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NUR155 Comprehensive Practice Exam With Answers (149 Solved Questions) - Document preview page 1

NUR155 Comprehensive Practice Exam With Answers (149 Solved Questions) - Page 1

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NUR155 Comprehensive Practice Exam With Answers (149 Solved Questions)

NUR155 Comprehensive Practice Exam With Answers offers a strategic approach to studying with real past exams.

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NUR155 Comprehensive Practice Exam With Answers (149 Solved Questions) - Page 1 preview imageNUR155 Exam 4 With Verified Questions And AnswersDrug side effects - (secondary effect) Expected and treated; may be harmless or potentiallyharmfulAdverse reactions - (adverse effects) aren't expected, deadly; may justify thediscontinuation of the drugdrug toxicity - (harmful effects of a drug on an organism or tissue) too much/overdose;ingention of a drug intended for external use or buildup of the drug in the blood because ofimpaired metabolism or excretion; elderly/kids at risk, kidney/liverAllergy (Drug) - anaphylactic reaction (occurs immediately after the drug is administered),doesn't mean you had side effects of a drugDrug interactions - occurs when the administration of one drug before, at the same time as,or after another drug alters the effect of one or both drugs; contraindications, drugcompatibilityhalf-life - amount of time for half the med to get out of the bodyonset - the time it takes for the med to start workpeak plasma level - highest level of med. PO (30-60) IV (med is done)Trough - Right before dose (lowest amount)Absorption - the process by which a drug passed into the bloodstream; first step in themovement of the drug through the bodyDistribution - o the transportation of a drug from its site of absorption to its site of action
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NUR155 Comprehensive Practice Exam With Answers (149 Solved Questions) - Page 2 preview image
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NUR155 Comprehensive Practice Exam With Answers (149 Solved Questions) - Page 3 preview imageBiotransformation (metabolism) - process by which a drug is converted to a less activeform, mostly takes place in the liver- products called metabolitesExcretion - the process by which metabolites and drugs are eliminated from the bodyDrug classification - Prescription and OTCGeneric name or Trade/Brand nameWhat system is used in KY for tracking controlled substances - CASPERWho writes medication orders? - PhysiciansWhat developmental status's effect drug action? - pregnancy, kids (immune body systems),older adults (decreased renal function *start low go slow*- safety tops on pill bottlesHow does sex effect drug action - Males = more protein & metabolize faster; females = moreadipose tissueHow do genes effect drug action? - genetic testingHow does diet affection drug action - AbsorptionPsychological factors that effect drug actions - think it won't work, won't take certain meds,generic vs brand nameswhat disease effect drug action? - Cancer, circulatory issues, gut, renal, liverhow does time of administration effect drug action - some drugs have to be taken with foodor without food, or am/pmOral medication route - o SAFEST ROUTE/MOST CONVIENENT - does not break skin barriero Tablets - can be scored/crushed as long as not enteric coatedo Capsules, liquid
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NUR155 Comprehensive Practice Exam With Answers (149 Solved Questions) - Page 4 preview imageo Sublingual(under tongue - NITROGLYCERIN)o Buccal(Cheek)o Enteral - tube feed, crushed or liquidTransdermal meds - o Applied to skin, local and maybe systemic effectso Lotion, creams, ointments, patcheso Soap/water, gloves, pat dry and applyo Wrap in glove and put in sharps containero Rotate sitesParenteral - Injected VIA -§ Intradermal - under the epidermis (into the dermis)§ Subcutaneous - into the subcutaneous tissue, just below the skin§ Intramuscular - into a muscle§ Intravenous - into a veinWhat do you do when an allergic reaction occurs? - Give Benadryl permission is not requiredTopical meds - o Skin/body cavityo Eye - Lower and outer. Ointment is applied in to outo Ear - 3+ up & back, -3 down & backo Vagina - Need to go up by cervixo Rectum - lube always, make sure not melted or too coldo Nose - blow before, slow inhaleSTAT means? - within 15 minutes ASAPSingle order means? - one time onlyStanding order means? - there if needed in an emergencyPRN means? - as neededWhat is required for a drug order to be valid? - o Full name of pt.
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NUR155 Comprehensive Practice Exam With Answers (149 Solved Questions) - Page 5 preview imageo Date/time writteno Name of drugo Dosageo Frequencyo Routeo SignatureWhat steps should be taken to administer drugs safely? - o Assessment - based on drug typeand drug action - BP, HR, AAOo Suitable route - right size syringe/needleo Med History - taken it before, allergies, any illegal drugs, herbal drugso Allergieso Drug specifics - time of day? w/ or w/o meals?o Self-administration issues - Vision, dexterityWhat are the 3 checks? - o 1stcheck - Upon removal§ Read the MAR and remove the medications from the clients drawer. Verify that the clientsname and room number match the MAR.§ Compare the label of the medication against the MAR§ If the dosage does not match the MAR, determine if you need to do a math calculation§ Check the expiration date of the medicationo 2ndcheck - When preparing§ While preparing the medication (pouring, drawing up or placing unopened package in amedicine cup), look at the medication label and check against the MARo 3rdcheck - At bedside§ Recheck the label on the container (vial, bottle or unused unit-dose medication) againstthe MR before returning to its storage OR before giving the medication to the clientMed administration process - o Identify cliento Inform cliento Administer drug (after completion of 3 checks)o Interventions as neededo Document drug administeredo Evaluate drug response
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NUR155 Comprehensive Practice Exam With Answers (149 Solved Questions) - Page 6 preview imageo PRN - if PRN need to document why given and make sure it workedWhat are the 5 rights - o Patient, Drug, Route, Time, Doseo Documentation, education, refuse, asses, evaluateHow can med errors be prevented and why do they occur? - 3 checksDrugs look/sound alikeWhat do you do if a med error is made? - o Asses VS & pt physical statuso Notify PCP/Charge nurseo Incident report - NEVER put in pt charto Most errors can be reversed, allergic/too much is where it gets badParental meds - Intradermal, SubQ, IM, IVHow do you prepare an ampule? - § A glass container usually designed to hold a single doseof a drug§ Once the ampule is broken, the fluid is aspirated into a syringe using a filtered needleALWAYS filter needle, has air in themHow do you prepare a vial - § A glass bottle with a sealed rubber cap§ scrub the hub for 30 seconds (can use filtered needle as well)§ air must be injected into a vial before withdrawing the medicationReconstituting - § Technique of adding a diluent to a powdered drug usually have printedinstructions§ read vial to know what to mix w/ (mostly use sterile water)intradermal injection - o Given in dermis ONLYo Use 1ML syringe (TB syringe)o 25-27-gauge needle, ¼ - 5/8 ino Max dose = 0.1 MLo Bevel up, wheal needed to be successfulo Chest, scapula, forearms
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