Test 1 - Lecture 3 Flashcards

1
Q

Six Rights of Medication

A
  1. ) Right drug
  2. ) Right patient
  3. ) Right dose
  4. ) Right route
  5. ) Right time
  6. ) Right documentation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Assessment

A
What the drug does?
Head to toe assessment and Vitals
Ask questions
Is patient on other meds?
LOC?
Check labs
High risk (Kidney problems)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Three sources of assessment

A

The patient interview and history (subjective data)
The physical examination (objective data)
The medical record

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

1 Nursing diagnosis of medication

A

Knowledge deficit

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Nursing diagnosis for antihypertensives

A

Risk for injury

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Nursing process step for Deadline established to evaluate drug effects

A

Planning

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Nursing process step for History of an allergy to a drug

A

Assessment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Nursing process step for Instillation of eye drops

A

Implementation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Nursing process step for writing expected outcomes with the patient

A

Planning

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Nursing process step for observing a patient demonstrate proper self-medication with insulin

A

Evaluation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Nursing process step for risk for injury due to the medication’s sedating effects

A

Diagnosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Nursing process step for recording secondary effects of medication

A

Evaluation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Polypharm

A

on multiple drugs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Most misused drugs

A

ADD meds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Noncomplience

A

Why are they not taking?

Get to the root

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

True or False: The margin between desired therapeutic effects and adverse consequences of the drug therapy is called the therapeutic index.

A

False: drug therapy is called the risk benefit ratio

17
Q

True or False: Nonadherence is the inability to follow a recommended drug therapy regimen

A

True

18
Q

True or false: A patient who responds with hyperactivity to a drug that normally causes sedation has an adverse effect known as idiosyncratic excitement.

A

False: Paradoxical excitement

19
Q

True or False: A geriatric patient is also known as an older adult

A

True

20
Q

True or False: The practice of one patient taking several drugs simultaneously is called drug abuse

A

False: Polypharmacy not drug abuse

21
Q

True or False: An older adult is any patient older than 65 years with a debilitating medical problem

A

False: Frail elderly not older adult

22
Q

True or False: Matching the patients previous drug therapy with their currently prescribed therapy is called medication reconciliation

A

True

23
Q

Summarize the normal physiologic changes with age that affect absorption in an elderly patient receiving drug therapy.

A

Increased gastric pH levels, slowed blood flow, decreased GI motility, and reduced surface area of the GI tract

24
Q

Summarize the normal physiologic changes with age that affect distribution in an elderly patient receiving drug therapy.

A

Decreased body mass, reduced levels of plasma albumin, less effective blood-brain barrier, declining cardiac output, extreme changes in body weight, poor nutrition or dehydration, inactivity or extended bed rest.

25
Q

Summarize the normal physiologic changes with age that affect metabolism in an elderly patient receiving drug therapy.

A

Decreased size of the liver. decreased number of metabolically active hepatocytes, decreased blood flow to the liver, decreased ability to remove many bi-products, and overall efficiency of the liver is reduced.

26
Q

Summarize the normal physiologic changes with age that affect excretion in an elderly patient receiving drug therapy.

A

Decreased glomerular filtration rate, decreased renal tubular secretion, and decreased renal blood flow.

27
Q

Because of age related changes of the body, absorption of drugs in the elderly patient

A

Delays onset of action

28
Q

In the elderly patient, the dosage of fat-soluble drugs may need to be _____ to avoid toxicity.

A

Decreased

29
Q

What may occur as a result of physiologic changes in the elderly patient’s metabolism.

A

Increased half life. In the elderly phase 1 metabolism slows resulting in the extended half lives of many drugs.

30
Q

Planning - First Step

A

Identify desired goal or outcome

Identify specific evaluation criteria to be used to determine if outcome has been met

31
Q

Planning - Second step

A

Develop a list of interventions
Specific nursing actions designed to achieve desire goal
Interventions based on research evidence to promote evidence-based nursing practice

32
Q

Implementation

A

Puts nursing plan into action
Knowledge, skills, and principles applied to achieve desired outcome
Involves drug administration based on interventions developed in planning phase
Maximize therapeutic response and prevent adverse events
Subject to modification
Includes providing patient teaching
Documentation is an essential part of the implementation phase
Interventions make up plan of care tailored to the individual patient

33
Q

Digoxen

A

Narrow therapeutic window. Must do apical pulse for 1 full minute before giving.

34
Q

Lasix

A

Give over 2 minutes or may give hearing loss or drop patient blood pressure.

35
Q

Evaluation

A

Compares current health status with desired outcome
Determines if plan of care is appropriate or needs modification
Used to determine drug efficacy or adverse effects

36
Q

Questions to ask yourself in the evaluation phase

A

Was the outcome or goal achieved?
Was the nursing management effective?
If not, what went wrong?`

37
Q

1 question we should ask our self when giving a drug

A

Why is the drug ordered?

38
Q

Other questions we should ask our self when giving a drug

A

Is pt on lowest dose possible?
Simplify treatment
“Start low and go slow”