NURS 309 Exam 1 questions with correct answers
Pharmacokinetics Correct Answer-Changes that occur to the drug while
it is inside the body. Movement of the drug particles inside the body
Pharmacotherapeutics Correct Answer-The desired, therapeutic effect of
the drug. What the expected outcome for the taken drug
Pharmacodynmics Correct Answer-The effects of the drug on the body.
How the body changes in reaction to the drug
Contraindications/Precautions Correct Answer-The conditions under
which the drug should not be used or must be used carefully with
monitoring
Adverse effects Correct Answer-The unintended and usually undesired
effects that may occur with the use of the drug
Drug interactions Correct Answer-The effects that may occur when the
drug is given along with another drug, food, or substance
Health status Correct Answer-Chronic medical conditions, acute
conditions, current meds, allergies, lab values, vitals. Assess functioning
of body system and organs. Components of complete drug
Life span and gender Correct Answer-Age & gender. Muscle mass,
weight, activity/exercise, sleep/rest. Patients developmental level, ability
,to read and write, ability to understand directions. Needed to plan pt
eduction on drug therapy including the nurses approach and teaching
methods.
Lifestyle, diet and habits Correct Answer-Occupation, finances,
substance use exercise, supplements, complimentary meds,
tobacco/nicotine/alcohol/iliicit drugs/caffeine.
The nurse ask questions about pt lifestyle because they can use a
potential effect on drug therapy
Environment Correct Answer-Where will the drug be administered
*Most drug therapy now occurs outside of hospitals. Need to educate
them before discharge. May give clues to the pt adherence to the drug
regimen or to potential risks from the therapy. General factors to assess
include cleanliness, lighting, adequate heat, water, and refrigeration.
Culture & inherited traits Correct Answer-Cultural beliefs, some don't
believe in meds. Give them the respect to do unharmful practices.
Genetic trains may affect kinetics/dynamics. Worry about the pt safety at
all times first. Consider beliefs second, as long as beliefs not harming
themselves. Affects the patients acceptance of prescribed drug therapy.
Religions restrictions or cultural practices may affect the patients
acceptance of drug
Nurse management of drug therapy Correct Answer-The process of
planning and implementing actions that will maximize the therapeutic
effects and minimize the adverse effects of a drug. Nurse considers core
,drug knowledge and core pt variables and determines potential
interactions between them. Educate pt and family
85%
50% Correct Answer-Approximately ____% of adults 65 and older are
receiving one prescription per month.
Almost _____% of adults aged 65 and up are receiving 3 or more
prescriptions a month
Core drug knowledge Correct Answer-The first step for a nurse is to
identify the __________________ relevant to a patients drug therapy.
How much do they know?
Prototype Drug Correct Answer-Typical of a medication within a drug
class.
usually the first drug of a class
Drug has similar characteristics to all drugs in class of drugs
Provides systematic way to increase knowledge of medication
, Pt interview and history
Physical exam
Medical record Correct Answer-3 sources of assessment data:
Core patient variables Correct Answer-Assessment of the
________________________ also allows the nurse to predict to some
degree the future needs of the patient
Circulatory systems Correct Answer-Patients who are very active and
who exercise are likely to have better __________________than those
who are inactive
lifestyle choices Correct Answer-______________________ affect the
distribution of drugs within the body
Physical examination Correct Answer-Focuses on health status, life span
and gender. Must be comprehensive. Physical assessment of each body
system to provide info about disease and illness. Vital signs for baseline
date. Height and weight.
Medical record Correct Answer-Provides information about the patients
health status, lifestyle, diet, habits, and environment. Areas that are
specifically important include labs and diagnostic test results. Nurse
must review all diagnostic findings paying special attention to those
findings relevant to body systems at risk for adverse effects from
currently used drugs. Drug history.
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