with Correct 100% Accurately Rated Answers
Actual Exam (Score A)-Alabama
Discuss the role of the nurse in teaching patients about complementary and alternative
therapies.
1. Include questions on the use of CAM when obtaining medical histories. Be aware that
many patients may be reluctant to report their use of dietary supplements.
2. Ask patients why they are taking the dietary supplement and to articulate what
benefits they are receiving (or expect to receive) from the therapy.
3. Advise patients who are taking medications with potentially serious adverse effects,
such as insulin, warfarin (Coumadin), or digoxin (Lanoxin), to never take any dietary
supplement without first discussing their needs with a healthcare provider.
4. Advise pregnant or lactating women to not take dietary supplements without the
approval of their healthcare provider.
5. Be aware that older adults are more likely to have chronic ailments, such as kidney,
cardiac, or liver disease, that could increase the risk for a drug-herb interaction.
6. Advise caution for all patients with serious allergies who wish to take herbal
products. Most herbal products contain a mixture of ingredients and contain dozens of
different chemicals. Patients who have known allergies to certain foods or medicines
should seek medical advice before taking a new herbal product.
7. Advise patients to be skeptical of advertised claims for CAM and to seek health
information from reputable sources.
8. Advise patients to not take more than the dose recommended on the product label. It
is always wise to take the smallest amount possible when starting therapy with dietary
supplements, even less than the recommended dose, to see if allergies or other
adverse effects occur.
,Reasons CAM therapies have increased in popularity
Eastern and Western medicine have recorded thousands of herbs and herb
combinations reputed to have therapeutic value.
Describe strategies the nurse can implement to reduce medication errors and
incidents.
-Electronic health records (EHRs) and e-prescriptions
-Barcode-assisted medication administration (BCMA) to verify and document
medication administration at point of care
-Risk-management departments to examine risks and minimize number of medication
errors
-Root-cause analysis (RCA) to determine
Factors that contribute to medication errors.
Healthcare Provider Factors
-not practicing Five Rights of Admin.
-Failing to perform an agency system check
-Not taking into account patient variables such as age, body size, and renal or hepatic
function
-giving meds. based on verbal/ phone orders
-giving meds. based on incomplete order or illegible order
,-practicing under stressful conditions
Patient/ Caregiver Factors
-taking drugs prescribed by many practitioners
-getting meds.filled at more than one pharmacy
-not refilling or filling prescriptions
-taking meds. wrong
-taking expired meds.
-taking meds. prescribed by someone else
Patient Teaching related to Medication Errors and Risk Reduction
-Know names of all medications
-Know what side effects may occur
-Use appropriate administration devices
-Read label before each drug administration
-Carry a list of all medications, including OTC and dietary or herbal supplements
-Ask questions
Explain the interdisciplinary nature of pharmacology.
-Pharmacology is most simply defined as the study of medicine.
, -Pharmacology is an expansive subject ranging from understanding how drugs are
administered, to where they travel in the body, to the actual responses produced.
-Must know foundation areas, such as anatomy and physiology, chemistry,
microbiology, and pathophysiology.
Describe what is meant by a drugs MOA
The pharmacologic classification addresses a drug's mechanism of action, or how a
drug produces its physiologic effect in the body.
Explain the differences between trade-name drugs and their generic equivalents.
-The generic name of a drug is assigned by the U.S. Adopted Name Council. With few
exceptions, generic names are less complicated and easier to remember than
chemical names.
-A drug's trade name is usually short and easy to remember and is assigned by the
company marketing the drug. The trade name is sometimes called the proprietary,
product, or brand name.
Outline the major differences between prescription and over-the-counter drugs.
Prescription:
-the person must receive a written order from someone with the legal authority to
write such a prescription.