N3050 Exam 1 Questions with Correct
Answers
General Properties of Drugs - Answer-Effectiveness
Selectivity
Safety
Effectiveness - Answer-
Selectivity - Answer-Receptors make selectivity possible
All receptors are the thing that make selectivity possible
Having different receptors helps the drug bind to specific places
For example you want your blood pressure medicine to bind to an A receptor (just an
example receptor) in the heart but not a B receptor in the stomach
Safety - Answer-1. Quality and safety education for nurses (QSEN)
-Knowledge skills and attitudes needed in future nurses
2. National patient safety goals
-Created by the joint commission
-High risk activities
*Associated w giving meds (adequate labeling and things like that)
-"Do not use" abbreviations (table 1.3)
*List of abbreviations that have led to mistakes or close catches
3. High alert medications
-Drugs that have high risk for causing patient harm (box 1.2)
-Drugs in this category are noted as such
-Extra checks
4. No drug is completely safe
5. Pregnancy categories
-Gauges safety and risk/benefits of giving
-No longer used, now as evidence based registry of drug info
6. Beers criteria
-List of medications best not used in the elderly
Patient education - Answer-Instruction to patient to promote health
What should be included in patient education? - Answer--What the drug is, why they are
taking the drug, Include when to take the drug, how to take the drug (w food/water
things like that), possible adverse effects of the drug to look for
-Answer any questions the patient may have about the medication
, Why is it important to educate the patient? - Answer--This is important because if a drug
is not taken properly it can be harmful
-The patient may also not want to take the drug if they know nothing about it
What are the priorities in educating a patient with a new medication? - Answer--These
are the same as above
-If the med is new will prob need to spend more time talking about it w the patient
-Be sure to answer any questions and/or concerns
The Six Rights of Medication Administration - Answer--Right Drug
-Right Patient
-Right Dose
-Right Route
-Right Time
-Right Documentation
Right drug - Answer--Verify orders w medication administration record (MAR)
-Check labels against the MAR at least 3 times before administering medications
-Only administer the medications you prepare
-If a pt questions a medication, stop and check
-You only give drugs that you prepare
Right dose - Answer--Correct calculations
-Use the proper tools to measure doses
-Crushing meds
-Look for XL, DR, SR (sustained released meds)
-These meds allow the entire dose for the day in 1 pill that slowly release through the
day
-If the pill is crushed tho it will not be slowly released it will be completely released
-enteric coated medications (Aspirin is an example of this)
-These have the intention of protecting the stomach from the pill until it reaches the
small intestine
-So if these are crushed it could potentially cause stomach issues
Right patient - Answer--Always use 2 patient identifiers before administering medication
-Name, date of birth
-Do this every time
-Barcode scanning
-also check is the med is right for the pt at that time
-If you are about to give a blood pressure medication you want to know what the
patient's blood pressure is to make sure they need it
Right route - Answer--So what do you do if there is not a route specified
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