NUR 117 - EXAM 1 REVIEW QUESTIONS
What's some important client teaching regarding OTC medications - Answers -- Follow
the guidelines
- Tell your doctor if you are taking any other medications so you do not have any other
interactions
- That could make it difficult to diagnose any underlying disease processes
- There is a high possibility of overdose if you do not take them as directed or if you
combine them with other medications
- They may interfere with the effectiveness of your prescription medications
What is the first-pass effect - Answers -- Medications are broken down from your liver
enzymes
What is pharmacology - Answers -- It is the biological effects of chemicals in the body
How would you define pharmacodynamics - Answers -- It is the interaction between
living organisms and foreign chemicals
What are the nurse's responsibilities regarding medications - Answers -- Administering
medication
- Assessing the effects of medication
- Intervening to make drug regimens more tolerable
- Educating clients about their medication and their regimens
- Monitoring their plans to prevent errors
What is a loading dose - Answers -- It is a dose that is higher than what you usually
give, if medication takes a long time to work, a loading dose is what you'd start with
What do you know about medication therapy for older adults - Answers -- They
metabolize drugs a little bit differently
- They are often taking a lot more medications than younger people
- You have to monitor for interactions
- They are more susceptible, to adverse effects of medications especially Central
Nervous System effects
- They often need lower doses
- Monitor older adults very carefully
What do you do if someone says they have a drug allergy & why - Answers -- Ask
what they take, because it could just be a expected side effect or what the drug is
supposed to do
- "What happens to you when you take this medication?"
Pregnancy category A - Answers -It means that there is no risk, it is OK. There are
studies that show there is no issues.
, Pregnancy category B - Answers -Animal studies don't show a risk, but there aren't
studies in pregnant women. OR. Animal studies show a risk, but studies in pregnant
women don't. PROCEED WITH CAUTION.
Pregnancy category C - Answers -Don't know. Either no studies, or only animal studies
that show a risk.
Pregnancy category D - Answers -There is an evidence of risk, but benefit may
outweigh the risk
Pregnancy category X - Answers -There is a definite risk, DO NOT USE. Benefit does
not outweigh the risk. DON'T USE W/ PREGNANT WOMEN.
What are the nine rights of medication administration - Answers -TRIPPED.
- Time
- Route
- Indication
- Patience
- Preparation
- Expiration and Education
- Drug
- Dose
- Documentation
How many checks should you perform and where/when do they happen - Answers --
You have to check 3 times
- 1. Pair the med label to the MAR (Medical Administration Record) as you take the
drug out of its storage
- 2. Pair the med label to the MAR as you are preparing each medication
- 3. Pair the med label to the MAR again right before you give it to the patient
How do you measure liquid meds - Answers -- Eye level on a flat surface - bottom of
the meniscus
What are some considerations for buccal/sublingual meds - Answers -- Offer your
patient water beforehand so they have adequate saliva to dissolve them
- Don't chew them
- Don't swallow them whole
Where are buccal meds placed - Answers -- Buccal : cheek
Where are sublingual meds placed - Answers -- Sublingual : under tongue
How could you help a client with swallowing difficulties take PO meds - Answers --
Pudding or applesauce
What's some important client teaching regarding OTC medications - Answers -- Follow
the guidelines
- Tell your doctor if you are taking any other medications so you do not have any other
interactions
- That could make it difficult to diagnose any underlying disease processes
- There is a high possibility of overdose if you do not take them as directed or if you
combine them with other medications
- They may interfere with the effectiveness of your prescription medications
What is the first-pass effect - Answers -- Medications are broken down from your liver
enzymes
What is pharmacology - Answers -- It is the biological effects of chemicals in the body
How would you define pharmacodynamics - Answers -- It is the interaction between
living organisms and foreign chemicals
What are the nurse's responsibilities regarding medications - Answers -- Administering
medication
- Assessing the effects of medication
- Intervening to make drug regimens more tolerable
- Educating clients about their medication and their regimens
- Monitoring their plans to prevent errors
What is a loading dose - Answers -- It is a dose that is higher than what you usually
give, if medication takes a long time to work, a loading dose is what you'd start with
What do you know about medication therapy for older adults - Answers -- They
metabolize drugs a little bit differently
- They are often taking a lot more medications than younger people
- You have to monitor for interactions
- They are more susceptible, to adverse effects of medications especially Central
Nervous System effects
- They often need lower doses
- Monitor older adults very carefully
What do you do if someone says they have a drug allergy & why - Answers -- Ask
what they take, because it could just be a expected side effect or what the drug is
supposed to do
- "What happens to you when you take this medication?"
Pregnancy category A - Answers -It means that there is no risk, it is OK. There are
studies that show there is no issues.
, Pregnancy category B - Answers -Animal studies don't show a risk, but there aren't
studies in pregnant women. OR. Animal studies show a risk, but studies in pregnant
women don't. PROCEED WITH CAUTION.
Pregnancy category C - Answers -Don't know. Either no studies, or only animal studies
that show a risk.
Pregnancy category D - Answers -There is an evidence of risk, but benefit may
outweigh the risk
Pregnancy category X - Answers -There is a definite risk, DO NOT USE. Benefit does
not outweigh the risk. DON'T USE W/ PREGNANT WOMEN.
What are the nine rights of medication administration - Answers -TRIPPED.
- Time
- Route
- Indication
- Patience
- Preparation
- Expiration and Education
- Drug
- Dose
- Documentation
How many checks should you perform and where/when do they happen - Answers --
You have to check 3 times
- 1. Pair the med label to the MAR (Medical Administration Record) as you take the
drug out of its storage
- 2. Pair the med label to the MAR as you are preparing each medication
- 3. Pair the med label to the MAR again right before you give it to the patient
How do you measure liquid meds - Answers -- Eye level on a flat surface - bottom of
the meniscus
What are some considerations for buccal/sublingual meds - Answers -- Offer your
patient water beforehand so they have adequate saliva to dissolve them
- Don't chew them
- Don't swallow them whole
Where are buccal meds placed - Answers -- Buccal : cheek
Where are sublingual meds placed - Answers -- Sublingual : under tongue
How could you help a client with swallowing difficulties take PO meds - Answers --
Pudding or applesauce
