NURS 403 Pathophysiology / Pharmacology I_Quiz I Review_Module I + Module II_2020 | NURS403 Pathophysiology / Pharmacology I_Quiz

NURS 403 Pathophysiology / Pharmacology I_Quiz I Review_Module I + Module II QUIZ 1: WEDNESDAY 9/16 ALL STUDENTS WILL TAKE REMOTELY DURING SPECIFIED WINDOW OUTSIDE OF CLASS COVERS MOD 1 & 2 MODULE 1 Lehne’s Chapter 1& 2: Orientation & Pharmacology in Nursing Chapter 3: Drug Naming & Development Chapter 4: Pharmacokinetics Chapter 5: Pharmacodynamics Chapter 6: Drug Interactions Chapter 7: ADE & Medication Errors Chapter 8: Individual Variation Chapter 9-11: Drug Therapy Across the Lifespan MODULE 2 Patho Intro Story's Chapter 2 Cell Function & Adaptive Changes** Genetic & Congenital Alterations** Concepts from Bio and A&P: not being covered in-class, self-review** Neoplasms & Chemo Story's Chapter 2 Lehne's Chapter 101 WHAT ARE THE DIFFERENT USES OF DRUGS? DIAGNOSIS, TREATMENT, PREVENTION, PREVENTION OF PREGNANCY LIST THE PROPERTIES OF DRUGS, WHICH IS MOST IMPORTANT? PATIENT KNOWLEDGE OF BENEFITS + RISKS WILL  CHAPTER 1 QUESTION 1 WHAT IS THE OBJECTIVE FOR DRUG THERAPY? WHAT IS COMMON ADE OF ANTICANCER DRUGS? WHAT IS A COMMON ADE OF OPIOID ANALGESICS? WHAT IS A COMMON ADE OF ASPIRIN + NSAIDS? WHAT ARE THE IMPORTANT DETERMINANTS OF DRUG RESPONSES DURING ADMINISTRATION? EFFICACY, SAFETY, SELECTIVITY EFFICACY  MECHANISM OF ACTION ENHANCE COMPLIANCE What is a desired outcome when a drug is described as easy to administer? a. It can be stored indefinitely without need for refrigeration. b. It does not interact significantly with other medications. c. It enhances patient adherence to the drug regimen. d. It is usually relatively inexpensive to produce. MAXIMIZE BENFIT + MINIMIZE HARM IMMUNOSUPRESSION +I NFECTION e.g. cyclophosphamide + methotrexate RESPIRATORY DEPRESSOIN e.g. morphine + meperidine GI BLEEDING, ULCERATION, PERFORATION WHAT ARE THE MAJOR PROCESSES OF PHARMACOKINETICS? WHAT DOES PHARMACOKINETICS DETERMINE? WHAT AFFECTS PHARMACODYNAMICS? WHAT SHOULD BE EVALUATED ABOUT A PATIENT BEFORE DRUG ADMINISTRATION? WHEN TESTING A PATIENT’S LIVER FUNCTION, WHAT SHOULD WE MEASURE? WHEN TESTING A PATIENT’S KIDNEY FUNCTION, WHAT SHOULD WE MEASURE? A nurse is caring for a patient who has an infection. The healthcare provider has ordered an antimicrobial drug for the patient. The nurse understands that which of the following is the most important DOSAGE SIZE, ROUTE, + TIMING **be aware of medical errors, ease of administration to enhance adherence, and missed doses  RE-EDUCATE PATIENT ADMINISTRATION, DISTRIBUTION, METABOLISM, + EXCRETION -determines how much drug reaches its site of action DRUG-RECEPTOR INTERACTIONS, PATIENT’S FUNCTIONAL STATE, + PLACEBO EFFECTS INDIVIDUAL VARIATION: age, gender, weight, diagnoses, kidney + liver function, family hx, drug interactions LFTS (AST, ALT), ALP, + BILIRUBIN; educate pts to report jaundice, dark urine, light-colored stools, N/V, malaise, abd. discomfort, loss of appetite SERUM CREATININE, CREATININE CLEARANCE, BLOOD UREA NITROGEN (BUN) A. That the drug will kill the microorganism characteristic of this drug? A patient who was prescribed an oral medication to be taken four times per day returns to the clinic for a follow-up visit. The patient tells the nurse that he forgets to take two or three doses of the medication each day. What is the most appropriate action that the nurse can take? WHAT ARE THE 6 RIGHTS? A THOROUGH MEDICATION HISTORY INCLUDES DOCUMENTING CHAPTER 2 QUESTION 1 AGE, GENETICS, AND GENDER EFFECT WHAT DRUG PROCESS(ES)? WEIGHT EFFECTS WHAT DRUG PROCESS(ES)? B. That the drug will be administered orally C. That the drug does not have any harmful effects D. That the drug does not interact with other drugs A. Arranging for the patient to have a home healthcare nurse B. Re-educate patient about the medication and how it should be taken C. Determining whether the patient is experiencing any adverse effects D. Telling the patient to set an alarm as a reminder to take the drug RIGHT DRUG, PATIENT, DOSE, TIME, ROUTE, DOCUMENTATION (PRN) BOTH RX + OVER-THE-COUNTER DRUGS A postoperative patient is being discharged home with acetaminophen/hydrocodone [Lortab] for pain. The patient asks the nurse about using Tylenol for fever. Which statement by the nurse is correct? a. It is not safe to take over-the-counter drugs with prescription medications. b. Taking the two medications together poses a risk of drug toxicity. c. There are no known drug interactions, so this will be safe. d. Tylenol and Lortab are different drugs, so there is no risk of overdose. ABSORPTION, METABOLISM, + EXCRETION WHAT FACTORS CONSTITUTE A PATIENT AS BEING HIGH-RISK? CHAPTER 11 QUESTION 4 DISTRIBUTION DIMINISHED KIDNEY +/OR LIVER FUNCTION, ALLERGIES, PREGNANCY, GERIATRIC + PEDIATRIC *note: kidney and liver function are age-independent CHAPTER 2 QUESTION 5 CHAPTER 2 QUESTION 6 A nurse is teaching a group of nursing students about administering medications to older adult patients. Which statement by a student indicates a need for further teaching? a. Alteration in hepatic function requires more frequent drug dosing. b. Changes in GI function in older adult patients lead to lower serum drug levels. c. Most adverse drug reactions in older adult patients are related to altered renal function. d. Most nonadherence among older adult patients is intentional. A nurse is preparing to administer medications. Which patient would the nurse consider to have the greatest predisposition to an adverse reaction? a. A 30-year-old man with kidney disease b. A 75-year-old woman with cystitis c. A 50-year-old man with an upper respiratory tract infection d. A 9-year-old boy with an ear infection WHAT ADMINISTRATION ROUTE CAN LEAD TO EXTRAVASATION? WHAT IS EXTRAVASATION? A nurse consults a drug manual before giving a medication to an 80- year-old patient. The manual states that older adult patients are at increased risk for hepatic side effects. Which action by the nurse is correct? a. Contact the provider to discuss an order for pretreatment laboratory - - - - - Continued