Nursing Process in Drug therapy.

Question 1

What step of nsg process gathers important data for the basis of plan of care which includes subjective and objective data:

Answer 1

assessment

Question 2

What type of data would you gather current Hx, quoted current symptoms, current meds, drug allergies, OTC, ETOH/smoking/street drugs, compliance with drug therapy:

Answer 2

subjective data

Question 3

What type of questions are these: What things help you take you meds as prescribed; what things prevent you from taking your meds; what woud you do if you forget to take a dose of meds:

Answer 3

compliance questions

Question 4

What type of data is gathered with lab tests, dx studies, mental status, physical health assessment:

Answer 4

objective data

Question 5

A nsg dx is made based on what:

Answer 5

Nsg dx is made based on the analysis of assessment data.

Question 6

What are the most common nsg dx related to drug therapy:

Answer 6

Pain (acute or chronic), risk for injury related to side effects, and ineffective health maintenance

Question 7

What phase of the nsg process is characterized by goal setting or expected outcomes:

Answer 7

PLanning

Question 8

What is the acronym for qualities of effective goal settings:

Answer 8

ROME: r=realistic, o=obseravable, m=measurable, obtainable

Question 9

Client teaching is…

Answer 9

ongoing process

Question 10

When having your pts do self administration of meds, what should we do in the teaching:

Answer 10

Route, frequency, demo and return demo, provide written instruction/material

Question 11

For diets, what should you instruct your pts to do when taking diuretics, Coumadin (anticoagulant):

Answer 11

Diuretics: encourage foods high in K+, or MD may rx K supplements; Coumadin (anticoagulant) have pts avoid lrg amounts of green leafy vegetables as they decrease the effects of Coumadin due to the vitamin K

Question 12

What do you have the pt do in the case of side effects:

Answer 12

Report unusual S/S; have them minimize effects by sitting up slowly

Question 13

The key to the teaching plan is to:

Answer 13

promote pt’s independence

Question 14

What do you have the pt when disposing of drugs:

Answer 14

Don’t flush in the toilet, add kitty liter or coffee grounds in bags with the old meds

Question 15

An altered or modified action or effect of a drug as a result of interaction with food or drugs is defined as:

Answer 15

drug interactions

Question 16

What are some high risk pts that may be effected by drug interactions:

Answer 16

pts w/chronic health conditions, multiple meds, multiple MDs, older adults due to 75% taking rx or 82% taking OTC

Question 17

A same drug category or one that has a similar action that equals the sum of both drugs is defined as:

Answer 17

additive

Question 18

One drug that enhances the effect of other drugs is defined as:

Answer 18

Synergistic or potentiation

Question 19

When two drugs are in an opposing category can cancel the effects of both drugs:

Answer 19

antagonistic

Question 20

What phase of the nsg process is concerned about the effectiveness of health care teaching about the drug therapy and attainment of goals are addressed:

Answer 20

evaluation

Question 21

What are some drugs that are attainable w/o a Rx:

Answer 21

analgesics, vitamin supplements, antihistamines

Question 22

A plant or plant part valued for its medical medicinal, savory, or aromatic qualities is defined as:

Answer 22

herbal & botanical drugs

Question 23

Ephedra was ban why:

Answer 23

linked to heart complications

Question 24

What herbs may interfere w/anticoagulants:

Answer 24

bilberry, chamomile, garlic, ginger, gingko

Question 25

How does Senna effect Digoxin:

Answer 25

cause an additive effect

Question 26

What is used when calculating safe and efective dosages for babies or children:

Answer 26

Use body weight/BSA for calculations

Question 27

What factors may affect absorption of drugs:

Answer 27

age, health and hydration status, and GI disorders (infants have lower absorption due to being less developed)

Question 28

Infants until 2 yo have a decreased what that causes slower metabolism:

Answer 28

hepatic enzymes

Question 29

In excretion, infants before 9 months experience a reduction in the elimination capacity of what:

Answer 29

kidneys

Question 30

How is drug absorption affected in the elderly:

Answer 30

decreased GI tract motility and increased gastric secretions

Question 31

How is drug distribution affected in the elderly:

Answer 31

decreased binding sites=increased circulation of free drug, decreased body wate, and increased fat

Question 32

How is drug metabolism affected in the elderly:

Answer 32

decreased liver function due to decrease hepatic enzyme production and blood flow; decreased metabolic rate

Question 33

How is drug elimination affected in the elderly:

Answer 33

decreased renal blood flow - decrease in drug excretion = increased drug accumulation

Question 34

Drug dosages are adjusted based on:

Answer 34

weight, adipose tissue, current health problems, and lab results

Question 35

Integrating pharmacodynamics and pharmacokinetics with genetic and ethnic variation is defined as:

Answer 35

Ethnopharmacolgy