Pharm: Exam 1 Chapters 1-7 Questions With 100% Correct Answer

Pharm: Exam 1 Chapters 1-7 Questions With 100% Correct Answers What are the five phases of the nursing process? - answerassessment, human need statements, planning with outcome identification, implementation including patient education, and evaluation Identify the components of the assessment process for patients receiving medications - answersubjective = what the patient tells you and objective data = what the nurse observes Discuss the process of formulating human need statements (previous editions identified nursing diagnoses) for patients receiving medications. - answerHuman need statements are prioritized in order of criticality based on patient needs or problems. The ABCs of care (airway, breathing, and circulation) are often used as a basis for prioritization. Identify the planning phase of the nursing process with outcome identification as related to patients receiving medications. - answerOutcomes are objective, realistic, and measurable patient-centered statements with time frames. Discuss the evaluation process associated with the administration of medications and as reflected by outcome identification. - answermonitoring the fulfillment of outcomes, as well as monitoring the patient's therapeutic response to the drug and its adverse effects and toxic effects. Body begins a sequence of processes to manage the drug introduced to the body including: - answer• Breaking down the drug • Eliminating the drug the specific prescription or medication order (from any prescriber) must be checked for what seven elements? - answer(1) patient's name, (2) date the drug order was written, (3) name of drug(s), (4) drug dosage amount, (5) drug dosage frequency, (6) route of administration, and (7) prescriber's signature. For routine medication orders, the standard of care is to give the medications no more than ___________ before or after the actual time specified in the prescriber's order; the exception includes medications designated to be given stat (immediately) that must be administered within _____________ of the time the order is written. - answer1/2 hour, 1/2 hour Drugs - answerchemicals that are introduced into the body to cause or induce a change. Pharmacotherapeutics: Types of Therapies - answerThe use of pharmacology to treat, prevent, and diagnose disease. (nurses deal with this branch of pharmacology) - Drug's effect(s) on the body - Body's response to the drug What are nurse responsibilities in drug therapy? - answer- Administering drugs - Assessing drug effect - Intervening to make the drug regimen more tolerable - Education on drugs and drug regimens - Monitoring patient care plan to prevent medication errors Medication Error - answerAny preventable event that may cause inappropriate medication use or patient harm while the med is in the control of a health care professional or patient. Nine Rights of Medication Administration - answer1. Right Patient 2. Right Medication 3. Right Dose 4. Right Time 5. Right Route 6. Right Documentation 7. Right Reason 8. Right Response 9. Right to Refuse Right Drug - answer- First check for right drug/drug name - Is it appropriate - Look it up (don't rely on peers) - Any questions contact the prescriber Right Dose - answer- Written on the order - Check against available drug stock - Recheck med calcs. (Check the decimal point) - Consider pt variables Which is correct: A.) 0.2 B.) 2.0 - answerLead don't trail! 0.2 is ok 2.0 is not What variables need to be considered when determining if the medication dosage is safe for a pt? - answer• Age • Weight • Gender • Height • Vitals Right time - answer- Know the hospital policy (usually one hour before or after administered time is ok) - Know the time to be administered - The frequency of the medication - Know when the last dose was given BID - answertwice a day TID - answerthree times a day QD - answerevery day Right route and form - answer- Confirm appropriateness of the route - Can the patient take the med by rx'd route? - Never assume a route, ask provider! - Beware of what can/cannot be crushed or altered Which medications cannot be crushed? - answerAny sustained release or extended release medications should not be crushed. Coated drugs should not be crushed. Coated drugs are used to protect the stomach lining of irritation, and to prevent destruction of the product by stomach acid, or unwanted reaction. Right Patient - answerCheck the patient's ID!!! • Its ok for parents/legal guardians to speak for peds • Can check against med profile of order against ID band for patients with altered loc Right documentation - answer- Document only after med has been given