Midterm Flashcards
(84 cards)
In which step of the nursing process determines the direction of care?
Patient problems
In which step of the nursing process would you determine whether the goals and objectives set earlier were met?
Evaluation
Which step of the nursing process would be where a nurse shows a patient how to administer insulin?
Nursing interventions
What type of drug name is the one assigned to or approved by the FDA?
Generic name
What are two characteristics of Generic name drugs?
The official, nonproprietary name for the drug
Every drug had one generic name that defines the active ingredient
What would you tell a patient who has concern about a C category FDA drug risk classification?
No controlled studies have been conducted in animals or humans
Which FDA drug risk category has evidence of human risk to the fetus, but benefits may outweigh risks in certain situation?
Category D
B category stands for
bouncy bunnies- animal studies only show no risk to the fetus
Which FDA drug risk category has evidence of fetal abnormalities in both animals and humans, but the risk in pregnant women outweighs any possible benefit?
x
What are some teaching responsibilities of the nurses on OTC medications? (4)
Start medication reconciliation upon admission
Be aware of OTC products and implication on patient’s drug therapy
Emphasize that OTC can react with other meds anc be potent
Caution patients against self-diagnosis and self- prescribing
With what schedule drug would you ask another nurse to observe and cosign wasting the remaining drug from the vial?
Schedule II and III
What are some factors influencing absorption?
(8)
Dose
Drug formulation
Dietary/herbal products
Molecule size
Surface area
Route of admin
Interactions
pH
What is the dose that keeps plasma-drug concentration in therapeutic range?
Maintenance dose
Why would a patient be given a higher dose of a medication?
Aka loading dose, a plateau is reached faster and quickly produces therapeutic response
What are some drug history assessments necessary for a patient’s medical history profile?
(6)
Comorbidities
Allergies
vitamins, herbs, recreational drugs
alcohol, caffeine, nicotine, illegal drugs
Life-style issues such as diet
Life stage issues – infancy, pregnancy, aging
If a medication is given “stat”, how long does a nurse have?
5 minutes
If a medication is given “now”, how long does a nurse have?
30 minutes
If a medication is given “ASAP”, how long does a nurse have?
60 minutes
What are common medication admin considerations?
(4)
Med-food interactions
Circadian rhythms meds
Patient’s habits and sleep patterns
Discuss with prescriber if patient is going to OR for test/procedure
What are nursing actions regarding medications that may cause your patient’s demise?
(4)
Miscalculation of dosage
Not checking the patient’s identity
Misinterpretation of order
Administration of the wrong drug
How should a patient be positioned for an enteral drug?
Sitting up, alert, and able to swallow
Why should an enteric-coated drug not be crushed?
It destroy the enteric coating and give you upset stomach and clog the tube
What are five types of isotonic solutions?
normal saline
lactated ringer’s
Plasma-Lyte 148
5% dextros in water
5% dextrose in 0.2% normal saline
What are four types of hypertonic solutions?
hypertonic saline (3% NaCl)
5% dextrose in normal saline
5% dextrose in lactate Ringer’s
5% dextrose in Plasma-Lyte 56
