Podcast
Questions and Answers
What is the primary purpose of the Quality and Safety Education for Nurses (QSEN) Project?
What is the primary purpose of the Quality and Safety Education for Nurses (QSEN) Project?
- To continuously improve the quality and safety of patient care within the health care system (correct)
- To integrate nursing education curricula and clinical outcomes
- To ensure the delivery of individualized nursing care to patients
- To develop core competencies for interprofessional collaborative practice
What is the main objective of the Interprofessional Education Collaboration (IPEC)?
What is the main objective of the Interprofessional Education Collaboration (IPEC)?
- To integrate nursing education curricula and clinical outcomes
- To ensure the delivery of individualized nursing care to patients
- To continuously improve the quality and safety of patient care within the health care system
- To develop core competencies for interprofessional collaborative practice (correct)
Which of the following is NOT one of the Six Major Initiatives of QSEN?
Which of the following is NOT one of the Six Major Initiatives of QSEN?
- Informatics
- Ethical practice (correct)
- Teamwork and collaboration
- Patient-centered care
What are the KSAs that flow out of the QSEN initiatives primarily intended for?
What are the KSAs that flow out of the QSEN initiatives primarily intended for?
What does the Nursing Process aim to ensure in professional nursing practice?
What does the Nursing Process aim to ensure in professional nursing practice?
What is a key requirement for the Nursing Process?
What is a key requirement for the Nursing Process?
What is the term used to express the extent of drug absorption?
What is the term used to express the extent of drug absorption?
Which route of administration delivers the drug fastest into the blood circulation?
Which route of administration delivers the drug fastest into the blood circulation?
Which organ is primarily responsible for the renal excretion of drugs?
Which organ is primarily responsible for the renal excretion of drugs?
What is the time required for half (50%) of a given drug to be removed from the body called?
What is the time required for half (50%) of a given drug to be removed from the body called?
What is the term used to describe the highest blood level of a drug?
What is the term used to describe the highest blood level of a drug?
Which therapy focuses on providing patients with relief from the symptoms, pain, and stress of a serious illness?
Which therapy focuses on providing patients with relief from the symptoms, pain, and stress of a serious illness?
What type of therapy supplies the body with a substance needed to maintain normal function?
What type of therapy supplies the body with a substance needed to maintain normal function?
What is the study of what the drug does to the body called?
What is the study of what the drug does to the body called?
Which enzyme is also known as microsomal enzymes and is involved in drug metabolism?
Which enzyme is also known as microsomal enzymes and is involved in drug metabolism?
What does therapeutic index represent?
What does therapeutic index represent?
Which is the most common carrier of protein-bound drug molecules?
Which is the most common carrier of protein-bound drug molecules?
Which route of administration is administered by entering a joint?
Which route of administration is administered by entering a joint?
What is the term for the physiologic or psychological need for a drug?
What is the term for the physiologic or psychological need for a drug?
Which type of drug interaction results in 1 + 1 > 2 effects?
Which type of drug interaction results in 1 + 1 > 2 effects?
What is a medication error that leads to an adverse drug event (ADE)?
What is a medication error that leads to an adverse drug event (ADE)?
Which type of adverse drug reaction involves unpredictable reactions in only a small percentage of patients receiving the drug?
Which type of adverse drug reaction involves unpredictable reactions in only a small percentage of patients receiving the drug?
What term describes the effect of drugs or other chemicals that result in structural defects in the fetus?
What term describes the effect of drugs or other chemicals that result in structural defects in the fetus?
Which group experiences alterations in absorption due to gastric pH being less acidic until 1 to 2 years of age?
Which group experiences alterations in absorption due to gastric pH being less acidic until 1 to 2 years of age?
Why do older children require higher doses of drugs than infants due to metabolism?
Why do older children require higher doses of drugs than infants due to metabolism?
What factor affects pediatric drug dosages by impairing drug metabolism and excretion?
What factor affects pediatric drug dosages by impairing drug metabolism and excretion?
What is the main method of dosage calculation for pediatric patients that uses the West nomogram?
What is the main method of dosage calculation for pediatric patients that uses the West nomogram?
What should be assessed for before, during, and after drug administration in older adults?
What should be assessed for before, during, and after drug administration in older adults?
What phase of pharmacokinetics experiences dramatic effects due to lifespan changes from the beginning of life to the end of life?
What phase of pharmacokinetics experiences dramatic effects due to lifespan changes from the beginning of life to the end of life?
Which of the following factors is responsible for decreased excretion of drugs in older adults?
Which of the following factors is responsible for decreased excretion of drugs in older adults?
What is the primary purpose of the Food and Drug Administration (FDA)?
What is the primary purpose of the Food and Drug Administration (FDA)?
What does the term 'Ethnopharmacology' refer to?
What does the term 'Ethnopharmacology' refer to?
Which federal law maintains privacy regarding protected health information?
Which federal law maintains privacy regarding protected health information?
What does the term 'polypharmacy' refer to in the context of older adults?
What does the term 'polypharmacy' refer to in the context of older adults?
What are some examples of health beliefs and practices that should be assessed in a cultural assessment?
What are some examples of health beliefs and practices that should be assessed in a cultural assessment?
What does the acronym HIPAA stand for?
What does the acronym HIPAA stand for?
What does the term 'pharmacogenomics' refer to?
What does the term 'pharmacogenomics' refer to?
What are the elements of liability for nursing malpractice?
What are the elements of liability for nursing malpractice?
Which organization brought medical errors to the public's attention with the report 'Too Err Is Human'?
Which organization brought medical errors to the public's attention with the report 'Too Err Is Human'?
What is the primary focus of the Next Generation NCLEX (NGN)?
What is the primary focus of the Next Generation NCLEX (NGN)?
In pharmacokinetics, what does 'absorption' refer to?
In pharmacokinetics, what does 'absorption' refer to?
What is the primary focus of pharmacodynamics?
What is the primary focus of pharmacodynamics?
What does pharmacotherapeutics define?
What does pharmacotherapeutics define?
Which organ is primarily responsible for the metabolism of drugs in the body?
Which organ is primarily responsible for the metabolism of drugs in the body?
What is the study of the economic factors influencing the cost of drug therapy called?
What is the study of the economic factors influencing the cost of drug therapy called?
What is the study of what happens to a drug from the time it is put into the body until it is completely eliminated from the body called?
What is the study of what happens to a drug from the time it is put into the body until it is completely eliminated from the body called?
What are prototypical drugs?
What are prototypical drugs?
Which step of the Nursing Process involves initiation and completion of specific nursing actions as defined by goals and outcome criteria?
Which step of the Nursing Process involves initiation and completion of specific nursing actions as defined by goals and outcome criteria?
Which system breakdown is identified as the primary cause of most medication errors?
Which system breakdown is identified as the primary cause of most medication errors?
What is the term for a situation that did not produce patient injury, but only because of chance?
What is the term for a situation that did not produce patient injury, but only because of chance?
What are the common types of drugs involved in severe medication errors?
What are the common types of drugs involved in severe medication errors?
What should nurses always do before giving medication to a patient?
What should nurses always do before giving medication to a patient?
What is the term for a medication error that causes no harm?
What is the term for a medication error that causes no harm?
Why is it important to use generic names to avoid sound-alike trade names in medication administration?
Why is it important to use generic names to avoid sound-alike trade names in medication administration?
What should nurses do if they encounter an illegibly written medication order?
What should nurses do if they encounter an illegibly written medication order?
What is the primary focus of reporting medication errors externally?
What is the primary focus of reporting medication errors externally?
What is the primary purpose of continuous medication reconciliation?
What is the primary purpose of continuous medication reconciliation?
What should be avoided during pediatric medication administration to minimize errors?
What should be avoided during pediatric medication administration to minimize errors?
What are the key elements in preventing pediatric medication errors?
What are the key elements in preventing pediatric medication errors?
Match the types to their form
Match the types to their form
Extended-release tablets and capsules release drug molecules in the patient’s GI tract over a prolonged period. This ultimately prolongs drug absorption as well as duration of action. MATCH WITH THE CORRECT ABBREVIATION *hint - XT is for an extended time
Extended-release tablets and capsules release drug molecules in the patient’s GI tract over a prolonged period. This ultimately prolongs drug absorption as well as duration of action. MATCH WITH THE CORRECT ABBREVIATION *hint - XT is for an extended time
Extended-release oral dosage forms must not be crushed, because this could cause accelerated release of drug from the dosage form and possible toxicity.
Extended-release oral dosage forms must not be crushed, because this could cause accelerated release of drug from the dosage form and possible toxicity.
Enteric-coated tablets also are not recommended for crushing. This would cause disruption of the tablet coating designed to protect the stomach lining from the local effects of the drug and/or protect the drug from being prematurely disrupted by stomach acid.
Enteric-coated tablets also are not recommended for crushing. This would cause disruption of the tablet coating designed to protect the stomach lining from the local effects of the drug and/or protect the drug from being prematurely disrupted by stomach acid.
you should consult with a pharmacist or use of other suitable source is necessary if any question exists as to whether a drug can be crushed or mixed with a specific food or beverage.
you should consult with a pharmacist or use of other suitable source is necessary if any question exists as to whether a drug can be crushed or mixed with a specific food or beverage.
Do not crush drugs that have SR, SA, CR, XL, or XT as part of their name—they are extended-release formulations
Do not crush drugs that have SR, SA, CR, XL, or XT as part of their name—they are extended-release formulations
Parenteral dosage forms that are injected intravenously are immediately placed into solution in the bloodstream and do not have to be dissolved in the body. Therefore 100% absorption is assumed to occur immediately upon intravenous injection.
Parenteral dosage forms that are injected intravenously are immediately placed into solution in the bloodstream and do not have to be dissolved in the body. Therefore 100% absorption is assumed to occur immediately upon intravenous injection.
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In enteral drug administration, the drug is absorbed into the systemic circulation through the mucosa of the stomach and/or small or large intestine
In enteral drug administration, the drug is absorbed into the systemic circulation through the mucosa of the stomach and/or small or large intestine
match if the medication should be taken with food or without food.
match if the medication should be taken with food or without food.
Medications that are generally taken with food include carbamazepine, iron and iron-containing products, hydralazine, lithium, propranolol, spironolactone, nonsteroidal antiinflammatory drugs, and theophylline.
Medications that are generally taken with food include carbamazepine, iron and iron-containing products, hydralazine, lithium, propranolol, spironolactone, nonsteroidal antiinflammatory drugs, and theophylline.
Macrolides and oral opioids are often taken with food (even though they are specified to be taken with a full glass of water and on an empty stomach) to minimize the gastrointestinal irritation associated with these drugs. However, if doubt exists, consult a local pharmacist.
Macrolides and oral opioids are often taken with food (even though they are specified to be taken with a full glass of water and on an empty stomach) to minimize the gastrointestinal irritation associated with these drugs. However, if doubt exists, consult a local pharmacist.
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Areas of rapid distribution include the heart, liver, kidneys, and brain.
Areas of rapid distribution include the heart, liver, kidneys, and brain.
Areas of slower distribution include muscle, skin, and fat
Areas of slower distribution include muscle, skin, and fat
Albumin is the most common blood protein and carries the majority of protein-bound drug molecules.
Albumin is the most common blood protein and carries the majority of protein-bound drug molecules.
If a given drug binds to albumin, then there is only a limited amount of drug that is not bound. This unbound portion is pharmacologically active and is considered “free” drug, whereas “bound” drug is pharmacologically inactive.
If a given drug binds to albumin, then there is only a limited amount of drug that is not bound. This unbound portion is pharmacologically active and is considered “free” drug, whereas “bound” drug is pharmacologically inactive.
Certain conditions that cause low albumin levels, such as extensive burns and malnourished states, result in a larger fraction of free (unbound and active) drug. This can raise the risk for drug toxicity.
Certain conditions that cause low albumin levels, such as extensive burns and malnourished states, result in a larger fraction of free (unbound and active) drug. This can raise the risk for drug toxicity.
organize the pharmacokinetic steps
organize the pharmacokinetic steps
the organ most responsible for metabolism is the liver and the organ most responsible for excretion is the kidney
the organ most responsible for metabolism is the liver and the organ most responsible for excretion is the kidney
Steady state refers to the Physiologic state in which the amount of drug removed via elimination is equal to amount of drug absorbed with each dose.
Steady state refers to the Physiologic state in which the amount of drug removed via elimination is equal to amount of drug absorbed with each dose.
The pharmacokinetic terms absorption, distribution, metabolism, and excretion are all used to describe the movement of drugs through the body
The pharmacokinetic terms absorption, distribution, metabolism, and excretion are all used to describe the movement of drugs through the body
In therapeutic drug monitoring, peak (highest) and trough (lowest) values are measured to verify adequate drug exposure, maximize therapeutic effects, and minimize drug toxicity
In therapeutic drug monitoring, peak (highest) and trough (lowest) values are measured to verify adequate drug exposure, maximize therapeutic effects, and minimize drug toxicity
The degree to which a drug attaches to and binds with a receptor is called its affinity
The degree to which a drug attaches to and binds with a receptor is called its affinity
with a Partial agonist (agonist-antagonist), Drug binds to the receptor; the response is diminished compared with that elicited by an agonist.. match the rest
with a Partial agonist (agonist-antagonist), Drug binds to the receptor; the response is diminished compared with that elicited by an agonist.. match the rest
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Tolerance is a decreasing response to repeated drug doses. Dependence is a physiologic or psychological need for a drug.
Tolerance is a decreasing response to repeated drug doses. Dependence is a physiologic or psychological need for a drug.
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medication use process is the prescribing, dispensing, administering, or monitoring of drug therapy
medication use process is the prescribing, dispensing, administering, or monitoring of drug therapy
In Category A - Studies indicate no risk to the human fetus. Match the rest
In Category A - Studies indicate no risk to the human fetus. Match the rest
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ALTs ASTs labs are used for Liver function
ALTs ASTs labs are used for Liver function
T.A.C.I.T. IS FOR
Therapeutic effect: Does the patient demonstrate therapeutic effects of the drugs?
Are there signs of drug allergies or adverse reactions?
Contraindications: Are there contraindications for giving any of the drugs?
Interactions: Are there possible interactions among the drugs?
Toxicity/Overdose: Are there signs of drug toxicity of overdose?
T.A.C.I.T. IS FOR
Therapeutic effect: Does the patient demonstrate therapeutic effects of the drugs? Are there signs of drug allergies or adverse reactions? Contraindications: Are there contraindications for giving any of the drugs? Interactions: Are there possible interactions among the drugs? Toxicity/Overdose: Are there signs of drug toxicity of overdose?
Match the FDA phases. hint : Phase IV studies are postmarketing studies that are voluntarily conducted by pharmaceutical companies to obtain further proof of the therapeutic and adverse effects of the new drug.
Match the FDA phases. hint : Phase IV studies are postmarketing studies that are voluntarily conducted by pharmaceutical companies to obtain further proof of the therapeutic and adverse effects of the new drug.
