Nurs 115 Intro To Pharmacology Exam 1
With Complete Solutions
Nurses responsibility in drug therapy - ANSWER Assessment-
allergies,vitals, labs
Administration- 6 rights: right pt, right doest, right time, right route, right
documentstion.
Evaluation- monitor for therapeutic effects/adverse effects
Education- teach purpose, doseage, timing, side effects
Documentstion- accurate MAR, report errors question unsafe orders
Pharmacokinetics ADME - ANSWER Absorption: movement into the
bloodstream (affected by route)
Distribution: transport to tissue (poor circulation - dehydration)
Metabolism: liver breakdown(liver disease = high drug levels)
Excretion: removal mainly by kidney (renal impairment = low clearance)
Pharmacodynamics - ANSWER How drugs affect target cells/tissues
Onset: affects timing of administration
Therapeutic index: narrow index monitor closely (digoxin)
Agonist/antagonist effects
Patient variables; age, weight, cormobidities, tolerances, and genetics
safe medication practices - ANSWER Storage: label clearly, refrigerate if
needed, away from light
Expiration: check before every use
Compatibility: IV med compatibility check Y-site
Disposal: sharps container, no flushing, follow DEA/nursing policy
Controlled substance: double lock, double nurse count, log entries
reporting controlled medication discrepancies - ANSWER Notify charge
nurse or supervisor
Recount with another nurse
, Document incident and complete required form
Never ignore or try to fix discrepancies alone
medication reconciliation - 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
Transcribing a prescription - ANSWER Clients full name
Date/time
Drug name
Dosage
Route
frequency
Prescriber signature
Any specific instruction (PRN)
Assessment for a client receiving medication - 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
When is a verbal order ok to use? - ANSWER In emergency situations only
Pre administration considerations - ANSWER Assess 6 rights of medication
administration
Check drug info against client history
Review environment (quiet, well lit, safe)
Check for interactions allergies, food restrictions
Confirm client readiness and ability to receive medicine (NPO status)
Nursing process to avoid medication errors ADPIE - ANSWER Assess:
labs, vitals, allergies, patient status
Diagnose: knowledge deficits noncompliance risks
Plan: reviewing teaching safety precautions
Implementation: 6 rights side effects patient understanding
Evaluate: response side effects patient understanding
With Complete Solutions
Nurses responsibility in drug therapy - ANSWER Assessment-
allergies,vitals, labs
Administration- 6 rights: right pt, right doest, right time, right route, right
documentstion.
Evaluation- monitor for therapeutic effects/adverse effects
Education- teach purpose, doseage, timing, side effects
Documentstion- accurate MAR, report errors question unsafe orders
Pharmacokinetics ADME - ANSWER Absorption: movement into the
bloodstream (affected by route)
Distribution: transport to tissue (poor circulation - dehydration)
Metabolism: liver breakdown(liver disease = high drug levels)
Excretion: removal mainly by kidney (renal impairment = low clearance)
Pharmacodynamics - ANSWER How drugs affect target cells/tissues
Onset: affects timing of administration
Therapeutic index: narrow index monitor closely (digoxin)
Agonist/antagonist effects
Patient variables; age, weight, cormobidities, tolerances, and genetics
safe medication practices - ANSWER Storage: label clearly, refrigerate if
needed, away from light
Expiration: check before every use
Compatibility: IV med compatibility check Y-site
Disposal: sharps container, no flushing, follow DEA/nursing policy
Controlled substance: double lock, double nurse count, log entries
reporting controlled medication discrepancies - ANSWER Notify charge
nurse or supervisor
Recount with another nurse
, Document incident and complete required form
Never ignore or try to fix discrepancies alone
medication reconciliation - 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
Transcribing a prescription - ANSWER Clients full name
Date/time
Drug name
Dosage
Route
frequency
Prescriber signature
Any specific instruction (PRN)
Assessment for a client receiving medication - 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
When is a verbal order ok to use? - ANSWER In emergency situations only
Pre administration considerations - ANSWER Assess 6 rights of medication
administration
Check drug info against client history
Review environment (quiet, well lit, safe)
Check for interactions allergies, food restrictions
Confirm client readiness and ability to receive medicine (NPO status)
Nursing process to avoid medication errors ADPIE - ANSWER Assess:
labs, vitals, allergies, patient status
Diagnose: knowledge deficits noncompliance risks
Plan: reviewing teaching safety precautions
Implementation: 6 rights side effects patient understanding
Evaluate: response side effects patient understanding
