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NUR 111 EXAM 3 Questions With Complete Solutions
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NUR 111 EXAM 3 Questions With Complete Solutions
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NUR 111 EXAM 3 Questions With Complete Solutions-Blood volume Correct Answer - most adults have 5000 mL,
usually remains constant. Increase in blood volume affects BP
by rising it, when the circulating blood level falls, BP falls
-Frostbite Correct Answer - ice crystals in skin cells and causes
necrosis
-Heat exhaustion Correct Answer - electrolyte, core temp too
hot
-Mental illness, athletes can be at risk
-Heat Stroke Correct Answer - hypothalamus stops working,
hot/dry skin (lack sweating)
-Cool blankets, ice packets, cool room
-Hypothermia Correct Answer - temp is really low, shivering,
vasodilation, slower metabolism, bring down heart rate and
blood pressure
-Warm blankets, hot soup, warm room
-Intra-arterial Correct Answer - injections directly into the
artery, common in patients who have arterial clots and receive
clot-dissolving agents.
-Intramuscular (IM) Correct Answer - injection into a muscle
-Intravenous (IV) Correct Answer - injection produces that
most rapid absorption because medications are available
immediately when they enter the systemic circulation
,-Pulse deficit Correct Answer - if the apical and radial have a
pulse difference of more than 2
-Route of Administration
-Ability to medication to dissolve blood flow - liquids are
absorbed faster than tablets or capsules.
-Blood flow
-Body Surface Area
-Lipid Solubility Correct Answer What factors influence
absorption?
-Skin
-Eyes
-Ears
-Nose
-Lungs
-Rectum (intra - systemic effect and topical - local effect)
-Vagina Correct Answer Different types of Topical Routes of
Administration
(FIRST PASS EFFECT) Correct Answer -Drugs that are
HIGHLY metabolized lose a lot of their effectiveness when it
goes through the liver
first taken to liver via portal circulation where metabolized
before reaching rest of the body.
-Amount entering system < amount absorbed = Low
Bioavailability (low level of active drug)
,-Oral drugs that experience a high _______ _____ _____ may
need higher doses to achieve a therapeutic effect
1 kilogram Correct Answer equal 1000 gm
1 oz Correct Answer equals 30mL, 2T, 6t
1000 mL Correct Answer equals 1L, 1qt, and 32oz
1mg Correct Answer equals 1000 mcg
2.2lbs Correct Answer equals 1 kg
3 times per day Correct Answer TID, tid
4 times per day Correct Answer QID, qid
ABCD
A - Asymmetry - look for uneven shape. One half of mole does
not match the other side
B - Border irregularly - Look for edges that are blurred, notched,
or ragged
C - Color - look for pigmentation that is not uniform, variegated
areas of blue, blck, and brown and areas of pink, white, gray,
blue, or red are abnormal.
, D - Diameter - look for areas greater than 6mm (about the size
of a typical pencil eraser) Correct Answer Checking for
Lesions (caricinoma) you use what acronym?
Abnormal (also called Adventitious lung sounds) Correct
Answer Crackles heard at end of inspiration (damage to alveoli
or possible fluid)
Wheezing - Whistling noise, heard all throughout the field.
Narrowed/obstructed airway
Inflamed Pleura - friction dry rubbing on lateral side, not cleared
with coughing
Rhonchi (sonorous wheeze) - heard mostly over trachea and
bronchi. Rumbling, coarse sound. Fluid, mucus in larger
airways, muscular spasm
Absorption Correct Answer occurs when medication molecules
pass into the blood from the site of medication administration.
Factors that influence ______________ are the route of
administration, ability of the medication to dissolve, blow flow
to the site site of administration, body surface area (BSA), and
lipid solubility of medication.
Absorption (Pharmacokinetics) Correct Answer - the
movement of a drug from site of administration into the blood
stream
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