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1. What is pharmacology? - ANSWER The study of how drugs interact with
the body to prevent, diagnose, and treat disease
2. What is the nurse's role in pharmacology? - ANSWER The nurse is the final
safety check and is legally responsible for safe medication administration
3. Loop colostomy - ANSWER Proximal end drains fecal material; distal end
has limited drainage
4. Colostomy stoma assessment - ANSWER Reddish-pink and moist is normal
5. Ostomy pouch emptying frequency - ANSWER Pouches should be drained
when one-third to one-half full
6. Rationale for cutting wafer larger than stoma - ANSWER Allows for skin
movement with activity and prevents impaired circulation to the stoma
7. Cleansing enemas - ANSWER Promotes removal of feces from colon,
usually for constipation or pre-procedure
8. Retention enema - ANSWER Solution retained in bowel for extended
period to soften stool or deliver medication
,9. Return-flow enema - ANSWER Fluid instilled and withdrawn repeatedly to
stimulate peristalsis and expel flatus
10.Bowel training plan - ANSWER Gradually increase fiber, increase fluids to
eight glasses daily, establish designated defecation time, provide privacy,
and modify based on response
11.Purpose of chest tubes - ANSWER Creates negative air pressure in chest
cavity, removes air and fluid from pleural space, allowing lung re-expansion
12.Chest tube placement for air removal - ANSWER 2nd or 3rd intercostal
space
13.Chest tube placement for fluid removal - ANSWER 5th or 6th intercostal
space
14.Water seal drainage device - ANSWER Monitor water level, observe
tidaling, monitor bubbling
15.Nursing assessments for chest tubes - ANSWER STOP site monitoring,
tubing output (COCA), patient assessment (pain, O2, crepitus), respiratory
assessment, vital signs every 4 hours
16.Patient education for chest tubes - ANSWER Carry below waist, assess
patient knowledge, instruct to notify RN immediately if chest drainage
system disconnects, chest tube dislodges, sudden bleeding occurs, or
respiratory distress develops
, 17.Telemetry purpose - ANSWER Detects any abnormal heart rhythms
18.Telemetry lead placement mnemonic - ANSWER White on the right, cloud
over grass, smoke over fire, I heart chocolate
19.Nursing interventions for NG/Enteral tubes - ANSWER Maintain HOB
greater than 30-45 degrees, start feedings slowly and titrate up, assess
insertion site, monitor weight daily, abdominal assessment every 4-8 hours
20.Complications of NG/Enteral tubes - ANSWER Mechanical (tube
occlusion, displacement), GI (N/V/D, constipation), metabolic (dehydration,
electrolyte imbalance, hyperglycemia), contamination
21.What happens to drug levels in renal failure? - ANSWER Decreased
excretion leading to increased toxicity
22.What is pharmacodynamics? - ANSWER What the drug does to the body,
including mechanism of action and effects
23.What is pharmacokinetics? - ANSWER What the body does to the drug
24.What does ADME stand for? - ANSWER Absorption, Distribution,
Metabolism, Excretion
25.What happens to drug levels in liver disease? - ANSWER Decreased
metabolism leading to increased toxicity
26.Urine production rate - ANSWER 50-60 mL/hr