Nurs 358 Final Exam Questions And
Answers Graded A+.
pharmacokinetics - Answer Study of how medications:
- absorbed
- distributed
- metabolized
- excretion
therapeutic effect - Answer Expected or predicted physiological response
adverse effect - Answer unintended, undesirable secondary effect
side effect - Answer predictable, unavoidable secondary effect
toxic effect - Answer accumulation of medication in the bloodstream
idiosyncratic reaction - Answer overreaction or underreaction or different reaction from
normal
allergic reaction - Answer unpredictable response to a medication
medication interactions - Answer when one medication modifies the action of another
Peak - Answer medication has most in blood stream before it starts being secreted
trough - Answer lowest in bloodstream
biological half-life - Answer amount medication once half of it is gone
plateau - Answer where medication levels out
,Routes of Administration - Answer 1. Intradermal
2. Subcutaneous
3. Intramuscular
4. Intravenous
Pharmacist - Answer who's role is it to prepare and distribute medication?
Nurse - Answer Who's role is it to:
- Determine medication order is correct
- assess patient's ability to self-administer
- determine whether patient should receive medications at given time
- administer medications correctly
- monitor effects
- include patient teaching
Nurse - Answer Who is the last safeguard before medication reaches patient
Prevent medication errors - Answer - report all medication errors
- patient safety is top priority when an error occurs
- documentation is required
- nurse is responsible for preparing written occurrence or incident report: an actual factual
description of what occurred and what was done
- nurses play an essential role in medication reconciliation
6 rights of medication - Answer 1. right medication
2. right dose
3. right patient
4. right route
5. right time
6. right documentation
,- to receive labeled medication safely
- to receive appropriate supportive therapy
- to not receive unnecessary medications
- to be informed if medications are part of a research study
Luer lok - Answer needle or hub that screws into the syringe
non-luer lok - Answer needle snaps onto the syring
tuberculin - Answer - max amount that it can hold is 1ml
- TB syringe
Insulin - Answer - comes in units
- premanufactured with syringe and needle on it
- have 50-100 unit syringes
Lovenox - Answer single dose medication syringes
Needle - Answer Thse are all parts of what?
- hub
- shaft
- bevel
up - Answer Should bevel be pointed up or down for insertion?
Disposing of needles - Answer - use puncture-and leak proof containers
- never force needles into receptacle
- never place used needles into wastbaskets, your pockets, or patient's tray or bedside
Ampule - Answer What are you preparing?
- snap off neck away from you
, Vial (single or multi dose) - Answer What are you preparing?
- if dry, use solvent or dilutent as needed
- inject air into vial
- label multidose vials after mixing
- refrigerate remaining doses if needed
90 degrees - Answer What are are intramuscular injections given at?
True - Answer True or False.
Intramuscular injections are absorbed faster than subcutaneous route
IM - Answer What injection does this align with?
Adults: 2-5ml
Children, older adults, thin patients: up to 2ml
Small children and older infants: up to 1 ml
Smaller infants: Up to 0.5ml injections
Ventrogluteal - Answer What type of IM injection is this?
- gluteus medius
- deep and away from major nerves and blood vessels
- preferred and safest site for all adults, children, and infants
- recommended for volumes greater than 2ml
- index finger, middle finger, and iliac crest form a V-shaped triangle
- injection site is center of the triangle
- place palm on greater trochanter and index finger toward the anterior superior iliac spine
Vastus Lateralis - Answer What IM injection is this?
- used for adults and children
Answers Graded A+.
pharmacokinetics - Answer Study of how medications:
- absorbed
- distributed
- metabolized
- excretion
therapeutic effect - Answer Expected or predicted physiological response
adverse effect - Answer unintended, undesirable secondary effect
side effect - Answer predictable, unavoidable secondary effect
toxic effect - Answer accumulation of medication in the bloodstream
idiosyncratic reaction - Answer overreaction or underreaction or different reaction from
normal
allergic reaction - Answer unpredictable response to a medication
medication interactions - Answer when one medication modifies the action of another
Peak - Answer medication has most in blood stream before it starts being secreted
trough - Answer lowest in bloodstream
biological half-life - Answer amount medication once half of it is gone
plateau - Answer where medication levels out
,Routes of Administration - Answer 1. Intradermal
2. Subcutaneous
3. Intramuscular
4. Intravenous
Pharmacist - Answer who's role is it to prepare and distribute medication?
Nurse - Answer Who's role is it to:
- Determine medication order is correct
- assess patient's ability to self-administer
- determine whether patient should receive medications at given time
- administer medications correctly
- monitor effects
- include patient teaching
Nurse - Answer Who is the last safeguard before medication reaches patient
Prevent medication errors - Answer - report all medication errors
- patient safety is top priority when an error occurs
- documentation is required
- nurse is responsible for preparing written occurrence or incident report: an actual factual
description of what occurred and what was done
- nurses play an essential role in medication reconciliation
6 rights of medication - Answer 1. right medication
2. right dose
3. right patient
4. right route
5. right time
6. right documentation
,- to receive labeled medication safely
- to receive appropriate supportive therapy
- to not receive unnecessary medications
- to be informed if medications are part of a research study
Luer lok - Answer needle or hub that screws into the syringe
non-luer lok - Answer needle snaps onto the syring
tuberculin - Answer - max amount that it can hold is 1ml
- TB syringe
Insulin - Answer - comes in units
- premanufactured with syringe and needle on it
- have 50-100 unit syringes
Lovenox - Answer single dose medication syringes
Needle - Answer Thse are all parts of what?
- hub
- shaft
- bevel
up - Answer Should bevel be pointed up or down for insertion?
Disposing of needles - Answer - use puncture-and leak proof containers
- never force needles into receptacle
- never place used needles into wastbaskets, your pockets, or patient's tray or bedside
Ampule - Answer What are you preparing?
- snap off neck away from you
, Vial (single or multi dose) - Answer What are you preparing?
- if dry, use solvent or dilutent as needed
- inject air into vial
- label multidose vials after mixing
- refrigerate remaining doses if needed
90 degrees - Answer What are are intramuscular injections given at?
True - Answer True or False.
Intramuscular injections are absorbed faster than subcutaneous route
IM - Answer What injection does this align with?
Adults: 2-5ml
Children, older adults, thin patients: up to 2ml
Small children and older infants: up to 1 ml
Smaller infants: Up to 0.5ml injections
Ventrogluteal - Answer What type of IM injection is this?
- gluteus medius
- deep and away from major nerves and blood vessels
- preferred and safest site for all adults, children, and infants
- recommended for volumes greater than 2ml
- index finger, middle finger, and iliac crest form a V-shaped triangle
- injection site is center of the triangle
- place palm on greater trochanter and index finger toward the anterior superior iliac spine
Vastus Lateralis - Answer What IM injection is this?
- used for adults and children
