intolerance? - answer- allergy
= life- threatening (includes mild systemic reactions that can indicate a larger reaction
developing with further exposure)
- intolerance = uncomfortable but not life threatening reaction (severe n/v/d)
what is the difference between potency and efficacy? - answer- potency: the amount of
drug needed to reach 50% of the maximum effect
- efficacy: the ability of a drug to produce the max effect
What are nursing interventions for adverse drug reactions? - answerstop administering
the drug, assess the patient, inform the provider of the adverse reaction, administer
antidote, continue to monitor the patient for signs of danger
What are some ways we can treat inflammation? - answernon-opioid analgesics
(aspirin, ibuprofen, naproxen, toradol, diclofenac, indomethacin) and adjuvant
analgesics (used in combo with pain med: antihistamines, NSAIDs), corticosteroids
what is the onset, peak, and duration of a drug? - answer- onset: how soon after
administration the drug begins to take effect
- peak: how long after administration the drug reaches its highest efficacy
- duration: how long after administration does the drug continue to work in the body
what happens when MU receptors are activated? - answeranalgesia, dependance,
decreased RR, euphoria, and sedation; activated by opioids
What happens when KAPPA receptors are activated? - answerdecreased GI motility,
sedation, analgesia; activated by opioids
What happens when alpha receptors are activated? - answerVasoconstriction and
increase blood pressure; activated by epinephrine and norepinephrine
What happens when nicotinic receptors are activated? - answerfeelings of rewards and
happiness;
activated by nicotine
What does ADME stand for in pharmacokinetics? - answerA-absorption
D-distribution
M-metabolism
E-excretion
What is the nurses role in medication administration? - answer administering meds
safely using the 6 rights of medication administration
What are the 6 rights of med admin? - answer Right Medication, Dose, Time, Route,
Patient, and Documentation.
what are the 4 additional rights of med admin? - answer right assessment, right to
refuse, right evaluation, and right education
What are the most common complementary/alternative medications? - answerst. john's
wart for depression
valerian root for insomnia
ginger for nausea
What does it mean when a medication is used off label? - answerit is used to treat an
illness other than that it was intended for, but is still effective
what is the off label use for metformin? - answerpolycystic ovarian syndrome
what is the off label use for diphenhydramine? - answersleep aid
What is the difference between a generic name and a trade name? - answer- The drug
trade name is sometimes called the proprietary name, suggesting ownership.
- a generic name does not have to contain the same inactive ingredients, but it does
have the same active ingredient and has the same effect when taken the same way
what is the first pass effect? - answerThe metabolism of a drug and its passage from
the liver into the circulation which results in the med being not nearly as strong as if the
same dose were to be administered through a parenteral route
What are the categories of teratogenic drugs? - answer- A: safest category of drugs,
have shown to pose no threat to a fetus during the first trimester of pregnancy
- B: either no human studies have been conducted yet but animal studies show no risk
OR human studies show no risk but animal studies show risk
- C: no studies have been conducted on the safety OR animal studies indicate possible
risk but no human studies have been done
- D: benefits of these drugs to mothers may outweigh the risks, there is evidence that
they may harm a fetus; ONLY PRESCRIBED IF NO OTHER OPTION AND MOTHER'S
LIFE IS AT STAKE
- X: shown in both human and animal studies to pose a serious risk to a fetus, or there
is data from actual pregnancies that indicate this risk
, What is the difference between pharmacokinetics and pharmacodynamics? - answer-
kinetics = what the body does to the drug
- dynamics = what a drug does to the body
what does the term bioavailability mean? - answerphysiological ability of the drug to
reach its target cells and produce its effect
What is the difference between a drug allergy and a drug intolerance? - answer- allergy
= life- threatening (includes mild systemic reactions that can indicate a larger reaction
developing with further exposure)
- intolerance = uncomfortable but not life threatening reaction (severe n/v/d)
what is the difference between potency and efficacy? - answer- potency: the amount of
drug needed to reach 50% of the maximum effect
- efficacy: the ability of a drug to produce the max effect
What are nursing interventions for adverse drug reactions? - answerstop administering
the drug, assess the patient, inform the provider of the adverse reaction, administer
antidote, continue to monitor the patient for signs of danger
What are some ways we can treat inflammation? - answernon-opioid analgesics
(aspirin, ibuprofen, naproxen, toradol, diclofenac, indomethacin) and adjuvant
analgesics (used in combo with pain med: antihistamines, NSAIDs), corticosteroids
what is the onset, peak, and duration of a drug? - answer- onset: how soon after
administration the drug begins to take effect
- peak: how long after administration the drug reaches its highest efficacy
- duration: how long after administration does the drug continue to work in the body
what happens when MU receptors are activated? - answeranalgesia, dependance,
decreased RR, euphoria, and sedation; activated by opioids
What happens when KAPPA receptors are activated? - answerdecreased GI motility,
sedation, analgesia; activated by opioids
What happens when alpha receptors are activated? - answerVasoconstriction and
increase blood pressure; activated by epinephrine and norepinephrine
What happens when nicotinic receptors are activated? - answerfeelings of rewards and
happiness;
activated by nicotine
What does ADME stand for in pharmacokinetics? - answerA-absorption
D-distribution
M-metabolism
E-excretion
