Introduction to Clinical Pharmacology Review Questions and Detailed Answers

Six rights of medication administration right drug, right dose, right time, right route, right patient, right documentation Documentation of drug administration Patients status prior, medication, time, dose, route, location, patients response. Note how and when drug was given. Document drug administration in patients chart after administering. Evaluation of medication administration Determine if the goals were met and you can move on to the next priority health need. Or determine how to modify interventions to resolve current unresolved problem Patient teaching and discharge instructions regarding medications Thorough instructions to promote compliance. Patient may have very specific directions for taking these medications. (every other day, twice a day, tapering) Evaluation of patient teaching Evaluation of patient learning is a critical component of safe and effective drug administration. To verify the success—or lack of success—of patient education, nurses should always ask specific questions related to patient outcomes and request that the patient repeat information or give a return demonstration of skills, if appropriate. The patient's behavior—such as adherence to the schedule for medication administration with few or no complications—is one key to determining whether or not teaching was successful and learning occurred. If a patient's behavior evidences noncompliance or an inadequate level of learning, a new plan of teaching should be developed, implemented, and evaluated. Nurse responsibility in medication error (Check the patient) Quickly and comprehensively assess and anticipate patient needs at the same time What route of medication is most rapidly absorbed? Fastest is IV, then IM, and then SQ, then oral. (Oral is slowest) Patient teaching about the difference between side effects and adverse effects SIDE EFFECTS- are known mild, but annoying response to a drug. ADVERSE EFFECTS- are more severe symptoms or problems that develop because of a drug