Opioid Drugs
A drug that binds to a receptor, producing a similar response to tin intended chemical or receptor.
What is an agonist?
The dosage is monitored to prevent liver damage
What is Acetaminophen (Tylenol)
Administration of a drugs given orally and those administered through nasogastric or gastrostomy tubes.
What is enteral route?
•“Reasonable person” standard different for specific professional occupations
•Malpractice includes acts and omissions committed by a professional while performing his/her professional duties
•Standard is conduct of reasonably skilled, competent, experienced person who is qualified member of the group authorized to engage in that activity
•Failure to meet the standard of conduct for one’s profession may be considered professional negligence
What is malpractice?
The nurse violates which right of safe medication administration when she fails to record her action.
What is documentation?
The process of comparing new orders to a list of home medications and ensuring accuracy.
What is medication reconciliation?
A first-line choice for treating arthritis-related conditions
What are NSAIDs
Right patient
Right Medication
Right dose
Right route
Right time
Right reason
Right documentation
Right to refuse
Rights of administration
•Provide safe patient care
•Understand program and facility policies, procedures before undertaking any clinical assignment
•Demonstrate knowledge about patient’s condition, interventions, medications, treatments
•Perform care only to highest level of nursing knowledge
•If unprepared for a clinical assignment, inform instructor
•Seek help before beginning procedure if unsure
What are nursing student guidelines for clinical performance?
The use of mixed case lettering in a drug name to reduce the risk of error.
What is tall man lettering?
Sudden onset of agitation, diaphoresis, hypertension, nausea/vomiting, pinpoint pupils in a patient with a known history of substance abuse.
What are withdrawal symptoms?
GI distress, purpura, pancytopenia, acute renal failure, blood pressure changes
What are adverse reactions to NSAIDs
BID
TID
QID
What are drug administration abbreviations?
Twice a day
Three times per day
Four times per day
Defines the scope of practice using processes versus specific activities or tasks?
What is the Nurse Practice Act?
In order to ensure client can safely excrete a medications, the nurse would assess which labs.
What are BUN and Creatinine?
A patient is receiving opioid medications should have which reversal agent available PRN?
What is Nalaoxone(Narcan)?
Acetylsalicylic acid (Aspirin), Acetaminophen (Tylenol)
What are salicylates and nonsalicylates?
Client is able to swallow, absence of nausea/vomiting, upright position, assess the need for assistance, ensure water is readily available, provide any special instructions
The governing organization that oversees licensure and examine of nurses, oversees nursing programs, interprets the NPA, addresses complaints/violations, advances Nurse Licensure compact, maintains NA registry, and regulates NP practice.
What is the Board of Nursing?
When a client requires more of a medication to produce the same effects, the nurse is concerned with
What is tolerance?
Prior to administering Morphine as ordered, the priority assessments include:
What are LOC, respiratory rate, SaCO2, BP
Pain experience, type, duration, allergy history, presence of fever, medical history, remedies attempted prior to seeking care
What is subjective data
The provider has ordered acetaminophen (Tylenol) 650mg PO PRN every 4 hours. The pharmacy provides acetaminophen (Tyelnol) 325mg per tablet. How many tablets will the nurse administer?
What is 2 tablets?
A failure to behave with the level of care that someone of ordinary prudence would have exercised under the same circumstances. The behavior usually consists of actions, but can also consist of omissions when there is some duty to act.
What is Negligence?
Why is the order incorrect? Sally Jones DOB 8/8/2005, Morphine 8mg q 4-6 hours prn pain
What is missing a route?