Chapter 32 Medication Administration Questions and Answers 100% pass.

Chapter 32 Medication Administration Questions and Answers 100% pass. Discuss the nurse's role and responsibilities in medication administration - ANS- (pg. 624) • Assess that the medication ordered is the correct medication • Assess the patient's ability to self-administer medications • Determine whether a patient should receive a medication at a given time • Administer medications correctly, and closely monitor their effects • Educate Patient and family about proper medication administration and monitoring • Do not delegate any part of the medication administration process to nursing assistive personnel • Apply the nursing process to medication administration • practice the 6 rights Describe the physiological mechanisms of medication action - ANS- (pg. 611-612) Absorption - when the medication molecules pass into the blood from the site of medication administration. • Route of absorption • Ability of a medication to dissolve • Blood flow to site of administration • Body surface area • Lipid solubility Distribution - distributed within the body to tissues and organs, and ultimately to its specific site of action • Circulation • Membrane permeability • Protein binding Metabolism - when a medication becomes metabolized into a less active or an inactive form that is easier to excrete • Biotransformation occurs under the influence of enzymes that detoxify, break down, and remove biologically active chemicals. Excretion - after medication is metabolized, they exit the body through the kidneys, liver, bowel, lungs, and exocrine glands Differentiate among different types of medication actions - ANS- (pg. 612-613) Therapeutic - The expected or predicted physiological response caused by a medication Adverse - undesired, unintended, and often unpredictable responses to medication Side effects - a predictable and often unavoidable adverse effect produced at a usual therapeutic dose Toxic effects - a lethal effect that can develop after prolonged intake of a medication or when the medication accumulates in the blood because of an impaired metabolism or excretion Idiosyncratic reactions - an unpredictable effect of medication Allergic reactions - when a patient becomes immunologically sensitized to an initial dose of a medication. Discuss developmental factors that influence pharmacokinetics - ANS- Discuss factors that influence medication actions - ANS- Discuss methods used to educate patients about prescribed medications - ANS- (pg. ) • need to teach them the name of the drug • action/purpose • correct administration and storage • adverse effects • when to call the MD • food considerations • written info/family involvement Compare and contrast the roles of the prescriber, pharmacist, and nurse in medication administration - ANS- (pg.623-624) Prescriber - writes prescriptions for patients who take medications outside of the hospital Pharmacist - prepares and distributes prescribed medications. Works with other medical personnel to evaluate the effectiveness of patient's medication. Dispenses the correct med in the proper dosage and amount with an accurate label. Nurse - Determines the correct med, assesses the patient's ability to self-administer med, determines whether a patient should receive a med at a given time, administers medications correctly, and closely monitors their effects. Implement nursing actions to prevent medication errors - ANS- (pg. 624-625 & box 32-4) • Prepare meds for only one patient at a time • Follow the six rights of med admin • Read labels at least 3 times before administering meds • Use at least two pt identifiers and review pt allergies • Don't get sidetracked • Double-check all calculations for dosage • Clarify if illegible • Question unusually large or small dosages • Document ALL meds as soon as they are given • If you made an error, reflect on what happened and how you could have prevented • Ensure you are well rested when caring for patients • Involve and educate patients when administering meds • Follow all established policies when using technology to administer