Verified Solutions
5 steps of nursing Correct Ans - 1. Assessment
2. Human Needs Statement (NURS DIAG)
3. Planning
4. Implementation
5. Evaluation
Assessment Correct Ans - Collect and organize data
Objective and Subjective
Know all the meds they take
Check for allergies
Human Needs Statement Correct Ans - AKA Nursing Diagnosis
related to, as evidenced by
Planning Correct Ans - Prioritize human needs statement
Identify outcomes
SMART
Implementation Correct Ans - Carry out the plan
Nursing interventions
9 rights for drug therapy
Evaluation Correct Ans - Are outcomes met?
Continuous process
Monitor pt response to drug therapy
9 rights of medication administration Correct Ans - Right drug
Right dose
Right time
Right route
,Right patient
Right documentation
Right reason
Right response
Right to Refuse
Pharmacokinetics Correct Ans - The process by which drugs
are absorbed, distributed within the body, metabolized, and
excreted.
Absorbtion Correct Ans - The process by which nutrient
molecules pass through the wall of the digestive system into the
blood
Main site of absorbtion is GI
Bioavailability Correct Ans - Rate at and the extent to which a
nutrient is absorbed and used
Factors that affect absorbtion Correct Ans - Route of
administration
Presence of food in the stomach
Drug Formulation
First pass effect Correct Ans - The initial metabolism in the
liver of a drug absorbed from the gastrointestinal tract before the
drug reaches systemic circulation through the bloodstream.
Reduces the bioavailability of the drug to less than 100%
Loading dose Correct Ans - initial higher dose of a drug that
may be given at the beginning of a course of treatment before
dropping down to a lower maintenance dose. A loading dose is most
useful for drugs that are eliminated from the body relatively slowly,
i.e. have a long systemic half-life
, Distribution Correct Ans - Transport of a drug by the
bloodstream to its site of action
Only drug molecules that are not bound to plasma proteins can
freely distribute to extravascular tissue (outside the blood vessels)
to reach their site of action EX: Albumin
Albumin Correct Ans - Most common blood protein and carries
the majority of protein-bound drug molecule
Metabolism (aka biotransformation) Correct Ans - Involves the
biochemical alteration of a drug into an inactive metabolite, a more
soluble compound, a more potent active metabolite (as in the
conversion of an inactive prodrug to its active form), or a less active
metabolite.
Main site is the liver.
Excretion Correct Ans - Elimination of drugs from the body
Main site is kidneys
Half life Correct Ans - The time required for one-half (50%) of
a given drug to be removed from the body
Onset Correct Ans - The time required for the drug to elicit a
therapeutic response
Peak Correct Ans - The time required for a drug to reach its
maximum therapeutic response
Duration Correct Ans - The length of time that the drug
concentration is sufficient (without more doses) to elicit a
therapeutic response
Peak VS Trough Correct Ans - Peak level (highest blood level)
and Trough level (lowest blood level) of a drug