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Concept of Nursing
Medication Administration: Analyze Cues and Prioritize Hypotheses; Plan and Gene
| Question | Answer |
|---|---|
| Which cue suggests a hypothesis of Risk for Adverse Medication Interaction? | Patient denies regular use of any prescription medications but acknowledges use of different herbal preparations, a varied assortment of nonprescription medications, and an occasional stomach or pain pill from her sister’s medicine cabinet. |
| Pt w/a chart listing the dose, route, frequency, and reason for use of prescribed medications, along with a list of related Qs.Pt asks the nurse to review the chart for accuracy and answer the questions. Which nursing diagnosis is appropriate for this pt? | Ready to Learn The patient developing a chart and formulating questions that the nurse is asked to review and answer is a cue that the patient is ready to learn. |
| Forgetfulness, poor vision, and arthritic hands are relevant cues related to which hypothesis? | Impaired Ability to Manage Medication Regime. |
| Which patient information would the nurse recognize as a relevant cue indicating the need for monitoring following an intramuscular injection? | Patient is 78 years old. With advancing age, there is a greater risk for bleeding following an intramuscular injection, so it is important to reassess the site for bleeding. |
| Which expected outcome would the nurse select for a soon-to-be-discharged patient who has a transdermal patch prescribed for the first time? | Patient will demonstrate correct removal of used patch and application of replacement patch prior to discharge. Demonstration of correct technique indicates knowledge of the procedure and the ability to perform it. |
| To decrease the risk for tissue irritation, which direction would the nurse give to a patient taking a buccal medication? | “Alternate the side of the mouth used for each dose of medication.” dissolution and absorption of the buccal medication decreases the exposure of mucous membrane to the irritating effects of the meds and provides some recovery time following each exposure |
| Which statements describe a medication history and its function? | Helps identify areas where patient education is needed. Focuses on both current and recently used medications. Can guide decisions on future medications if accurate and complete. Asks questions related to patient adherence to the prescribed med regimen |
| Which statement best describes ongoing assessments related to medication administration? | The main purposes of ongoing assessments are to evaluate the effectiveness of a medication and to identify any adverse effects. Ongoing assessments are necessary to evaluate the effectiveness of a medication and to identify any adverse effects. |
| Match the category of medication with the point-of-administration assessment that it requires. | Pulse - Cardiac glycoside. BP - Antihypertensive. Temperature - Antipyretic. Respiratory rate - Opioid analgesic. |
| Assessment of dexterity and mobility statuses could cue to which problem related to medication administration? | Ability to open medication containers. Individuals w/difficulties related to strength & mvmt in the hand frequently have difficulty opening medication containers & assuming and maintaining positions required for rectal or vaginal medication administration |
| Which factor would the nurse recognize as a cue indicating that a patient must be checked for bleeding after an intramuscular injection? | Current anticoagulant therapy. Increases the likelihood of bleeding 2/2 its effect on blood clotting. IM injection enters tissue with a good blood supply, pts on anticoagulant who receive medication via IM injection are at risk for bruising and bleeding |
| For which reason would the nurse ask a patient about food allergies as part of the medication history? | Can cue to the risk for an allergic reaction to the medication Allergy to a food or other substance is a cue to the risk for a medication allergy and prompts careful monitoring. |
| Which focused assessment would the nurse perform when caring for a patient with a prescription for a medication administered by transdermal patch? | Inspect the patient’s skin for cracks and lesions. Inspecting the patient’s skin for cracks and lesions is necessary, because a transdermal patch is a form of topical medication applied to the patient’s skin. |
| The nurse is caring for a patient who has digoxin prescribed for chronic heart failure. Which assessment data is needed before administering the digoxin? | Apical pulse Measuring the patient’s apical pulse is necessary prior to administering digoxin. The nurse should count the apical pulse for 1 minute. |
| Which questions would the nurse ask a patient when obtaining the patient’s medication history? | “What is your alcohol intake?” “Have you recently stopped taking any medications?” “What prescribed medications are you currently taking?” “Do you have any preferences or habits related to your cultural background that influence the medications you take?” |
| Which factor is cued by gathering information about a patient’s prior exposure to a medication that is being prescribed? | Likelihood of side and adverse effects Information about prior use of the medication and its effects cues to the likelihood of side effects and the risk for an adverse effect from a new exposure to the medication. |
| Which factors would the nurse recognize as cues that oral administration might not be appropriate for a patient? | Patient must lie flat. Patient has difficulty swallowing. Patient reports feeling nauseated. |
| Which factors would the nurse recognize as cues indicating that a patient is at increased risk for an adverse reaction to a medication? | Age of 71 yrs increased risk for adverse reactions to meds. Hx of KD majority of drugs are excreted thru kidneys, a history of KD could indicate interference with excretion & precipitate an adverse rxn. Allergic to watermelon, cucumber, and peanuts |
Created by:
Jeudave
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