NSG 122 - Nursing Fundamental Concepts

NSG 122 - Nursing Fundamental Concepts

Exam 3

Question:

factors affecting drug action

Answer:

• developmental considerations (premature babies, elderly)
• body weight
• biological sex
• genetic and cultural factors (Ace inhibitors not used frequently with

African Americans)

• psychological factors
• pathology
• environment (poverty)
• timing

Question:

additive effect

Answer:

combined effect of two drugs is equal to sum of each drug given alone

(1+1=2) 1 / 4

Question:

antagonistic effect

Answer:

combined effect of two drugs that is less than each drug alone or negates each other

Question:

therapeutic class

Answer:

refers to why the medication is used (ex: antihypertensive, antibiotic)

Question:

parts of a medication order

Answer:

• patient's name and secondary identifier (DOB)
• date and time the order is written
• name of drug to be administered
• dosage of the drug
• route by which the drug is to be administered
• frequency of administration of the drug
• signature of person writing the order

• / 4

Question:

• checks of medication administration

Answer:

• when reaching for the medication container
• after retrieval from the drawer, verify with eMAR
• before giving medication to patient

Question:

rights of medication administration

Answer:

• patient
• drug
• route
• dose
• time
• reason
• assessment (objective data)
• documentation
• response
• education
• refuse

• / 4

Question:

steps for patient refusal of medication or treatment

Answer:

• explain medication benefits to patient
• document medication, dose, route, and refusal reason
• document specific information given to the patient
• notify the provider

Question:

maintaining safe environment for medication administration

Answer:

• avoid distraction
• do not leave medications unattended (lock up medication if patient is not

able to receive after being prepared)

• the person who prepares the medication has to be the one to administer it
• document administration after giving the medication
• keep medication cart locked

Question:

medication administration techniques for children

Answer:

• numb taste buds with an ice cube or popsicle
• mix in pudding, oatmeal, ice cream
• / 4