NURS 1060 - EXAM 3 QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS GRADED A++
The nurse prepares to administer hydrochlorothiazide, a diuretic that increases
the excretion of water and electrolytes (sodium and potassium) and therefore,
lowers BP. What lab tests should the nurse review before giving this drug?
Potassium
How should the nurse determine if the antihypertensive drugs administers are
effective?
Check BP - assess therapeutic response
What are interventions that would help overcome compliance with a medication
regimen?
social worker, education on why the medications are important, generic forms, pill box
What should be included when providing teaching about a newly prescribed
drug?
possible side effects
onset/peak/duration
medication name
dose
when to take it
What are the four pillars of Caritas?
,growth
altruism
competence
professionalism
What are some nursing responsibilities regarding drugs?
- know what medications are appropriate
- know what drugs are contraindicated
- the probable sequence of interaction between drug and patient
- correct administration, without additional interventions, cannot ensure that
treatment will result in the therapeutic objective.
Nurses are the first member of the health care team to.....
observe and evaluate drug responses and intervene if required. We are the last line of
defense for the patient.
Nurses are responsible for identifying and...
intervening to correct mistakes made by pharmacists and prescribers
What is one way a nurse can evaluate if a patient should be taking a specific
medication ordered?
Know the therapeutic response of the medication to know if it is beneficial to the patient
How can we minimize adverse effects?
**all medications have side effects
We must know:
- major adverse effects the drug can produce
,- the time when these reactions are likely to occur (peak and onset of med -> tells you
when to expect effect of the med)
- monitor/assess for adverse interactions
- provide teachings
TAKE A THOROUGH DRUG HISTORY:
- collect all past and current medications as even if a pt is not taking it currently if it was
recent enough it could still be in their system and cause adverse reactions
- RX, OTC, Herbal supplements
- complementary and alternative drugs (green tea, acupuncture)
- recreational drugs/substances
- allergies
PRN
- means as needed
- nurse has discretion of how much and when to give it; patient needs to ask for it if alert
and oriented
- know reason for drug use
- assess pt's medication needs; ask pain level, OLDCARTS
Patient states their back is killing them and they are crying - What medication
would you give to the patient based on their available PRN ordered medications?
a. morphine sulfate 10mg PO q4 PRN
b. Acetaminophen 650 mg PO q4 PRN
c. Cyclobenzaprine 10 mg PO q8 PRN
, a.
Patient states they have a headache and rate it 10/10 - What medication would
you give to the patient based on their available PRN ordered medications?
a. morphine sulfate 10mg PO q4 PRN
b. Acetaminophen 650 mg PO q4 PRN
c. Cyclobenzaprine 10 mg PO q8 PRN
b.
Patient states they are having muscle spasms and reports 10/10 pain - What
medication would you give to the patient based on their available PRN ordered
medications?
a. morphine sulfate 10mg PO q4 PRN
b. Acetaminophen 650 mg PO q4 PRN
c. Cyclobenzaprine 10 mg PO q8 PRN
c.
What are things you need to consider when making PRN decisions?
pain level, location and pain type (OLDCARTS)
What do we need to make sure we include when we are educating patient
regarding pharmacology?
- drug name
- therapeutic category (lay terminology)
- dosage size (ex: 1 pill per day)
COMPLETE SOLUTIONS GRADED A++
The nurse prepares to administer hydrochlorothiazide, a diuretic that increases
the excretion of water and electrolytes (sodium and potassium) and therefore,
lowers BP. What lab tests should the nurse review before giving this drug?
Potassium
How should the nurse determine if the antihypertensive drugs administers are
effective?
Check BP - assess therapeutic response
What are interventions that would help overcome compliance with a medication
regimen?
social worker, education on why the medications are important, generic forms, pill box
What should be included when providing teaching about a newly prescribed
drug?
possible side effects
onset/peak/duration
medication name
dose
when to take it
What are the four pillars of Caritas?
,growth
altruism
competence
professionalism
What are some nursing responsibilities regarding drugs?
- know what medications are appropriate
- know what drugs are contraindicated
- the probable sequence of interaction between drug and patient
- correct administration, without additional interventions, cannot ensure that
treatment will result in the therapeutic objective.
Nurses are the first member of the health care team to.....
observe and evaluate drug responses and intervene if required. We are the last line of
defense for the patient.
Nurses are responsible for identifying and...
intervening to correct mistakes made by pharmacists and prescribers
What is one way a nurse can evaluate if a patient should be taking a specific
medication ordered?
Know the therapeutic response of the medication to know if it is beneficial to the patient
How can we minimize adverse effects?
**all medications have side effects
We must know:
- major adverse effects the drug can produce
,- the time when these reactions are likely to occur (peak and onset of med -> tells you
when to expect effect of the med)
- monitor/assess for adverse interactions
- provide teachings
TAKE A THOROUGH DRUG HISTORY:
- collect all past and current medications as even if a pt is not taking it currently if it was
recent enough it could still be in their system and cause adverse reactions
- RX, OTC, Herbal supplements
- complementary and alternative drugs (green tea, acupuncture)
- recreational drugs/substances
- allergies
PRN
- means as needed
- nurse has discretion of how much and when to give it; patient needs to ask for it if alert
and oriented
- know reason for drug use
- assess pt's medication needs; ask pain level, OLDCARTS
Patient states their back is killing them and they are crying - What medication
would you give to the patient based on their available PRN ordered medications?
a. morphine sulfate 10mg PO q4 PRN
b. Acetaminophen 650 mg PO q4 PRN
c. Cyclobenzaprine 10 mg PO q8 PRN
, a.
Patient states they have a headache and rate it 10/10 - What medication would
you give to the patient based on their available PRN ordered medications?
a. morphine sulfate 10mg PO q4 PRN
b. Acetaminophen 650 mg PO q4 PRN
c. Cyclobenzaprine 10 mg PO q8 PRN
b.
Patient states they are having muscle spasms and reports 10/10 pain - What
medication would you give to the patient based on their available PRN ordered
medications?
a. morphine sulfate 10mg PO q4 PRN
b. Acetaminophen 650 mg PO q4 PRN
c. Cyclobenzaprine 10 mg PO q8 PRN
c.
What are things you need to consider when making PRN decisions?
pain level, location and pain type (OLDCARTS)
What do we need to make sure we include when we are educating patient
regarding pharmacology?
- drug name
- therapeutic category (lay terminology)
- dosage size (ex: 1 pill per day)
