NURS 115 INTRO TO PHARMACOLOGY EXAM 1
QUESTIONS WITH ACCURATE ANSWERS
Allergic response physical and emotional
How would you respond? correct answer Physical: rash itching
Wheezing dyspnea anaphylaxis
Emotional: fear anxiety about future medications loss of trust in providers
avoidance of necessary treatments
How to respond explain that you understand it's a very scary situation then
explain step by step what you'll do
Assessment for a client receiving medication correct answer vital signs,
allergies,contraindication
Labs: renal/liver function drug levels
Physical assessment: ability to swallow GI status
Cognitive ability: cultural considerations patient understanding Gand adherence
Define adverse medication reaction correct answer Unexpected harmful and
unintended response to a medication given at a normal dose
*may require discontinuation supportive care intervention ranges from mild to
severe
Effective teaching plan elements correct answer Assess readiness to learn
cognitive level health literacy
Use simple language visual aids
Allow return demonstration or teach back
, Provide written instructions in patients language
Involve family support if appropriate
Reinforce overtime not all at once
Factors affecting drug response correct answer Age
Weight
Genetics
Tolerance
IV consideration for special populations correct answer Elder: fragile veins slower
metabolism
Pediatrics: smaller veins dosage by weight
Renal failure/ fluid overload risk
Liver failure: drug accumulation risk
IV therapy Pros and Cons correct answer PROs: rapid action good for no
unconscious client
Immediate control
CONS: phlebitis, infiltration fluid volume excess
medication reconciliation correct answer Compare home medication with current
orders during transitions
Used at admission, transfer, discharge.
Ensure accuracy avoid omissions duplications interactions
Involve pt/family especially for otcs and supplements
QUESTIONS WITH ACCURATE ANSWERS
Allergic response physical and emotional
How would you respond? correct answer Physical: rash itching
Wheezing dyspnea anaphylaxis
Emotional: fear anxiety about future medications loss of trust in providers
avoidance of necessary treatments
How to respond explain that you understand it's a very scary situation then
explain step by step what you'll do
Assessment for a client receiving medication correct answer vital signs,
allergies,contraindication
Labs: renal/liver function drug levels
Physical assessment: ability to swallow GI status
Cognitive ability: cultural considerations patient understanding Gand adherence
Define adverse medication reaction correct answer Unexpected harmful and
unintended response to a medication given at a normal dose
*may require discontinuation supportive care intervention ranges from mild to
severe
Effective teaching plan elements correct answer Assess readiness to learn
cognitive level health literacy
Use simple language visual aids
Allow return demonstration or teach back
, Provide written instructions in patients language
Involve family support if appropriate
Reinforce overtime not all at once
Factors affecting drug response correct answer Age
Weight
Genetics
Tolerance
IV consideration for special populations correct answer Elder: fragile veins slower
metabolism
Pediatrics: smaller veins dosage by weight
Renal failure/ fluid overload risk
Liver failure: drug accumulation risk
IV therapy Pros and Cons correct answer PROs: rapid action good for no
unconscious client
Immediate control
CONS: phlebitis, infiltration fluid volume excess
medication reconciliation correct answer Compare home medication with current
orders during transitions
Used at admission, transfer, discharge.
Ensure accuracy avoid omissions duplications interactions
Involve pt/family especially for otcs and supplements
