NUR 378 Exam Questions with Verified
Correct Answers
Nine Rights of Medication Administration (prevents medication errors)
1) Right drug
2) Right dose
3) Right time
4) Right route/form
5) Right patient
6) Right documentation
7) Right reason (indication)
8) Right response
9) Right of patient to refuse
narcotic
A legal term established under the Harrison Narcotic Act of 1914. The term is currently used
in clinical settings to refer to any medically administered controlled substance and in legal
settings to refer to any illicit or "street" drug; also referred to as opioid.
Assessment (nursing process)
initial assessment phase of the nursing process, data are collected, reviewed, and analyzed
from patient, family, group, and/or community sources.
Human needs statement (nursing process)
Human need statements are subsequently developed by professional nurses and are used as a
means of communicating and sharing information about the patient and the patient
experience.
,Planning (nursing process)
planning phase begins/ setting goals
setting goals and outcomes and determining interventions.
Implementation (nursing process)
preceding phases/ Education process
The nurse carries out the interventions outlined in the care plan. This is where the actual
"hands-on" nursing care is provided.
Evaluation (nursing process)
occurs after the nursing care plan has been implemented but also needs to occur at each phase
of the nursing process.
how effective the interventions were in achieving the desired outcomes. The nurse may need
to modify the care plan if goals were not met. Evaluation sets the stage for the next round of
the nursing process.
Nursing Process
Assessment
Human needs statements
Planning
Implementation
Evaluation
,prescription or medication order (from any prescriber) must be checked for the
following seven elements:
(1) patient's name
(2) date the drug order was written
(3) name of drug(s)
(4) drug dosage amount
(5) drug dosage frequency
(6) route of administration
(7) prescriber's signature.
adherence
implying more collaboration and active role between patients and their providers
Adverse Drug Events
Augmented: Severity of the reaction increases with increasing dose.
Bizarre: Occur through unknown mechanisms, not related to dose.
Chronic: Occur with prolonged use of drug, related to both dose and time.
Delayed: Occur a period of time after drug use, related to time rather than dose.
End of use: Occur after stopping the drug following prolonged use. (Withdrawal)
Failure: Drug is ineffective for the condition being treated.
, Idiosyncratic Effect: Unpredictable reactions in susceptible individuals, not dose-related.
Paradoxical Effect: Effects opposite of the expected therapeutic effect.
Latrogenic Effect: Caused by medical treatment or diagnostic procedures.
Physical Dependence: Adaptive physiological response to repeated drug use.
Carcinogenic Effect: Can cause cancer.
Tetrogenic Effect: Can cause fetal malformations.
How does a half-life impact drug dosing?
if the drugs 1/2 life is 36 hours they will only be taking it once a day. So its lasting effect in
the body determines how many times a person would take it.
compliance
Implementation or fulfillment of a prescriber's/caregiver's prescribed course of treatment or
therapeutic plan by a patient. Use of compliance versus the term adherence acknowledges the
consideration/acceptance of patient/family/caregiver participation in the use of the nursing
process.
medication errors (opposite from rights of administering meds)
misinterpretation of the prescriber's orders, avoid abbreviations.
Medication errors include giving a drug to the wrong patient
Correct Answers
Nine Rights of Medication Administration (prevents medication errors)
1) Right drug
2) Right dose
3) Right time
4) Right route/form
5) Right patient
6) Right documentation
7) Right reason (indication)
8) Right response
9) Right of patient to refuse
narcotic
A legal term established under the Harrison Narcotic Act of 1914. The term is currently used
in clinical settings to refer to any medically administered controlled substance and in legal
settings to refer to any illicit or "street" drug; also referred to as opioid.
Assessment (nursing process)
initial assessment phase of the nursing process, data are collected, reviewed, and analyzed
from patient, family, group, and/or community sources.
Human needs statement (nursing process)
Human need statements are subsequently developed by professional nurses and are used as a
means of communicating and sharing information about the patient and the patient
experience.
,Planning (nursing process)
planning phase begins/ setting goals
setting goals and outcomes and determining interventions.
Implementation (nursing process)
preceding phases/ Education process
The nurse carries out the interventions outlined in the care plan. This is where the actual
"hands-on" nursing care is provided.
Evaluation (nursing process)
occurs after the nursing care plan has been implemented but also needs to occur at each phase
of the nursing process.
how effective the interventions were in achieving the desired outcomes. The nurse may need
to modify the care plan if goals were not met. Evaluation sets the stage for the next round of
the nursing process.
Nursing Process
Assessment
Human needs statements
Planning
Implementation
Evaluation
,prescription or medication order (from any prescriber) must be checked for the
following seven elements:
(1) patient's name
(2) date the drug order was written
(3) name of drug(s)
(4) drug dosage amount
(5) drug dosage frequency
(6) route of administration
(7) prescriber's signature.
adherence
implying more collaboration and active role between patients and their providers
Adverse Drug Events
Augmented: Severity of the reaction increases with increasing dose.
Bizarre: Occur through unknown mechanisms, not related to dose.
Chronic: Occur with prolonged use of drug, related to both dose and time.
Delayed: Occur a period of time after drug use, related to time rather than dose.
End of use: Occur after stopping the drug following prolonged use. (Withdrawal)
Failure: Drug is ineffective for the condition being treated.
, Idiosyncratic Effect: Unpredictable reactions in susceptible individuals, not dose-related.
Paradoxical Effect: Effects opposite of the expected therapeutic effect.
Latrogenic Effect: Caused by medical treatment or diagnostic procedures.
Physical Dependence: Adaptive physiological response to repeated drug use.
Carcinogenic Effect: Can cause cancer.
Tetrogenic Effect: Can cause fetal malformations.
How does a half-life impact drug dosing?
if the drugs 1/2 life is 36 hours they will only be taking it once a day. So its lasting effect in
the body determines how many times a person would take it.
compliance
Implementation or fulfillment of a prescriber's/caregiver's prescribed course of treatment or
therapeutic plan by a patient. Use of compliance versus the term adherence acknowledges the
consideration/acceptance of patient/family/caregiver participation in the use of the nursing
process.
medication errors (opposite from rights of administering meds)
misinterpretation of the prescriber's orders, avoid abbreviations.
Medication errors include giving a drug to the wrong patient
