©SOPHIABENNETT@2024-2025 Monday, August 19, 2024 12:35 AM
Principles of Drug Administration Study
Guide with Complete Solutions
Responsibilites of the nurse when administering medication - Answer✔️✔️--
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 - Answer✔️✔️--an acquired hyperresponse of body
defesnes to a foreign substance (allergen)
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,©SOPHIABENNETT@2024-2025 Monday, August 19, 2024 12:35 AM
-signs of allergic reactions vary in severity and include skin rash with or
without itching, edema, runny nose, or reddened eyes with tearing
Anaphylaxis - Answer✔️✔️--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 - Answer✔️✔️--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:
Page 2 of 21
, ©SOPHIABENNETT@2024-2025 Monday, August 19, 2024 12:35 AM
-right to refuse medication, the right to recieve drug education, the right
preparation, and the right documentation
The Three Checks of Drug Administration - Answer✔️✔️--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 - Answer✔️✔️--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 - Answer✔️✔️--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)
Page 3 of 21
Principles of Drug Administration Study
Guide with Complete Solutions
Responsibilites of the nurse when administering medication - Answer✔️✔️--
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 - Answer✔️✔️--an acquired hyperresponse of body
defesnes to a foreign substance (allergen)
Page 1 of 21
,©SOPHIABENNETT@2024-2025 Monday, August 19, 2024 12:35 AM
-signs of allergic reactions vary in severity and include skin rash with or
without itching, edema, runny nose, or reddened eyes with tearing
Anaphylaxis - Answer✔️✔️--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 - Answer✔️✔️--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:
Page 2 of 21
, ©SOPHIABENNETT@2024-2025 Monday, August 19, 2024 12:35 AM
-right to refuse medication, the right to recieve drug education, the right
preparation, and the right documentation
The Three Checks of Drug Administration - Answer✔️✔️--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 - Answer✔️✔️--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 - Answer✔️✔️--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)
Page 3 of 21
