Podcast
Questions and Answers
Which statements describe a medication history and its function?
Select all that apply.
Which statements describe a medication history and its function? Select all that apply.
- Helps identify areas where patient education is needed (correct)
- Focuses on both current and recently used medications (correct)
- Can guide decisions on future medications if accurate and complete (correct)
- Asks questions related to patient adherence to the prescribed medication regimen (correct)
Which statement best describes ongoing assessments related to medication administration?
Which statement best describes ongoing assessments related to medication administration?
- Ongoing assessments are primarily used as part of the patient’s annual physical examination in the outpatient setting.
- The main purpose of ongoing assessments is to document changes in the patient’s medication history.
- Ongoing assessments should be done every week to ensure the therapeutic effect of the medication is maintained.
- The main purposes of ongoing assessments are to evaluate the effectiveness of a medication and to identify any adverse effects. (correct)
Match the category of medication with the point-of-administration assessment that it requires.
Match the category of medication with the point-of-administration assessment that it requires.
Pulse = Cardiac glycoside Blood Pressure = Antihypertensive Temperature = Antipyretic Respiratory Rate = Opioid analgesic
Assessment of dexterity and mobility statuses could cue to which problem related to medication administration?
Assessment of dexterity and mobility statuses could cue to which problem related to medication administration?
Which factor would the nurse recognize as a cue indicating that a patient must be checked for bleeding after an intramuscular injection?
Which factor would the nurse recognize as a cue indicating that a patient must be checked for bleeding after an intramuscular injection?
For which reason would the nurse ask a patient about food allergies as part of the medication history?
For which reason would the nurse ask a patient about food allergies as part of the medication history?
Which focused assessment would the nurse perform when caring for a patient with a prescription for a medication administered by transdermal patch?
Which focused assessment would the nurse perform when caring for a patient with a prescription for a medication administered by transdermal patch?
The nurse is caring for a patient who has digoxin prescribed for chronic heart failure. Which assessment data is needed before administering the digoxin?
The nurse is caring for a patient who has digoxin prescribed for chronic heart failure. Which assessment data is needed before administering the digoxin?
Which questions would the nurse ask a patient when obtaining the patient’s medication history?
Select all that apply.
Which questions would the nurse ask a patient when obtaining the patient’s medication history? Select all that apply.
Which factor is cued by gathering information about a patient’s prior exposure to a medication that is being prescribed?
Which factor is cued by gathering information about a patient’s prior exposure to a medication that is being prescribed?
Which factors would the nurse recognize as cues that oral administration might not be appropriate for a patient?
Select all that apply.
Which factors would the nurse recognize as cues that oral administration might not be appropriate for a patient? Select all that apply.
Which factors would the nurse recognize as cues indicating that a patient is at increased risk for an adverse reaction to a medication?
Select all that apply.
Which factors would the nurse recognize as cues indicating that a patient is at increased risk for an adverse reaction to a medication? Select all that apply.
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Study Notes
Medication History and Its Function
- Medication history provides detailed information about a patient's previous and current medications, including prescription and over-the-counter drugs.
- It helps identify potential drug interactions, allergies, and adverse reactions, ensuring safe medication administration.
Ongoing Assessments Related to Medication Administration
- Continuous evaluation of a patient’s response to medications is crucial for detecting adverse effects and determining efficacy.
- Monitoring vital signs and condition changes post-administration are key components of ongoing assessments.
Category of Medication and Point-of-Administration Assessment
- Different medication categories may require specific assessments such as evaluating site for injection, checking skin integrity for patches, or assessing swallowing capabilities for oral medications.
Dexterity and Mobility Statuses
- Assessment of a patient's dexterity and mobility can indicate potential issues with self-administration of medications, such as difficulty handling pills or injections.
Cues for Bleeding After Intramuscular Injection
- Factors like a history of bleeding disorders, use of anticoagulants, or specific demographics (e.g., elderly patients) are cues necessitating monitoring for bleeding post-injection.
Importance of Asking About Food Allergies
- Inquiring about food allergies as part of the medication history helps prevent allergic reactions that could occur due to excipients in medications.
Focused Assessment for Transdermal Patch
- Assess skin condition and integrity at the application site, ensuring it is clean and free from irritation for effective transdermal medication delivery.
Assessment Data Needed Before Administering Digoxin
- Prior to administering digoxin, assess the patient’s heart rate and rhythm, checking for bradycardia and any signs of toxicity.
Questions for Patient’s Medication History
- Inquire about current medications, allergies, previous medication reactions, over-the-counter supplements, and adherence to prescribed therapies.
Prior Exposure to Prescribed Medication
- Gathering past exposure information helps identify potential allergic reactions, tolerability issues, and previous side effects related to the prescribed medication.
Cues Indicating Inappropriate Oral Administration
- Signs of nausea, vomiting, difficulty swallowing, or gastrointestinal conditions such as ileus are cues suggesting oral administration may not be suitable.
Factors Indicating Increased Risk for Adverse Reactions
- Factors include age (elderly), comorbid conditions, polypharmacy, and history of allergies or previous adverse reactions to similar medications.
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