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Questions and Answers
Which statements describe a medication history and its function? Select all that apply.
Which statement best describes ongoing assessments related to medication administration?
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?
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Which factor would the nurse recognize as a cue indicating that a patient must be checked for bleeding after an intramuscular injection?
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For which reason would the nurse ask a patient about food allergies as part of the medication history?
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Which focused assessment would the nurse perform when caring for a patient with a prescription for a medication administered by transdermal patch?
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The nurse is caring for a patient who has digoxin prescribed for chronic heart failure. Which assessment data is needed before administering the digoxin?
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Which questions would the nurse ask a patient when obtaining the patient’s medication history? Select all that apply.
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Which factor is cued by gathering information about a patient’s prior exposure to a medication that is being prescribed?
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Which factors would the nurse recognize as cues that oral administration might not be appropriate for a patient? Select all that apply.
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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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Description
This quiz focuses on the importance of medication history and its functions. Evaluate various statements regarding how medication history contributes to patient care and safety. Select all applicable statements to demonstrate your understanding.
