PHARM EXAM 1 QUESTIONS AND ANSWERS VERIFIED 100% CORRECT

PHARM EXAM 1 QUESTIONS AND ANSWERS VERIFIED 100% CORRECT Where to find med info - ANSWER -Davis drug guide, drug cards, need to know only, don't use google OTC meds - ANSWER -Allow people to take care of simple medical problems, safe when used as directed, FDA looking into OTC for safety/ effectiveness, OTC can re act with prescription meds, teaching should be included on OTC meds with pts Alternate therapies/herbal - ANSWER -St. John's wart, pt self care movement, they are considered dietary supplements, can produce unexpected effects and toxic reactions- interact with prescription meds Sample question - ANSWER -Nurse preparing to admin eye drops to 1 yr old, what action should the nurse take? along side ear canal to avoid instilling the meds on ear drum Aspirin - ANSWER -Don't give to children can cause Reye's syndrome( life threatening metabolic disorder) Med rights - ANSWER -Right med, right time, right rose, route, right to edu, right to doc, right to refuse 3 med checks - ANSWER -Med room when pulling it, prep area, bedside after verifying with pt before opening packages 2 pt identifiers - ANSWER -Name, D.O.B person specific identifier, (DL, verification by family if pt is unconscious Abb to know AC- PC HS-OS-OD-OU-AS_AD_AS - ANSWER -AC-before meals PC-after HS- bedtime OS-left eye OD- right eye OU- both eyes As- left ear AD- right ear As- both ears Med order giving by - ANSWER -MD,DO,NP, PA Components of med order - ANSWER -Name / DOB, Name of drug, Dose, Route, Frequency, Indication (PRN) duration, providers signature if any is missing must get clarification Nursing clinical judgement - ANSWER -Recognize cues ( list findings) analyze cues ( findings significant to the issue) prioritize hypothesis (acute/chronic/possible risk) generate solutions(deciding if med is appropriate) take action (prioritizing your interventions) evaluate Recognizing cues - ANSWER -History, chronic condition, drug use, allergies, level of edu/understanding, social support, financial support, patterns of healthcare, PHYSICAL EXAM: weight/age/ ADME - ANSWER -Absorption -distribution- metabolism- elimination- Absorption - ANSWER -Location of admin IV, IM,SQ, Orally, PO, SL, Rectal (PR) Lungs, transdermal Distribution - ANSWER -Way body gets meds, via blood then all over body. Site binding Metabolism - ANSWER -How the body converts less/more active forms. Liver primarily responsible. Mostly P.O meds newborns/elderly can't metabolism meds (toxicity) Elimination - ANSWER -Out of body, kidneys elderly lose 3% per year kidney function. Half life - ANSWER -How long it takes for half the meds in blood can be excreted out of body. To know when to give next dose to maintain therapeutic range or when to hold so we don't over dose Nephrotoxicity - ANSWER -Antibiotics (gents) harmful to kidneys 5 rights - ANSWER - Right dose• Right route• Right time Right patient• Right drug