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A nurse is preparing to administer digitalis to a client with congestive heart failure. The client asks the
nurse, "Tell me something about this drug. Where does it come from?" What is the best response by the
nurse?
"This drug comes from a plant called the purple foxglove."
A nurse should stress what characteristics as being benefits of synthetic drugs? (Select all that apply.)
Improved consistency in therapeutic effects
Increased standardization of chemical characteristics
Decreased risk of allergic reactionsBlood dyscrasia
bone marrow depression caused by drug effects on the rapidly multiplying cells of the bone marrow,
lower than normal levels of blood components can be seen.
Dermatological reaction
skin reactions commonly seen as adverse effects of drugs; can range from simple rash to potentially
exfoliative dermatitis.
Drug allergy
formation of antibodies to a drug or drug protein; causes an immune response when the person is next
exposed to that drug.
Hypersensitivity
excessive responsiveness to either the primary or the secondary effects of a drug; may be caused by a
pathological condition or, in the absence of one, by a particular patient's individual response.
,Poisoning
overdose of a drug that causes damage to multiple body systems and has the potential for fatal
reactions.
Stomatitis
inflammation of the mucous membranes related to drug effects; can lead to alterations in nutrition and
dental problems.
Superinfections
infections caused by the destruction of normal flora bacteria by certain drugs; which allow other
bacteria to grow out of control and cause infection; may occur during the course of antibiotic therapy.
Assessment
information gathering regarding the current status of a particular patient; including evaluation of past
history and physical examination; provides a baseline of information and clues to effectiveness of
therapy.
Evaluation
part of the nursing process; determining the effects of the interventions that were instituted for the
patient and leading to further assessment and intervention.
Implementation
actions undertaken to meet a patient's needs, such as administration of drugs, comfort measures, or
patient teaching.
,Nursing
the art of nurturing and administering to the sick, combined with scientific application of chemistry,
anatomy, physiology, biology, nutrition, psychology, and pharmacology to the particular clinical
situation.
Nursing diagnosis
statement of the actual or potential problem, based on the assessment of a particular clinical situation,
which directs needed nursing interventions.
Nursing process - ADPIE
the problem-solving process used to provide efficient nursing care; it involves gathering information,
formulating a nursing diagnosis statement, prioritizing the diagnosis, developing goals and desired
outcomes for the patient, carrying out interventions, and evaluating the process.
Planning
the process of prioritizing the information gathered in assessment and, using the established nursing
diagnoses, to develop goals and desired outcomes for the patient.
Adverse effects
drug effects, sometimes called side effects, that are not the desired therapeutic effects; may be
unpleasant or even dangerous.
Brand name
name given to a drug by the pharmaceutical company that developed it; also called a trade name or
proprietary name.
, Chemical name
name that reflects the chemical structure of a drug.
Drugs
chemicals that are introduced into the body to bring about change
Food and Drug Administration (FDA)
federal agency responsible for the regulation and enforcement of drug evaluation and distribution
policies.
Generic drugs
drugs sold by their generic name; not brand name or trade name product.
Generic name
the original designation that a drug is given when the drug company that developed it applies for the
approval process.
Genetic engineering
process of altering DNA , usually of bacteria, to produce a chemical to be used in a drug.
Orphan drugs