Nursing 233 Final Exam – Questions With Accurate
Solutions
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Terms in this set (38)
Componets of a Medication order Full name of client, date and time the order was
written, name of the drug, dosage, frequency
(scheduled vs. prn), route, signature of person writing
the order
Safe administration of meds 3 MAR checks/Right client, Right medication, right
dose, right time, right route, right documentation,
right to refuse
Steps of Pharmacokinetics 1. Absorption
2. Distribution
3. Metabolism: liver(first pass effect)
4. Excretion: kidney, liver, bowel, lungs, exocrine
glands
Routes of medication administration oral: food can affect, aspiration precautions;
parenteral: subcutaneous, intramuscular, intravenous,
intradermal; topical: skin, mucous membranes
Factors that affect timing of Therapeutic range: at which medication has an effect,
medication dosing Peak: highest point of effectiveness, trough: draw 30
mins before administering med, Biological half-life:
med loses half its effectiveness, Plateau: steady
concentration
, Types of Medication Action therapeutic effect: expected physiological outcome
side effect: predictable, unavoidable secondary
effect
adverse effect: unintended, undesirable, often
unpredictable
toxic effect: accumulation of medication in the
bloodstream
idiosyncratic reaction: opposite of intended effect
allergic reaction: unpredictable response to
medication, acts as an antigen
Rights of Delegation Cannot delegate the nursing process, do not
delegate high risk patients or skills outside of UAP
scope of practice. right task, right circumstances,
right person, right direction/communication, right
supervision
Prioritizing Assessment Data High priority: immediate threat to patient survival or
safety
Intermediate priority: non-emergent, non-life
threatening
Low priority: actual or potential problems may not be
directly related to patient's illness or disease
Environmental safety RACE: Rescue, alarm, confine, extinguish
PASS: Pull, aim, squeeze, sweep
Use prevention measures, follow protocals
Fall risks and prevention Cognition, balance, gait, mobility, vision, peripheral
neuropathy, awareness, medications. Toddlers,
elderly most at risk.
Bed to lowest point, only 2 guardrails left up, non-
slip socks, remove throw rugs, remove clutter, orient
to room, make sure patient knows how to use
canes/walkers/crutches, call light within reach,
prepare a fall assessment, clean, dry floors
Solutions
Save Groups
Terms in this set (38)
Componets of a Medication order Full name of client, date and time the order was
written, name of the drug, dosage, frequency
(scheduled vs. prn), route, signature of person writing
the order
Safe administration of meds 3 MAR checks/Right client, Right medication, right
dose, right time, right route, right documentation,
right to refuse
Steps of Pharmacokinetics 1. Absorption
2. Distribution
3. Metabolism: liver(first pass effect)
4. Excretion: kidney, liver, bowel, lungs, exocrine
glands
Routes of medication administration oral: food can affect, aspiration precautions;
parenteral: subcutaneous, intramuscular, intravenous,
intradermal; topical: skin, mucous membranes
Factors that affect timing of Therapeutic range: at which medication has an effect,
medication dosing Peak: highest point of effectiveness, trough: draw 30
mins before administering med, Biological half-life:
med loses half its effectiveness, Plateau: steady
concentration
, Types of Medication Action therapeutic effect: expected physiological outcome
side effect: predictable, unavoidable secondary
effect
adverse effect: unintended, undesirable, often
unpredictable
toxic effect: accumulation of medication in the
bloodstream
idiosyncratic reaction: opposite of intended effect
allergic reaction: unpredictable response to
medication, acts as an antigen
Rights of Delegation Cannot delegate the nursing process, do not
delegate high risk patients or skills outside of UAP
scope of practice. right task, right circumstances,
right person, right direction/communication, right
supervision
Prioritizing Assessment Data High priority: immediate threat to patient survival or
safety
Intermediate priority: non-emergent, non-life
threatening
Low priority: actual or potential problems may not be
directly related to patient's illness or disease
Environmental safety RACE: Rescue, alarm, confine, extinguish
PASS: Pull, aim, squeeze, sweep
Use prevention measures, follow protocals
Fall risks and prevention Cognition, balance, gait, mobility, vision, peripheral
neuropathy, awareness, medications. Toddlers,
elderly most at risk.
Bed to lowest point, only 2 guardrails left up, non-
slip socks, remove throw rugs, remove clutter, orient
to room, make sure patient knows how to use
canes/walkers/crutches, call light within reach,
prepare a fall assessment, clean, dry floors
