NSG 124 EXAM 1|| NSG 124 PHARMACOLOGY
EXAM ALL QUESTIONS AND CORRECT ANSWERS
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What are the 5 steps of the nursing process? - ANSWER: assessment, nursing
diagnosis, planning, implementation, evaluation
Generic or Trade?
Nonproprietary, not capitalized, suffixes, only 1 name - ANSWER: Generic
Generic or Trade?
Proprietary, capitalized, marketing name, multiple names - ANSWER: Trade
What are the 4 parts of the pharmacokinetics processes? - ANSWER: Absorption,
distribution, metabolism, excretion
Half life - ANSWER: length of time required for half of the medication to leave
the body
Is it better to have a narrow or wide therapeutic range? - ANSWER: Wide
Therapeutic index - ANSWER: the ratio between the toxic and therapeutic
concentrations of a drug
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drug-drug interactions - ANSWER: when one drug changes the way another drug
affects the body
Minimizing Adverse Drug-Drug Interactions - ANSWER: Minimize number of
drugs a patient receives.
Take a thorough drug history.
Be aware of the possibility of illicit drug use.
Adjust the dosage when metabolizing inducers are added or deleted.
Adjust the timing of administration to minimize interference with absorption.
Monitor for early signs of toxicity.
Be especially vigilant when patient is taking a drug with a low therapeutic index.
Adverse Reactions - ANSWER: undesirable drug effect
Side effect - ANSWER: the secondary effect of a drug that is unintended
Toxicity - ANSWER: adverse drug reaction caused by excessive dosing
Allergic reaction - ANSWER: immune response caused by hypersensitivity not
dosage
Idiosyncratic effect - ANSWER: an uncommon drug response resulting from a
genetic predisposition
Paradoxical effect - ANSWER: the opposite of the intended drug response
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Iatrogenic disease - ANSWER: condition caused by medical treatment
Physical dependence - ANSWER: a physiological need for a drug, marked by
unpleasant withdrawal symptoms when the drug is discontinued
Cacinogenic effect - ANSWER: cancer causing
Teratogenic - ANSWER: ability to cause birth defects or fetal death
Hepatotoxicity - ANSWER: damage to the liver by a toxic substance
Nephrotoxicity - ANSWER: damage to the kidneys by a toxic substance
QT interval - ANSWER: can cause irregular heart rate
How does age influence medication response? - ANSWER: Aging can cause
decreased kidney and liver function which affects absorption
How does tolerance influence medication response? - ANSWER: Decreased
effectiveness because of prolonged use
How does body weight/composition influence medication response? - ANSWER:
can affect absorption, metabolism, and adverse reactions
FDA pregnancy risk categories - ANSWER: A: remote risk of fetal harm
B: slightly more risk than A