NUR 2474 Exam 1 / NUR2474 Pharmacology for
Professional Nursing | Latest |
Questions & Verified Answers | Rasmussen
University (Graded A+)
6 rights of med administration
i. Patient
ii. Drug
iii. Dose
iv. Time
v. Route
vi. Documentation
Image: 6 rights of med administration
Extra rights to med admin
i. Assessment
ii. Evaluation
iii. Patient to education iv. Patient to refuse care
Biggest medication error is misinterpreting prescriptions
i. Do not assume if something is unclear about an order. Clarify with prescriber.
ii. TORB and VORB
(Telephone order read back) (Verbal order read back).
Image: Biggest medication error is misinterpreting prescriptions
,Pre- medication administration assessment and interventions
1. If patient is complaining of pain 10/10, intervene (prn meds, standing orders, call physician for
new orders) then assess.
2. Collection of baseline data to evaluate therapeutic effects and adverse effects.
3. Identification of high-risk patients.
4. Assessment of the patient's capacity for self-care.
5. Allergies?
a) Collect history. What happens during an allergic reaction?
b) If patient is having an allergic reaction: primary intervention is to STOP THE MEDICATION
THAT IS CAUSING THE REACTION.
6. If patient refuses drug, determine why. INVESTIGATE.
Post- medication administration assessment and interventions
1. Therapeutic response 2. Adverse reaction and interaction
3. Adherence to treatment
4. Satisfaction with treatment
Patient teaching for medication therapy in general (safety, and compliance)
i. Safety
1. If medication causing certain side effects, consult physician.
ii. Compliance
,1. It is important not to stop or change a medication without consulting the physician.
2. Take medications as prescribed and for the reason they are prescribed.
Side effects vs adverse effects vs allergies
a. Side effects.
i. Nausea, vomiting, expected and unavoidable reactions, drug effects produced at therapeutic
level.
b. Adverse effects.
i. Noxious, unintended, and undesired effect that occurs at normal drug doses, harmful at
therapeutic level.
c. Allergies.
i. Redness, itching, hives, swelling; A condition in which the immune system reacts abnormally
to a foreign substance.
a. Side effects.
i. Nausea, vomiting, expected and unavoidable reactions, drug effects produced at therapeutic
level.
, Image: a. Side effects.
b. Adverse effects.
i. Noxious, unintended, and undesired effect that occurs at normal drug doses, harmful at
therapeutic level.
c. Allergies.
i. Redness, itching, hives, swelling; A condition in which the immune system reacts abnormally
to a foreign substance.
Image: c. Allergies.
Intended effect
i. Maintenance of vital signs within expected limits.
ii. Decrease in the risk of seizures.
iii. Decrease in the intensity of withdrawal manifestations.
iv. Substitution therapy during alcohol withdrawal.
Image: Intended effect
Teratogenic effect
i. Drug-induced birth defect.
Professional Nursing | Latest |
Questions & Verified Answers | Rasmussen
University (Graded A+)
6 rights of med administration
i. Patient
ii. Drug
iii. Dose
iv. Time
v. Route
vi. Documentation
Image: 6 rights of med administration
Extra rights to med admin
i. Assessment
ii. Evaluation
iii. Patient to education iv. Patient to refuse care
Biggest medication error is misinterpreting prescriptions
i. Do not assume if something is unclear about an order. Clarify with prescriber.
ii. TORB and VORB
(Telephone order read back) (Verbal order read back).
Image: Biggest medication error is misinterpreting prescriptions
,Pre- medication administration assessment and interventions
1. If patient is complaining of pain 10/10, intervene (prn meds, standing orders, call physician for
new orders) then assess.
2. Collection of baseline data to evaluate therapeutic effects and adverse effects.
3. Identification of high-risk patients.
4. Assessment of the patient's capacity for self-care.
5. Allergies?
a) Collect history. What happens during an allergic reaction?
b) If patient is having an allergic reaction: primary intervention is to STOP THE MEDICATION
THAT IS CAUSING THE REACTION.
6. If patient refuses drug, determine why. INVESTIGATE.
Post- medication administration assessment and interventions
1. Therapeutic response 2. Adverse reaction and interaction
3. Adherence to treatment
4. Satisfaction with treatment
Patient teaching for medication therapy in general (safety, and compliance)
i. Safety
1. If medication causing certain side effects, consult physician.
ii. Compliance
,1. It is important not to stop or change a medication without consulting the physician.
2. Take medications as prescribed and for the reason they are prescribed.
Side effects vs adverse effects vs allergies
a. Side effects.
i. Nausea, vomiting, expected and unavoidable reactions, drug effects produced at therapeutic
level.
b. Adverse effects.
i. Noxious, unintended, and undesired effect that occurs at normal drug doses, harmful at
therapeutic level.
c. Allergies.
i. Redness, itching, hives, swelling; A condition in which the immune system reacts abnormally
to a foreign substance.
a. Side effects.
i. Nausea, vomiting, expected and unavoidable reactions, drug effects produced at therapeutic
level.
, Image: a. Side effects.
b. Adverse effects.
i. Noxious, unintended, and undesired effect that occurs at normal drug doses, harmful at
therapeutic level.
c. Allergies.
i. Redness, itching, hives, swelling; A condition in which the immune system reacts abnormally
to a foreign substance.
Image: c. Allergies.
Intended effect
i. Maintenance of vital signs within expected limits.
ii. Decrease in the risk of seizures.
iii. Decrease in the intensity of withdrawal manifestations.
iv. Substitution therapy during alcohol withdrawal.
Image: Intended effect
Teratogenic effect
i. Drug-induced birth defect.
