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Final Exam OOH UTA NURS (solved & updated).
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Final Exam OOH UTA NURS (solved & updated).
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Final Exam OOHUTA NURS 3365
2024(solved &
updated)
What are the 9 rights? - answer 1)Right pt: name & DOB,2)
Right dose, 3)Right form, 4) Right med 5) Right route, 6)
Right time, 7) Right documentation, 8) Right to refuse, 9)
Right reason 10) Right response evaluation
What can help prevent med errors - answer check med 3
times, use leading zeros, verify unclear orders with HCP.
high alert medications - answer must be checked by 2
nurses
Bioavailability - answer amount of drug available for use
vs amount absorbed
which route has highest bioavailabity - answer IV
,considerations for older adults - answer GI slower, body
H20 decrease, fat increased, less protein production, less
metabolism of meds,less GFR & # of working nephrons.
Usually on mulitple meds (polypharmacy)
How does decreased protein, effect protein binding? -
answer More free drug and risk of toxicity
Albumin - answer 3.5-5.5 g/dL
Potassium (K+) - answer 3.5-5 mEq/L
CYP 450 enzyme? Inducer: - answer liver metabolic too
quickly need bigger dose or more frequently = nicotine
CYP 450 enzyme? Inhibitor food: - answer slow
metabolism, longer half life, smaller doses increases
toxicity = grapefruit.
CYP 450 enzyme? Inhibitor med: - answer Cimetidine
pharmacogentics - answer diverse reaction to different
meds based on genetics
What are cultural considerations for African-Americans? -
answer Anti-hypertensives do not work well, Ca+ channel
or combo of meds works best
, What is PCA? - answer pt control analgesia, only pt
administer, high alert med (morphine), check time limit, pt
still needs monitoring: HR, RR, pulse ox
What is the major adverse effect of acetaminophen? -
answer hepatotoxicity and Liver necrosis
What is the antidote of Acetaminophen? - answer
Acetylcysteine better by IV b/c faster and rotten egg smell
How do you identify chronic hepatotoxicity? - answer Lab
values elevated liver enzymes ALT & AST
Recommended daily dose of acetaminophen - answer 4000
acute via IV fda, 3000 daily manufacture, 2000 or none
liver pt
Most common NSAID adverse effect? - answer GI ulcer & GI
bleeding
Who should not receive NSAID? - answer pt w/ GI ulcer
Black box warning for NSAID except aspirin - answer black
box for MI & CVA
What does aspirin help prevent? - answer MI & CVA
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