NSG 349 Exam 1 Guide With
Complete Solution
Nursing Process - ANSWER > ensures delivery of quality, individual nursing
care
> requires critical thinking
> ongoing process
> ADPIE
Assessment - ANSWER nurse collects objective and subjective data on
patient, including medication profiles
Diagnosis - ANSWER nurse identifies the problem
Planning - ANSWER nurse determines the goals for the patient
Implementation - ANSWER the carrying out of nursing care plans; also called
interventions
Evaluation - ANSWER nurse is determining if the plan of care is effective or
needs to be altered
9 Rights of Medication Administration (DRTIMRAD) - ANSWER > right dose
> right route
> right time
> right individual
,> right medication
> right reason, response, refusal
> right documentation
Purpose of the Nursing Process - ANSWER encourages critical thinking
Teachback - ANSWER when the patient is able to repeat the information back
to the nurse
Factors included when educating patients - ANSWER > level of consciousness
> visual deficits
> hearing deficits
> pain
> distractions
> family members presence
Medication Error - ANSWER preventable, adverse drug event involving
inappropriate medication use; may or may not cause patient harm
Medication Reconciliation - ANSWER procedure that acts to maintain
accurate and up-to-date list of medications for patients
> "brown bag"
> always involves patient
Generic Medication Name - ANSWER > the name of a drug that gives its
chemical makeup, not the "brand" name given to it by its manufacturers
Ex: Acetaminophen
, Trade Medication Name - ANSWER > also known as brand or proprietary
name
> the name under which a manufacturer markets the medication
Ex: Tylenol
Pharmacokinetics - ANSWER what the body does to the drug
4 Stages of Pharmacokinetics - ANSWER 1.) Absorption: from administration
to the blood stream
2. Distribution: how drug reaches target tissue
3. Metabolism: drug broken down into inactive metabolite (more soluble or
active)
4. Excretion: how drug is eliminated from the body
Pharmacodynamics - ANSWER what the drug does to the body
Liver - ANSWER main organ involved in metabolism (particularly P450
enzyme)
Albumin - ANSWER important protein to maintain therapeutic blood levels
and and prevent toxicity
> allows for distribution of protein-bound drugs
Kidneys - ANSWER primary organ of excretion
Half life of a drug - ANSWER is the time required for one-half of an
administered drug to be lost through metabolism and elimination; different
for each drug
Bioavailability - ANSWER the measure of the extent that the drug is absorbed
Complete Solution
Nursing Process - ANSWER > ensures delivery of quality, individual nursing
care
> requires critical thinking
> ongoing process
> ADPIE
Assessment - ANSWER nurse collects objective and subjective data on
patient, including medication profiles
Diagnosis - ANSWER nurse identifies the problem
Planning - ANSWER nurse determines the goals for the patient
Implementation - ANSWER the carrying out of nursing care plans; also called
interventions
Evaluation - ANSWER nurse is determining if the plan of care is effective or
needs to be altered
9 Rights of Medication Administration (DRTIMRAD) - ANSWER > right dose
> right route
> right time
> right individual
,> right medication
> right reason, response, refusal
> right documentation
Purpose of the Nursing Process - ANSWER encourages critical thinking
Teachback - ANSWER when the patient is able to repeat the information back
to the nurse
Factors included when educating patients - ANSWER > level of consciousness
> visual deficits
> hearing deficits
> pain
> distractions
> family members presence
Medication Error - ANSWER preventable, adverse drug event involving
inappropriate medication use; may or may not cause patient harm
Medication Reconciliation - ANSWER procedure that acts to maintain
accurate and up-to-date list of medications for patients
> "brown bag"
> always involves patient
Generic Medication Name - ANSWER > the name of a drug that gives its
chemical makeup, not the "brand" name given to it by its manufacturers
Ex: Acetaminophen
, Trade Medication Name - ANSWER > also known as brand or proprietary
name
> the name under which a manufacturer markets the medication
Ex: Tylenol
Pharmacokinetics - ANSWER what the body does to the drug
4 Stages of Pharmacokinetics - ANSWER 1.) Absorption: from administration
to the blood stream
2. Distribution: how drug reaches target tissue
3. Metabolism: drug broken down into inactive metabolite (more soluble or
active)
4. Excretion: how drug is eliminated from the body
Pharmacodynamics - ANSWER what the drug does to the body
Liver - ANSWER main organ involved in metabolism (particularly P450
enzyme)
Albumin - ANSWER important protein to maintain therapeutic blood levels
and and prevent toxicity
> allows for distribution of protein-bound drugs
Kidneys - ANSWER primary organ of excretion
Half life of a drug - ANSWER is the time required for one-half of an
administered drug to be lost through metabolism and elimination; different
for each drug
Bioavailability - ANSWER the measure of the extent that the drug is absorbed
