Test Solution Manual for Principles of Drug Administration Already Passed
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Course
Food and Drug Administration
Institution
Food And Drug Administration
Test Solution Manual for Principles of Drug Administration Already Passed
Responsibilites of the nurse when administering medication - Answers -what drug is ordered
-name (generic and trade) and drug classification
-intended or proposed use
-effects on the body
-contradictions
-special consi...
Test Solution Manual for Principles of Drug Administration Already Passed
Responsibilites of the nurse when administering medication - Answers -what drug is ordered
-name (generic and trade) and drug classification
-intended or proposed use
-effects on the body
-contradictions
-special considerations (e.g., how age, weight, body fat distribution, and individual pathophysiologic
states affect pharmacotherapeutic response)
-side effects
-why the medication has been prescribed for this particular patient
-how the medication is supplied by the pharmacy
-how the medication is to be administered, including dosage ranges
-what nursing process considerations related to the medication apply to this patient
Allergic Reaction - Answers -an acquired hyperresponse of body defesnes to a foreign substance
(allergen)
-signs of allergic reactions vary in severity and include skin rash with or without itching, edema, runny
nose, or reddened eyes with tearing
Anaphylaxis - Answers -a sever type of allergic reaction that involves the massive, systemic release of
histamine and other chemical mediators of inflammation that can lead to life threatening shock
-symptoms such as acute dyspnea (difficulty breathing), and the sudden appearance of hypotension or
tachycardia following drug administration are indicative of anaphylaxis which must recieve immediate
treatment
The Five Rights of Drug Administration - Answers -together, they form the operational basis for the safe
delivery of medications
-offer simple and practical guidance for nurses to use during drug preparation, delivery, and
administration, and focus on individual performance
1. right patient
2. right medication
, 3. right dose
4. right route of adminitration
5. right time of delivery
can also include:
-right to refuse medication, the right to recieve drug education, the right preparation, and the right
documentation
The Three Checks of Drug Administration - Answers -used in conjuction with the five rights help to
ensure patient safety and drug effectiveness
1. checking the drug with the MAR or the medication information system when removing it from the
medication drawer, refrigerator, or controlled substance locker
2. checking the drug when preparing it, pouring it, taking it out of the unit-dose container, or connecting
the IV tubing to the bag
3. checking the drug before administering it to the patient
Compliance - Answers -taking a medication in the manner prescribed by the health care provider, or in
the case of OTC drugs, following the instructions on the label
-patient noncompliance ranges from not taking the medication at all to taking it at the wrong time or in
the wrong manner
Reasons for noncompliance - Answers -drug may be too expensive
-the drug may not be approved by the patient's health insurance plan
-patients forget doses of medications, especially when they must be taken three or four times per day
-annoying side effects such as; headache, dizziness, nausea, diarrhea, or impotence (erectile
dysfunction)
-impair major lifestyle choices
-patients may self-adjust their doses
--some patients believe that if one pill is good, two must be better
-others believe that they will become dependent on the medication if they take it as prescribed so they
only take half of the required dose
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