Skip to content
Past Exams

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.

Preview 6 of 17 pages

See the first 6 pages exactly as they appear in the document.

  1. Page 1
    Read page 1 as text

    NUR155 Exam 4 With Verified Questions And Answers Drug side effects - (secondary effect) Expected and treated; may be harmless or potentially harmful Adverse reactions - (adverse effects) aren't expected, deadly; may justify the discontinuation of the drug drug 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 of impaired metabolism or excretion; elderly/kids at risk, kidney/liver Allergy (Drug) - anaphylactic reaction (occurs immediately after the drug is administered), doesn't mean you had side effects of a drug Drug 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, drug compatibility half-life - amount of time for half the med to get out of the body onset - the time it takes for the med to start work peak 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 the movement of the drug through the body Distribution - o the transportation of a drug from its site of absorption to its site of action

  2. Page 2
  3. Page 3
    Read page 3 as text

    Biotransformation (metabolism) - process by which a drug is converted to a less active form, mostly takes place in the liver- products called metabolites Excretion - the process by which metabolites and drugs are eliminated from the body Drug classification - Prescription and OTC Generic name or Trade/Brand name What system is used in KY for tracking controlled substances - CASPER Who writes medication orders? - Physicians What developmental status's effect drug action? - pregnancy, kids (immune body systems), older adults (decreased renal function *start low go slow*- safety tops on pill bottles How does sex effect drug action - Males = more protein & metabolize faster; females = more adipose tissue How do genes effect drug action? - genetic testing How does diet affection drug action - Absorption Psychological factors that effect drug actions - think it won't work, won't take certain meds, generic vs brand names what disease effect drug action? - Cancer, circulatory issues, gut, renal, liver how does time of administration effect drug action - some drugs have to be taken with food or without food, or am/pm Oral medication route - o SAFEST ROUTE/MOST CONVIENENT - does not break skin barrier o Tablets - can be scored/crushed as long as not enteric coated o Capsules, liquid

  4. Page 4
    Read page 4 as text

    o Sublingual(under tongue - NITROGLYCERIN) o Buccal(Cheek) o Enteral - tube feed, crushed or liquid Transdermal meds - o Applied to skin, local and maybe systemic effects o Lotion, creams, ointments, patches o Soap/water, gloves, pat dry and apply o Wrap in glove and put in sharps container o Rotate sites Parenteral - 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 vein What do you do when an allergic reaction occurs? - Give Benadryl permission is not required Topical meds - o Skin/body cavity o Eye - Lower and outer. Ointment is applied in to out o Ear - 3+ up & back, -3 down & back o Vagina - Need to go up by cervix o Rectum - lube always, make sure not melted or too cold o Nose - blow before, slow inhale STAT means? - within 15 minutes ASAP Single order means? - one time only Standing order means? - there if needed in an emergency PRN means? - as needed What is required for a drug order to be valid? - o Full name of pt.

  5. Page 5
    Read page 5 as text

    o Date/time written o Name of drug o Dosage o Frequency o Route o Signature What steps should be taken to administer drugs safely? - o Assessment - based on drug type and drug action - BP, HR, AAO o Suitable route - right size syringe/needle o Med History - taken it before, allergies, any illegal drugs, herbal drugs o Allergies o Drug specifics - time of day? w/ or w/o meals? o Self-administration issues - Vision, dexterity What are the 3 checks? - o 1stcheck - Upon removal § Read the MAR and remove the medications from the clients drawer. Verify that the clients name 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 medication o 2ndcheck - When preparing § While preparing the medication (pouring, drawing up or placing unopened package in a medicine cup), look at the medication label and check against the MAR o 3rdcheck - At bedside § Recheck the label on the container (vial, bottle or unused unit-dose medication) against the MR before returning to its storage OR before giving the medication to the client Med administration process - o Identify client o Inform client o Administer drug (after completion of 3 checks) o Interventions as needed o Document drug administered o Evaluate drug response

  6. Page 6
    Read page 6 as text

    o PRN - if PRN need to document why given and make sure it worked What are the 5 rights - o Patient, Drug, Route, Time, Dose o Documentation, education, refuse, asses, evaluate How can med errors be prevented and why do they occur? - 3 checks Drugs look/sound alike What do you do if a med error is made? - o Asses VS & pt physical status o Notify PCP/Charge nurse o Incident report - NEVER put in pt chart o Most errors can be reversed, allergic/too much is where it gets bad Parental meds - Intradermal, SubQ, IM, IV How do you prepare an ampule? - § A glass container usually designed to hold a single dose of a drug § Once the ampule is broken, the fluid is aspirated into a syringe using a filtered needle ALWAYS filter needle, has air in them How 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 medication Reconstituting - § Technique of adding a diluent to a powdered drug usually have printed instructions § read vial to know what to mix w/ (mostly use sterile water) intradermal injection - o Given in dermis ONLY o Use 1ML syringe (TB syringe) o 25-27-gauge needle, ¼ - 5/8 in o Max dose = 0.1 ML o Bevel up, wheal needed to be successful o Chest, scapula, forearms

11 more pages in the full document

Unlock it once and it stays in your library, ready to chat with or turn into flashcards.

Unlock the full document

More Nursing study materials

See all

Study this document with CramX

Once it is in your library, every tool can work from it.