Pharmacology Test 2 (Chapters 3-5)

What are the three domains of learning?

1. Cognitive domain 2. Affective domain 3. Psychomotor domain

What are the different types of nursing diagnosis?

-Actual -Risk/high risk -Health promotion and wellness -Syndrome

What are some factors that affect drug therapy?

-Age -Body weight -Gender -Metabolic rate -Illness -Psychology -Tolerance -Dependence

Subjective-

Provided by the patient

A clinical judgement that a person is more susceptible to a particular problem than others in the same situation is defined as which type of nursing diagnosis? A) Actual B) Wellness C) Risk/high risk D) Syndrome

Risk/high risk

It is important to maintain therapeutic levels of drugs to avoid the complications of being over or undermedicated. If a drug level of 0.5 to 2 ng/mL is considered therapeutic, a drug level of 0.45 ng/mL is considered to be what? A) Toxic B) Therapeutic C) Subtherapeutic D) Tolerant

Subtherapeutic

What are three sources of assessment data?

-Primary: patient -Secondary: family and spouses -Tertiary: diet, tests

What is the normal range of Serum Creatinine?

0.5-1.2mg/dl

What are some factors that affect drug actions?

-Absorption -Premature -Neonates -Infants -Geriatric patients -Gender

What are the principles of learning for the older adults?

-Assess vision, hearing, short and long term memory -Slow pace of the presentation -Allow time to process information -Assess concerns regarding cost

What are the parts of the nursing diagnosis that relate to pharmacology for nursing?

-Assessment -Planning -Implementation

What are the principles of learning?

-Focus the learning -Learning styles -Organization or material to be learned -Motivation -Readiness to learn -Learning pace -Psychosocial adaptation to illness

Why do infants have troubles absorbing medication?

-Higher total body water content -Lower body fat -Reduced protein binding in neonates

Why do geriatrics have troubles absorbing medication?

-Low muscle tone makes IM absorption erratic -Reduced salivary glands make swallowing difficult -Think skin makes transdermal absorption hard to predict

How does a nursing diagnosis differ from a medical diagnosis? A) A nursing diagnosis concerns a disease that impairs physiological function B) A nursing diagnosis evaluates a patient's response to actual or potential health problems C) A nursing diagnosis determines the rate of medicare reimbursement D) A nursing diagnosis does not consider potential future problems

A nursing diagnosis evaluates a patient's response to actual or potential health problems

Nocebo effect-

A patients negative expectations can result in less-than-optimal outcome

Placebo effect-

A patients positive expectation can positively affect the outcome

What is the number one goal of patient education associated with medication therapy?

Assist patients to achieve the greatest degree of control possible

Which patient has the greatest percentage of body water? A) Older adult B) Middle-aged person C) Infant D) Toddler

Infant

Objective-

Gained through observation

Which form of medication is more easily administered for a toddler who requires a course of antibiotics? A) Enteric B) Capsules C) Tablets D) Liquid

Liquid

What is the foundation for the clinical practice of nursing? A) Assessment B) Nursing process C) Planning D) Evaluation E) Implementation

Nursing process

Which piece of information obtained during a patient assessment is a subjective finding? A) Patient states "I have pain in my abdomen" B) Temperature of 38.5 degrees Celcius C) 400 mL of clear, yellow urine D) Blood pressure of 116/74 mmHG

Patient states "I have pain in my abdomen"

Adhearence-

Patients have the right to make their own life choices

What must you ALWAYS include in patient education associated with medication therapy?

Written records of everything (i.e wife was present, video watched, education pamplet given)