NURS 309 Final Exam Non-Drug Review chapters 1-8
Questions With Complete Solutions
- assess the patient and use judgment and critical thinking
- report to prescriber and nursing management
- document error per policy and procedure (factual
documentation only!) Correct Answers how to respond to a
medication error:
- herbal and dietary supplements are not regulated by the FDA
- there are concerns about safety, purity, and consistency of the
supplements
- dietary supplements health and education act (DSHEA) defines
and sets standards on these supplements and does not require
proof of efficacy or quality control
- the public perception of "natural" supplements are that they are
harmless and safer than prescription drugs Correct Answers
concerns for herbal and dietary supplement use:
- hold the drug/discontinue the infusion *always do this first*
- assess the patient
- provide supportive care
- notify the provider
- document Correct Answers a nurse's role in severe, life-
threatening adverse reactions:
- indication for use
- safety profile
- practicality for the OTC use Correct Answers criteria for
OTC status:
,absorption Correct Answers the movement of a drug from its
site of administration into the bloodstream
acquired disease Correct Answers any disease triggered by
external factors and not directly caused by a person's genes (e.g.,
an infectious disease, non congenital CV disease)
acute therapy Correct Answers type of therapy: involves more
intensive drug treatment that is needed to sustain life or treat
disease in the acutely or critically ill
additive effects Correct Answers occurs when two drugs with
similar actions are given together (1 + 1 = 2)
adverse drug reaction (ADR) Correct Answers any reaction to
a drug that is unexpected and undesirable and occurs at
therapeutic drug dosages
adverse effect withdrawal event Correct Answers an adverse
outcome associated with discontinuation of drug therapy
albumin Correct Answers inactivates the drugs that it binds to
allergic reaction Correct Answers ADR: occurs when
immunoglobulins recognize the drug molecule (metabolites) or
another ingredient in a drug formulation as a dangerous foreign
substance; involves the body's immune system
antagonistic effects Correct Answers the effect of a
combination of two or more drugs is less than the sum of the
, individual effects of the same drugs given alone (1 + 1 = less
than 2)
assessment Correct Answers component of the nursing process:
obtaining a list of medications that the patient takes
autonomy Correct Answers ethical term related to nursing
practice: promote a patient's decision making, support informed
consent, assist in decisions or making a decision when a patient
is posing harm to himself or herself
autonomy Correct Answers ethical term related to nursing
practice: self determination and the ability to act on one's own
beneficence Correct Answers ethical term related to nursing
practice: determine how the patient is best served
beneficence Correct Answers ethical term related to nursing
practice: doing or actively promoting good
bioavailablity Correct Answers the term used to express the
extent of drug absorption
black box warning Correct Answers the strictest warning from
the FDA; indicates that serious adverse effects have been
reported with the drug
black box warning or voluntary recall Correct Answers if a
pattern of severe reactions to a newly marketed drug begins to
emerge in phase IV of investigational drug studies, the FDA
may request the manufacturer issue a _____
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