NUR 160 Quiz 1: Key Concepts Review
intramuscular injection (IM) - correct answer ✔✔the administration of medication by injection directly
into muscle tissue
half-life - correct answer ✔✔Amount of time required for 50% elimination from the body
EX: Fentanyl (short half life of 2 hrs) ; Digoxin (long half-life of 36 hrs)
onset - correct answer ✔✔When drug starts working
peak - correct answer ✔✔When drug reaches highest concentration
duration - correct answer ✔✔the length of time that drug continues or lasts (half-life)
drug level - correct answer ✔✔amount of drug present
Morphine Sulfate - correct answer ✔✔Opium poppy is one of natures way of controlling strong pain
-Opioid Analgesic
Most common drug for PCA - Maintains pain control
Route: PO (tablet/ liquid), IV, IM, Sub-Q, rectal, epidural, and intrathecal
Side effects: Lowers bp, respiratory depression, urinary retention, and constipation
Fentanyl - correct answer ✔✔Medicine used to control strong pain
-Opioid Analgesic
- Schedule II Drug
,Narcan will reverse
Route: parenteral injections, transdermal patches, and transmucosal (by mouth)
Side effects: respiratory depression
Naloxone (Narcan) - correct answer ✔✔opiate antagonist
reverses opioid induced respiratory depression
Returns pain to previous level
Side effects: raised bp, tremors, and tachycardia if too rapid of a reversal
Adverse Event (AE) - correct answer ✔✔unintended harm by act of commission or omission rather than
ass a result of disease process
Adverse event
Near miss
Sentinel event - correct answer ✔✔What are the 3 levels of errors?
Near miss - correct answer ✔✔Error of commission or omission that could have harmed a patient, but
harm did not occur as a result of chance
Sentinel event - correct answer ✔✔unexpected occurrence involving death, serious injury, or significant
risk of serious adverse outcome
, Diagnostic
Treatment
Preventive
Communication - correct answer ✔✔What are the 4 types of errors?
Diagnostic - correct answer ✔✔delay in diagnosis, failure to act on results of monitoring or testing
treatment - correct answer ✔✔poor performance of an operation, procedure, or tests
delay in treatment or in responding to abnormal test
preventive - correct answer ✔✔failure in providing prophylactic treatment, inadequate monitoring or
follow-up treatment
Communication - correct answer ✔✔lack of communication or lack of clarity in communication
Quality and Safety Education for Nurses - correct answer ✔✔What do the letters represent in QSEN?
QSEN (Quality and Safety Education for Nurses) - correct answer ✔✔a project for preparing future
nurses with the knowledge, skills, and attitudes (KSAs) necessary to continuously improve the quality
and safety of the health care systems within which they work
just culture - correct answer ✔✔culture where staff are willing to come forward with information about
errors without punishment
recognizes the need for accountability & at times disciplinary action against employees
intramuscular injection (IM) - correct answer ✔✔the administration of medication by injection directly
into muscle tissue
half-life - correct answer ✔✔Amount of time required for 50% elimination from the body
EX: Fentanyl (short half life of 2 hrs) ; Digoxin (long half-life of 36 hrs)
onset - correct answer ✔✔When drug starts working
peak - correct answer ✔✔When drug reaches highest concentration
duration - correct answer ✔✔the length of time that drug continues or lasts (half-life)
drug level - correct answer ✔✔amount of drug present
Morphine Sulfate - correct answer ✔✔Opium poppy is one of natures way of controlling strong pain
-Opioid Analgesic
Most common drug for PCA - Maintains pain control
Route: PO (tablet/ liquid), IV, IM, Sub-Q, rectal, epidural, and intrathecal
Side effects: Lowers bp, respiratory depression, urinary retention, and constipation
Fentanyl - correct answer ✔✔Medicine used to control strong pain
-Opioid Analgesic
- Schedule II Drug
,Narcan will reverse
Route: parenteral injections, transdermal patches, and transmucosal (by mouth)
Side effects: respiratory depression
Naloxone (Narcan) - correct answer ✔✔opiate antagonist
reverses opioid induced respiratory depression
Returns pain to previous level
Side effects: raised bp, tremors, and tachycardia if too rapid of a reversal
Adverse Event (AE) - correct answer ✔✔unintended harm by act of commission or omission rather than
ass a result of disease process
Adverse event
Near miss
Sentinel event - correct answer ✔✔What are the 3 levels of errors?
Near miss - correct answer ✔✔Error of commission or omission that could have harmed a patient, but
harm did not occur as a result of chance
Sentinel event - correct answer ✔✔unexpected occurrence involving death, serious injury, or significant
risk of serious adverse outcome
, Diagnostic
Treatment
Preventive
Communication - correct answer ✔✔What are the 4 types of errors?
Diagnostic - correct answer ✔✔delay in diagnosis, failure to act on results of monitoring or testing
treatment - correct answer ✔✔poor performance of an operation, procedure, or tests
delay in treatment or in responding to abnormal test
preventive - correct answer ✔✔failure in providing prophylactic treatment, inadequate monitoring or
follow-up treatment
Communication - correct answer ✔✔lack of communication or lack of clarity in communication
Quality and Safety Education for Nurses - correct answer ✔✔What do the letters represent in QSEN?
QSEN (Quality and Safety Education for Nurses) - correct answer ✔✔a project for preparing future
nurses with the knowledge, skills, and attitudes (KSAs) necessary to continuously improve the quality
and safety of the health care systems within which they work
just culture - correct answer ✔✔culture where staff are willing to come forward with information about
errors without punishment
recognizes the need for accountability & at times disciplinary action against employees
