Nursing Process
The nurses monitors a patients progress since beginnning Metformin by documenting blood sugars and change in hemoglobin A1c. What phase of the nursing process does this represent?
Evaluation
The patient is to receive oral ibuprofen twice a day for pain. The nurse goes to the pixius to find she is short one pill. What type of problem does this represent?
The Right Dose
When begining medications with the elderly what is the rule?
Start low and go slow.
The patient reports that he is taking calcium over the counter this is an example of what kind of assessment data?
subjective data
When giving an intravenous medication you notice that at home the patient takes the same medication but in pill form. Why would the medication most likely be switched to IV form in the acute care setting?
so that the action of the medication can begin sooner.
A patient is newly diagnosed with Diabetes type 2. Which activities best reflects the implementation phase of the nursing process for this patient?
Providing patient education on checking blood glucose and the diabetic diet.
The medication order reads, "Give ondansteron (Zofran) orally 30 minutes before begining chemotherapy". The nurse notices the dose is missing from the order. What is the nurses best action?
Contact the prescriber to clarify the dose of the medication ordered.
How many refills can a patient have for an analgesic medication that is calssified as a scheduled C-III medication?
the patient can have no more than 5 refills in a 6 month period.
Where is a transdermal medication given?
on top of the skin
What is a half life of a drug?
THe time it takes for one half of the original amount of a drug to be removed from the body.
What are the 5 phases of the nursing process?
Assessment, human needs statement, planning, implementation, evaluation
What are the 9 rights of medication administration?
right drug, right dose, right route, right time, right patient, right documentation, Right reason or indication, right response, right to refuse.
What ethnic group avoid eye contact to be respectful and attentive?
Hispanic
What are the different routes for medication administration?
(parenteral), orally, intramuscular, and subcutaneous
An elderly patient would be more at risk for change in level of consciousness and falls with which types of medications?
sedatives and pain medications.
When does the nurse anaylzes subjective and objective data in the nursing process?
During the human needs statements
Monitoring vital signs, weight, edema, intake and output, nutritional intake, lab values, and listening to heart and lung sounds is an example of which right of medication administration?
The right response
Nurses have the ethical responsibility to tell the truth to their patients what is this principle known as?
veracity
What kind of therapy provides end of life care to keep the patient comfortable until they pass?
Pallative therapy
An elderly patient has many changes in pharmacokinetics. Name 2
Gastric pH is less acidic, number of intact nephrons decrease, the levels of microsomal enzymes decrease, fat content is increased due to decrease lean body mass.
What objective data will you collect during the assessment phase?
Name 3
height, weight, allergies, medications, health history, physical assessment.
A controlled release medication is to be given as 20mg. The only dosage available of this medication is 40mg. Can you cut this medication in half? and what right of medication administration is being represented.
no as it can change the way the drug is absorbed and be life threatening. Right route and form.
During a busy night shift, a new nurse administered an unfamiliar medication without checking it in a drug handbook. Later that day, the patient had a severe reaction because he has renal problems, which was a contraindication to that drug. The nurse may be liable for what?
Nursing negligence
A pediatric patient comes into the clinic with an ear infection. The prescribe will be prescribing a liquid oral antibiotic. You can expect the physician to use what type of dosage calcuation for this medication?
milligram per kilogram of body weight formula.
The nurse is administering a medication that states on the label that it is highly protein bound. The patients labs are within normal limits. What does this mean for the duration of this medicaiton?
The medication will have a longer duration than a medication that is not highly protein bound.