ANSWERS 100% VERIFIED AND
ACTUAL ANSWERS.
How does a nurse know a client is experiencing an adverse reaction or allergic react? - Answer
Adverse Reaction: Adverse effects are undesired effects that may be unpleasant or even
dangerous The drug may have other effects on the body besides the therapeutic effect. The
patient may be sensitive to the drug being given. The drug's action on the body may cause other
responses that are undesirable or unpleasant. The patient may be taking too much or too little
of the drug, leading to adverse effects. Allergic Reaction: formation of antibodies to a drug or
drug protein; causes an immune response when the person is next exposed to that drug. A
patient cannot be allergic to a drug that has never been taken, although patients can have cross-
allergies to drugs within the same drug class as one formerly taken. Drug allergies fall into four
main classifications: anaphylactic reactions, cytotoxic reactions, serum sickness, and delayed
reactions
What are the roles of the different regulating bodies for medications?
(i.e. DEA, FDA, CDC,etc.) - Answer Food and Drug Administration (FDA):federal agency
responsible for the regulation and enforcement of drug evaluation and distribution policies
Drug Enforcement Agency (DEA):responsible for enforcement of controlled substance policies:
regulates the manufacturing, distribution, and dispensing of drugs that are known to have
abuse potential. Drug schedules.Centers for Disease Control and Prevention (CDC):Its main goal
is to protectpublic healthand safety through the control and prevention of disease, injury, and
disability in the US and internationally. The CDC focuses national attention on developing and
applying disease control and prevention.
The half- life of a medication is 60 minutes.
What does this mean? - Answer Time it takes for the amount of drug in the body to decrease
to one half of the peak level it previously achieved. For instance, if a patient takes 20 mg of a
drug with a half-life of 2 hours, 10 mg of the drug will remain 2 hours after administration. Two
hours later, 5 mg will be left (one half of the previous level); in 2 more hours, only 2.5 mg will
remain.
Understand the Nursing Process and be prepared to recognize examples of it. - Answer ADPIE
What factors affect absorption of an oral medication? - Answer - The acidity of the stomach
-Length of time in the stomach
-Blood flow to the gastrointestinal tract
-Presence of interacting foods or drugs.
, What are the differences in the pregnancy categories? - Answer Evidence in human fetal risk.
Benefits may be acceptable despite being on drugs.
.What is the purpose of a scopolamine patch and how are they applied? - Answer - Decreases
nausea and vomiting from motion sickness
- Decrease GI secretions
- Used to induce obstetric amnesia & relaxes pregnant patient
- Relieves urinary problems
-Used for adjunctive for ulcers
- Used to dilate pupils & aid examination of the eye & pre and post ops with eye surgery.
What are mydriatics?
Who are they used on?
Any cultural/ethnic groups require different dosages.
Why or why not? - Answer = dilate the pupil for examination of retina; cycloplegics paralyze
the muscles that control the lens to aid refract.
Used On: dark-pigmented eyes.
Less effective in African Americans
What are anticholinergics?
What are the side effects? - Answer -Block the effects of acetylcholine
-Decrease secretions before anesthesia, to treat parkinsonism
- Restore cardiac rate and blood pressure after vagal stimulation during surgery
-Relieves bradycardia caused by a hyperactive carotid sinus reflex Relieve pylorospasm and
hyperactive bowel, to prevent the signs and symptoms of motion sickness and vomiting to relax
biliary and ureteral colic, to relax bladder detrusor muscles and tighten sphincters, to help to
control crying or laughing episodes in patients with brain injuries, to relax uterine hypertonicity,
to help in the management of peptic ulcer, to control rhinorrhea associated with hay fever, as an
antidote for cholinergic drugs and for poisoning by certain mushrooms, and as an ophthalmic
agent to cause mydriasis or cycloplegia in acute inflammatory conditions