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NURS-1550 Pharmacology Case Studies Correct Answers Latest Version 2024
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NURS-1550 Pharmacology Case Studies Correct Answers Latest Version 2024
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NURS-1550: Pharmacology Case StudiesCorrect Answers Latest Version 2024
You are the emergency department nurse caring for a 72-year-old man who
sustained a fracture to his right femur and left ankle when he fell off the roof of his
two-story home. Your patient is complaining of pain that is a 9 on a scale of 0 to 10.
You note that he has no medications ordered for pain.
1) What steps would you take to address the patient's pain level?
2) Which route of administration for the medication might be best for this patient?
3) What precautions should you take regarding the specific route of drug
administration? ANS✔✔ 1. You would first assess the patient's:
- pain level. In this case study, the pain level is a 9 out of 10. - vital signs- when the
last pain medication was given
- response to that administration of pain medication
- whether any nonpharmacologic methods have been particularly helpful for easing
the pain.
After careful assessments, you would call the provider and request orders for pain
medications.
You would consider requesting an intravenous (IV) medication because of the
intensity of the pain and the rapid absorption of the IV route. In addition, you would
request an order for oral (PO) pain medications for sustained pain relief. It is
important to reassess the pain level after the administration of the pain
medications.
2) IV = fastest
, 3) IV is immediate and hard to evaluate rate of absorption so it's easy to over
prescribe
You are a new nurse who recently completed orientation on the medical/surgical
unit. Your first patient of the day was prescribed ampicillin 1 g/100 mL to infuse
over 30 minutes to be administered 1 hour before a colonoscopy. You review your
medications in your mobile application and find that ampicillin is an antibiotic and
should not be administered to patients allergic to penicillin. You review the patient's
history and see that the record reveals an allergy to penicillin and shellfish. You
decide to review this history with the patient.
1.What questions would you ask this patient?
- Your patient states that he or she has nausea and vomiting when they take
penicillin.
2. How would you proceed caring for this patient?
Case Update: You are asked to cover for a colleague who has stepped off the unit.
The patient has intravenous ampicillin infusing. You check the chart and see the
patient is having difficulty breathi ANS✔✔ 1. You would ask the patient what
happens when he or she takes penicillin.Nausea and vomiting are known side
effects of many medications, including ampicillin.
2. You would educate the patient about the differences between allergic reactions
and side effects and plan to administer the medication. You would also ensure that
the patient has an antinausea medication available to treat the side effects of this
medication.
3. You would immediately stop the infusion and provide the patient with emergency
care. Call the provider and inform him or her of the incident. Anticipate orders for
intramuscular or IV epinephrine and monitor the patient carefully. A medication
error report that includes how the incident occurred and the patient's reaction(s)
should be filed.
You are a nurse researcher working for a pharmaceutical company conducting
clinical trials. Your current trial is underway, and you are recruiting participants for a
randomized controlled trial in which participants will receive either the medication
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