NURS 615 Study Guide Exam I Questions and Answers
with 100% Complete Solutions UPDATED!!!
What factors are associated with clinical judgment when
prescribing medications? - ANSWER Thorough assessment of
patient and patient environment
Medical and Nursing Diagnoses
Review of potential alternative therapies
Specific knowledge about drug chosen
Information about disease you are trying to treat
This is patient centered care should be most effective, least
invasive and least expensive
What are the criteria for choosing an effective drug? - ANSWER
Nationally recognized guidelines should be used to choose most
effective drug treatment
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JNC7 for hypertension
Recommendations for SPE prophylaxis for endocarditis put out
by American Cardiac Physicians and AHA
How does hypoalbuminemia affect the process of prescribing? -
ANSWER Many drugs that carry an electric charge bind with
albumin in the blood
The distribution of drug to the targeted tissues may be affected
if hypoalbuminemia is present
What is the drug's half-life? - ANSWER The amount of time for
an administered to be half-way cleared from the body
Takes 4-5x half life for drug serum to reach steady state after
regular dosing is started, stopped, or the dose is changed
Digoxin half life 24-36 hours change in dose will take a week for
full effect