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NSG 304 - Midterm Study Guide Terms in this set (48) What is the purpose of a BlackBox warning? It's a warning - a special alert required by the FDA to note that a drug, or class of drugs, has potential for causing serious injury or death. How€10,78
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NSG 304 - Midterm Study Guide Terms in this set (48) What is the purpose of a BlackBox warning? It's a warning - a special alert required by the FDA to note that a drug, or class of drugs, has potential for causing serious injury or death. How
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CGAP - Certified Government Auditing Professional
NSG 304 - Midterm Study Guide
Terms in this set (48)
What is the purpose of a BlackBox warning? It's a warning - a special alert required by the FDA to note that a drug, or class of drugs, has potential for causing serious injury or death.
How are schedule II drugs monitored and ke...
NSG 304 - Midterm Study Guide
Jeremiah
Terms in this set (48)
It's a warning - a special alert required by the FDA to note that a drug, or class of drugs,
What is the purpose of a BlackBox warning?
has potential for causing serious injury or death.
A special order form must be used to obtain
Schedule II drugs, and orders must be written and signed by the healthcare provider.
**Telephone orders to a pharmacy are not permitted.
**Refills for Schedule II drugs are not permitted: patients must visit their healthcare
provider first.
How are schedule II drugs monitored and
kept in compliance with DEA?
Hospitals and pharmacies must register with the Drug Enforcement Agency (D E A)
**Must use assigned number to purchase scheduled drugs
**Must maintain complete records of all quantities purchased and sold
**Healthcare providers must also register in order to prescribe these drugs
Generic- A pharmaceutical company develops a drug and gives it an official name.
Generic names are not capitalized. It's less expensive than Trade brand.
Example: acetaminophen
What is the difference between a generic
and trade name medication? Trade- The drugs commercial or proprietary name which is capitalized and may vary
according to the company producing and marketing it. Has the same chemical
composition as the trade drug.
Example: Tylenol
What drug route (PO, IM, IV) is best for an IV
emergency situation?
The first-pass effect is when a drug gets metabolized at a specific location in the body
What happens to a drug during the first pass
(usually in the liver) that results in a reduced concentration of the active drug upon
in the liver?
reaching its site of action or the systemic circulation.
Who is responsible if a nurse gives too large Nurse
of a dose as ordered by the provider?
Assessment and data collection; gather info from client, current status and history.
Check vitals. Monitor laboratory results. Allergy record and medication record.
Determine if med and dosage are appropriate at this time.
Diagnose: clinical judgements of a patient’s actual or potential health problem within a
nurse’s scope of practice to address.
Planning: Do not rush, calculate and measure dosage. Verify calculations.
What are the steps in the nursing process?
Implementation:Explain to client what you are doing, Provide instructions and info
about medication according to clients needs. Only administer meds that you prepare.
Follow all laws and regulations.
Evaluation: identify and document clients' response to meds. Is it having an intended
therapeutic effect? Adverse effects ? Errors ? Ask client to explain how they should be
taking their meds and if they understand, especially if going home with something new.
Should nurses document herbs that a patient YES, this is because herbs can interfere with how medication works and cause
is taking? Why or why not? unwanted side effects or interfere with how to drug works.
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EBP is a process used to review, analyze, and translate the latest scientific evidence. The
goal is to quickly incorporate the best available research, along with clinical experience
What is evidence-based nursing practice?
and patient preference, into clinical practice, so nurses can make informed patient-care
decisions.
Should a patient take acetaminophen or ibuprofen because it works as anti-inflammatory with other benefits while
ibuprofen for pain and inflammation? acetaminophen works as pain reliever & fever reducer.
Why is one preferred over the other?
What fever-reducing medication should not Aspirin (don't give to kids with fever & influenza)
be given to a child who has fever and also
influenza because of the risk of developing
life-threatening Reye’s syndrome?
What organ is likely to be damaged with Kidney
long term NSAID use?
What organ is likely to be damaged with Acute liver failure
long term use of acetaminophen?
Signs include:
Tinnitus (ringing/buzzing noises)
What are the signs of salicylism (aspirin Dizziness and/or headache
poisoning)? Mental confusion
Diaphoresis (sweating)
Tachypnea (rapid breathing), which can result in respiratory alkalosis.
What is the antidote for post-anesthesia Naloxone (Narcan)
respiratory depression?
Assess vital signs and pulse oximetry. Also make sure to auscultate the lungs for
congestion since the most serious adverse drug reaction is respiratory depression.
What should a nurse assess following opioid Next monitor bowel functions and provide fiber or stool softeners as needed.
administration?
Next, monitor ambulation, in case they experience orthostatic hypotension.
Then, monitor intake and output and watch for signs of urinary retention.
Loss of sensation to a relatively small part of the body for a brief medical or dental
What does local anesthesia do?
procedure. The patient is usually awake during local anesthesia.
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