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NURS 3210 Exam 1 Questions & answers

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NURS 3210 Exam 1 Questions & answers

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NURS 3210 Exam 1
drug - ANS-any chemical that affects the physiological processes of a living organisms

pharmacology - ANS-the study or science of drugs

chemical name - ANS-describes the drugs chemical composition and molecular
structure

generic name - ANS-(non proprietary name) name given by the US Adopted Names
Council

trade name - ANS-the drug has a registered trade marl; use of the name is restricted by
the drug's patent owner (usually the manufacturer)

What is Tylenol's generic name? - ANS-acetaminophen

What is the trade name for acetaminophen? - ANS-Tylenol

What is Motrin's generic name? - ANS-Ibuprofen

What is the trade name for ibuprofen? - ANS-Motrin and others

pharmaceutics - ANS-the study of how various drug forms influence the way in which
the drug affects the body

What determine's a drugs rate of dissolution (dissolving of solid dosage forms and their
absorption from the GI tract)? - ANS-the dosage form of a drug

enteric coated - ANS-coated with a material that permits transit through the stomach to
the small intestines before the medication is released

SR/ER - ANS-designed to release a drug into the body slowly over and extended period
of time. Allows for less frequent administration

pharmacodynamics - ANS-the study of what the drug does to the body
(the mechanism of drug actions in living tissues, drug-receptor relationship, etc.)

,A patient is complaining of severe pain and has orders for morphine sulfate. The nurse
knows that the route that would give the slowest pain relief would be which route?

A. IV
B. IM
C. PO - ANS-Answer: C

pharmacotherapeutics - ANS-The clinical use of drugs to prevent and treat diseases

What does pharmacotherapeutics define? - ANS-the principles of drug actions

the principles of drug actions - ANS-the cellular processes that change in response to
the presence of drug molecules

Pharmacognosy - ANS-the study of natural (versus synthetic) drug sources (i.e., plant,
animal,minerals)

A patient is prescribed ibuprofen 200 mg PO every 4 hours as needed for pain. The
pharmacy sends up enteric-coated tablets, but the patient refuses the tablets, stating
that she cannot swallow pills. What will the nurse do?

A. Crush the tablets and mix them with applesauce or pudding.
B. Call the pharmacy and ask for the liquid form of the medication.
C. Call the pharmacy and ask for the IV form of the medication.
D. Encourage the patient to try to swallow the tablets. - ANS-Correct answer: B

pharmacokintics - ANS-a drug's time to onset of action, time to peak effect, and duration
of action; the study of what happens to a drug from the time it is put into the body until
the parent drug and all metabolites have left the body

Absorption - ANS-substance entering the blood circulation; Movement of a drug from its
site of administration into the bloodstream for distribution to the tissues

Distribution - ANS-the dispersion or dissemination of substances throughout the fluids
and tissues of the body

Metabolism - ANS-the recognition by the organism that a foreign substance is present
and the irreversible transformation of parent compounds into daughter metabolites

, Excretion - ANS-the removal of the substances from the body. In rare cases, some
drugs irreversibly accumulate in body tissue

First Pass Effect - ANS-phenomenon of drug metabolism whereby the concentration of
a drug is greatly reduced before it reaches the systemic circulation which is generally
related to the liver and gut wall.

The nurse is giving a medication that has a high first-pass effect. The health care
provider has changed the route from IV to PO. The nurse expects the oral dose to be

A. higher because of the first-pass effect.
B. lower because of the first-pass effect.
C. the same as the IV dose.
D. unchanged - ANS-Correct answer: A

bioavailability - ANS-the amount of the drug that is available to be used by the body

enteral route - ANS-the drug is absorbed into the systemic circulation therough the oral
or gastric mucosa or the small intestine (ex. oral, sublingual, buccal, rectal)

parenteral route - ANS-IV, IM, SQ, Intradermal, Intraarterial, Intrathecal, Intraarticular

Examples of topical route - ANS-Skin (including transdermal patches)
Eyes
Ears
Nose
Lungs (inhalation)
Rectum
Vagina

The nurse is preparing to administer a transdermal patch to a patient and finds that the
patient already has a medication patch on his right upper chest. What will the nurse do?

A. Remove the old medication patch and notify the health care provider
B. Apply the new patch without removing the old one
C. Remove the old patch and apply the new patch in the same spot
D. Remove the old patch and apply the new patch to a different, clean area -
ANS-Correct Answer : D

Where is Ibuprofen metabolized? - ANS-the kidneys

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