NURS 3365 – Final exam questions with answers

NURS 3365 – Final exam questions with
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answers


Which route(s) are effected by hepatic first pass? - CORRECT
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ANSWERS ✔✔Oral |\




Which route has the highest bioavailability? - CORRECT ANSWERS
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✔✔IV
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What do we need to have in order to have appropriate protein-
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binding? - CORRECT ANSWERS ✔✔Normal albumin level (4-6)
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What happens if albumin is too low? - CORRECT ANSWERS
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✔✔Toxicity


What do CYP 450 inhibitors do to the metabolism system? -
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CORRECT ANSWERS ✔✔Slows the metabolism of the drug,
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prolongs half-life, greater risk to toxicity (grape fruit juice)
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What do CYP 450 inducers do to the metabolism system? -
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CORRECT ANSWERS ✔✔Speeds up metabolism, decrease drug
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effectiveness (nicotine) |\




What are some "do not use" abbreviations? - CORRECT ANSWERS
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✔✔QD, QOD, U, IU, MS, MSO4
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,What do you do if an order says 5 u insulin? - CORRECT
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ANSWERS ✔✔Contact prescriber and clarify it (make sure u is
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units)


Rights of medication administration - CORRECT ANSWERS
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✔✔right: dose, time, patient, assessment, drug, to refuse, reason,
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to education, evaluate
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How to identify patient? - CORRECT ANSWERS ✔✔Name and DOB
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What if someone gives you a syringe and says "this is morphine,
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can you give it to my patient?" - CORRECT ANSWERS ✔✔NO
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What does it mean if a medication is high alert? - CORRECT
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ANSWERS ✔✔High risk med, proven to show danger to patient
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Name some high alert medications - CORRECT ANSWERS
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✔✔Insulin, Digoxin, Heparin, Morphine, IV Potassium, Warfarin,
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etc..


What does it mean that opioids are considered high alert on the
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waste? - CORRECT ANSWERS ✔✔Highly addictive, nurse watches
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you waste extra opioid
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What are some big reasons medication errors occur? - CORRECT
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ANSWERS ✔✔Similar packaging, failed communication, system
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issue

, What are some medications that can't be crushed? - CORRECT
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ANSWERS ✔✔ER, EC, XR |\ |\ |\




Why would we have EC on Aspirin and ibuprofen? - CORRECT
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ANSWERS ✔✔Lessens chance of GI ulcers
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Difference between elixir and suspension? - CORRECT ANSWERS
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✔✔Suspension: shake |\




Elixir: already mixed
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What education to provide for a suspension ear drop for a 12
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year old? - CORRECT ANSWERS ✔✔Pull ear up and back, don't
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touch dropper to ear or fingers, have patient lay on side for a few
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minutes after medication
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Transdermal medications - CORRECT ANSWERS ✔✔Don't put heat
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over site, clean area, don't cut patch, rotate sites, hairless if
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possible, wear gloves, no distal arms or legs
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intradermal angle - CORRECT ANSWERS ✔✔10-15 degrees
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subcutaneous angle - CORRECT ANSWERS ✔✔45-90 degree, |\ |\ |\ |\ |\ |\ |\


depends on weight of patient and medication
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IM angle - CORRECT ANSWERS ✔✔90 degree
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