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Chapter 32 Medication Administration Verified Answers

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Chapter 32 Medication Administration Verified Answers Nurse's Role and Responsibilities in Medication Administration 1. Assess the Medication: Ensure that the ordered medication is correct for the patient’s diagnosis and condition. 2. Assess Self-Administration: Evaluate the patient’s c...

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  • August 16, 2024
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  • 2024/2025
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Chapter 32 Medication Administration Verified Answers


Nurse's Role and Responsibilities in Medication Administration



1. Assess the Medication: Ensure that the ordered medication is correct for the patient’s diagnosis and
condition.



2. Assess Self-Administration: Evaluate the patient’s capability to manage their own medications safely.



3. Determine Administration Timing: Decide if the medication should be given based on the patient's
condition, lab values, and specific guidelines.



4. Administer Medications Correctly: Provide medications according to established protocols and
guidelines, and monitor the patient's reaction to the medication closely.



5. Educate Patients and Families: Provide clear information about the medication's purpose, side effects,
and necessary monitoring measures to both patients and their families.



6. Do Not Delegate Medication Administration: The nurse is responsible for all aspects of medication
administration and should not delegate this duty to nursing assistive personnel.



7. Apply the Nursing Process: Incorporate the nursing process—assessment, diagnosis, planning,
implementation, and evaluation—into every medication administration instance.



8. Practice the 6 Rights: Adhere to the “Rights” of medication administration: Right Patient, Right Drug,
Right Dose, Right Route, Right Time, and Right Documentation.



Physiological Mechanisms of Medication Action



1. Absorption: The process whereby medication molecules travel from the site of administration to the
bloodstream. Key factors include:

, - Route of absorption (oral, intravenous, etc.)

- Ability of the medication to dissolve

- Blood flow to the site of administration

- Body surface area for absorption

- Lipid solubility of the drug



2. Distribution: The transport of the medication throughout the body to tissues and organs where it will
exert its therapeutic effect. Influenced by:

- Circulation (blood flow to tissues)

- Membrane permeability (ease of passage through cell membranes)

- Protein binding (capacity of the drug to bind to plasma proteins)



3. Metabolism: The biochemical alterations that drugs undergo, resulting in a less active or inactive form
that can be excreted. This process often involves enzyme activity for detoxification and breakdown.



4. Excretion: The elimination of medications from the body, which can occur through the kidneys, liver,
lungs, intestines, or exocrine glands.



Types of Medication Actions



1. Therapeutic Effects: The predicted positive physiological response resulting from medication use.



2. Adverse Effects: Undesired and often unpredictable responses that can occur with medication.



3. Side Effects: Predictable and typically unavoidable adverse reactions that occur at therapeutic doses.



4. Toxic Effects: Dangerous effects that can develop after prolonged drug use or when accumulation in
the blood occurs due to impaired metabolism or excretion.



5. Idiosyncratic Reactions: Unpredictable effects that do not typically occur in most patients.

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