Pharmacology Exam 1: Chapters 1-9
The Nursing Process - ANSa research -supported organizational framework for professional
nursing practice
5 Steps of nursing process - ANSAssessment
Diagnosis
Planning
Implementation
Evaluation
The nurse answers a patient's call light and finds the patient sitting up in bed and requesting
pain medication. What will the nurse do first? - ANSACCESS the pt's pain and pain level.
(Assessment is ALWAYS 1st)
The "Rights" of Medication Administration - ANSRight drug, right dose, right patient, right route,
right time, right reason, right documentation
A nurse makes an error when administering medications to a patient. Which action by the nurse
requires the supervising nurse to intervene? - ANSThe nurse records completion of an
INCIDENT REPORT in the medical record.
Drug definition - ANSany chemical substance that is capable of affecting a physiologic process
through a mechanical process
Chemical name
Generic name
Trade name - ANSdescribes drug's chemical composition & molecular structure
name given by the U.S Adopted Names Council
registered trademark (company drug name)
Prototypical drugs - ANSfirst drug in a class of drugs
Pharmaceutics - ANSHOW we get the drug into our body
liquid, capsule, powder, IV, etc.
Pharmacokinetics - ANSWHAT the body does to the drug
Pharmacodynamics - ANSWHAT the drug does to the body
Bioavailability - ANShow much of the drug gets into the bloodstream
, First pass effect - ANScan be good or bad
large first pass= liver will metabolize it to nothing and smaller amount will be bioavailable
Transdermal drug
Topical drug - ANS-will leach out over time after applied, will get into bloodstream and go
EVERYWHERE
-apply right where it hurts, reacts LOCALLY
half-life - ANStime required for half of a given drug to be removed from the body
ex) 100mg -> 50mg -> 25mg
The nurse is giving a medication that has a high first-pass effect. The health care provider has
changed the route from PO to IV. What can the nurse expect with the IV dose? - ANSThe IV
dose will be lower because of the first-pass effect.
Route that gives slowest pain relief? - ANSPO
When teaching a pregnant woman about the use of drugs during pregnancy, which statement
will the nurse include? - ANSDrug transfer to a fetus is most likely to occur during the last
trimester of pregnancy.
What racial group is predicted to be nearly one in three U.S. residents in 2050? - ANSHispanic
Ethnopharmacology - ANSBody of knowledge for understanding the specific impact of cultural
factors on patient drug response
race, ethnicity, and culture
Pharmacogenomics - ANSstudy of how genetic traits affect drug response
Which of the following statements regarding African Americans' responses to anti hypertensive
medication therapy is true? - ANSAfrican Americans respond better to diuretics (water pills) than
to beta blockers.
Food and Drug Administration (FDA) - ANSsafety and ethically
drug approval process: pre-clinical testing, clinical studies, investigational drug studies,
expedited drug approval
Dietary Supplement Health and Education Act (DSHEA) - ANScreated dietary supplements
National Center for Complementary and Alternative Medicine (NCCAM) - ANSex) mindfulness
meditation PLUS hypertension medication
Clinical phases of investigational drug studies - ANSPhase I- basic safety study (small group of
people)
The Nursing Process - ANSa research -supported organizational framework for professional
nursing practice
5 Steps of nursing process - ANSAssessment
Diagnosis
Planning
Implementation
Evaluation
The nurse answers a patient's call light and finds the patient sitting up in bed and requesting
pain medication. What will the nurse do first? - ANSACCESS the pt's pain and pain level.
(Assessment is ALWAYS 1st)
The "Rights" of Medication Administration - ANSRight drug, right dose, right patient, right route,
right time, right reason, right documentation
A nurse makes an error when administering medications to a patient. Which action by the nurse
requires the supervising nurse to intervene? - ANSThe nurse records completion of an
INCIDENT REPORT in the medical record.
Drug definition - ANSany chemical substance that is capable of affecting a physiologic process
through a mechanical process
Chemical name
Generic name
Trade name - ANSdescribes drug's chemical composition & molecular structure
name given by the U.S Adopted Names Council
registered trademark (company drug name)
Prototypical drugs - ANSfirst drug in a class of drugs
Pharmaceutics - ANSHOW we get the drug into our body
liquid, capsule, powder, IV, etc.
Pharmacokinetics - ANSWHAT the body does to the drug
Pharmacodynamics - ANSWHAT the drug does to the body
Bioavailability - ANShow much of the drug gets into the bloodstream
, First pass effect - ANScan be good or bad
large first pass= liver will metabolize it to nothing and smaller amount will be bioavailable
Transdermal drug
Topical drug - ANS-will leach out over time after applied, will get into bloodstream and go
EVERYWHERE
-apply right where it hurts, reacts LOCALLY
half-life - ANStime required for half of a given drug to be removed from the body
ex) 100mg -> 50mg -> 25mg
The nurse is giving a medication that has a high first-pass effect. The health care provider has
changed the route from PO to IV. What can the nurse expect with the IV dose? - ANSThe IV
dose will be lower because of the first-pass effect.
Route that gives slowest pain relief? - ANSPO
When teaching a pregnant woman about the use of drugs during pregnancy, which statement
will the nurse include? - ANSDrug transfer to a fetus is most likely to occur during the last
trimester of pregnancy.
What racial group is predicted to be nearly one in three U.S. residents in 2050? - ANSHispanic
Ethnopharmacology - ANSBody of knowledge for understanding the specific impact of cultural
factors on patient drug response
race, ethnicity, and culture
Pharmacogenomics - ANSstudy of how genetic traits affect drug response
Which of the following statements regarding African Americans' responses to anti hypertensive
medication therapy is true? - ANSAfrican Americans respond better to diuretics (water pills) than
to beta blockers.
Food and Drug Administration (FDA) - ANSsafety and ethically
drug approval process: pre-clinical testing, clinical studies, investigational drug studies,
expedited drug approval
Dietary Supplement Health and Education Act (DSHEA) - ANScreated dietary supplements
National Center for Complementary and Alternative Medicine (NCCAM) - ANSex) mindfulness
meditation PLUS hypertension medication
Clinical phases of investigational drug studies - ANSPhase I- basic safety study (small group of
people)
