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2024 NURS-225 PHARMACOLOGY (NORTH IDAHO COLLEGE) EXAM 1 WITH CORRECT ANSWERS
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2024 NURS-225 PHARMACOLOGY (NORTH IDAHO COLLEGE) EXAM 1 WITH CORRECT ANSWERS
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2024 NURS-225 PHARMACOLOGY(NORTH IDAHO COLLEGE) EXAM 1
WITH CORRECT ANSWERS
Distinguish between subjective and objective data. - CORRECT-
ANSWERSSubjective - things only the patient knows and can tell you
Objective - can be seen and measured
Recognize how a nurse uses critical thinking to enhance patient-centered
care. - CORRECT-ANSWERSThe nurse uses patient specific data to create
goals and expected outcomes so that the experience can be as closely
tailored to the exact patient needs as possible.
Recognize effective goal setting when developing a plan of care. - CORRECT-
ANSWERSPatient centered, realistic and measurable, reasonable deadlines,
acceptable to both patient and nurse, dependent of patient's decision-
making ability, shared with other HCPs, family, and caregivers, identifies
components for evaluation.
Recognize the role of genetics and ethnic backgrounds in how patients
metabolize medication differently. - CORRECT-ANSWERSCaucasians in the US
may have abnormally low CYP2D6 enzyme, African Americans respond
poorly to several classes of antihypertensive agents, differences in skin
structure and physiology can affect response to dermatologic and topically
applied products, Asians can have serious skin reactions to carbamazepine
due to an inherited variant of the H 1502LA-B gene.
Ethnic backgrounds vary causing many groups' views of communication
style, spatial preference, social organization, perception of time, and
environmental control to be different from others.
Understand how cultural differences and beliefs can influence patient
decisions and how the nurse can best accommodate patient needs. -
CORRECT-ANSWERSa. Cultural differences and beliefs are a strong guiding
force in making decisions. We can best accommodate our patients through
transcultural nursing, in which we provide culturally competent care, are
sensitive to beliefs and practices of different cultural groups and offer
complementary/alternative health practices.
, Understand the following alternative therapies:
Ginger - CORRECT-ANSWERSUsed for nausea, motion sickness, diarrhea;
relieves pain, swelling, arthritic stiffness. Side effects may include gas,
bloating, heartburn, nausea.
Understand the following alternative therapies:
St. John's Wort - CORRECT-ANSWERSUsed for mental disorders, nerve pain,
sleep disorders, malaria, wounds. Side effects may include anxiety, dry
mouth, dizziness, headache, fatigue, sensitivity to sunlight, GI problems,
sexual dysfunction. Drug interactions include serious serotonin syndrome
when taken with other antidepressants.
Understand the following alternative therapies:
Ginseng - CORRECT-ANSWERSUsed for stress relief, digestion, increasing
energy. Boosts immune system and prevents infection. Side effects may
include headache, GI distress, hypertension, hypoglycemia, breast
tenderness, menstrual irregularities.
Understand the following alternative therapies:
Chamomile - CORRECT-ANSWERSUsed for relief of anxiety, sleeplessness,
digestive complaints, skin conditions, and oral ulcers. May have sedative
effects. Side effects may include allergic reactions of urticaria and
bronchoconstriction if allergic to daisy or ragweed.
Which labs are important to monitor in elderly patients to avoid drug
toxicities? - CORRECT-ANSWERSAST, ALT, serum proteins and albumin, GFR
Recognize the nursing implications when educating elderly patients on a
multidrug regimen. - CORRECT-ANSWERSHave patient's senses as sharp as
possible, speak in tones the patient can hear, face patient when speaking,
limit distractions, treat patient with respect, use large print and bright colors
in teaching aids, review all medications at each visit, instruct patient to take
list of all drugs taken to all health appointments, encourage a simple dosing
schedule, consider use of memory aids.
Understand the nursing implications for patients with a history of long-term
alcohol abuse. - CORRECT-ANSWERSAnesthetics may have a prolonged
sedative effect, close post-op monitoring for S/S of withdrawal symptoms,
use CIWA scale, pain management, alcohol withdrawal symptoms may be
delayed up to 5 days due to anesthesia and pain medication
Recognize the indications of alcohol tolerance. - CORRECT-
ANSWERSTolerance may encourage alcohol consumption, affect the
performance of tasks, contribute to ineffectiveness or toxicity of other drugs
and medications, and may contribute to the risk for alcoholism.
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