Enteric-coated tablets should not be crushed or chewed, which
would alter the time and location of absorption
. Acidic foods will not enhance the absorption of the medication. The patient should not eat high-fat food before ingesting an enteric-coated tablet because high-fat foods decrease the absorption rate.
Which factors in a patient would influence GI absorption of medications?
Physiological factors within the gut that affect oral drug absorption include
gastric emptying rate and intestinal motility
, the pH of the gastrointestinal fluids, the activity of gastrointestinal drug metabolising enzymes (e.g. monoamine oxidase and dopa decarboxylase) or drug metabolising bacteria and the surface …
Which factors does the primary health care provider consider before prescribing medications to a patient diagnosed with malaria select all that apply?
Factors to consider are the patient’s other medical conditions, medications being taken (to assess potential drug-drug interactions),
the cost of the medicines, and the potential side effects
.
In which order would the nurse apply the steps of the nursing process to ensure patient centered collaborative care?
Nursing Process: Patient-Centered Collaborative Care. The nursing process is a five-step decision-making approach that includes
(1) assessment, (2) diagnosis, (3) planning, (4) implementation, and (5) evaluation
.
Which nursing action should ensure that a medication is given to the right patient?
The nurse must confirm the patient’s identification matches the medication administration record (MAR) and medication label prior to administration
to ensure that the medication is being given to the correct patient.
What is an important nursing action when administering topical medication?
After any topical treatment has been applied, the nurse should assess the patient frequently for any adverse reactions, such as
redness, swelling or itching
. If a large area is being treated, the patient should be observed for possible systemic side effects, such as a fever, nausea, head ache and so on.
Why should nurses care about absorption?
Because
most drugs taken orally are absorbed mostly from the small intestine
, the nurse should find out whether part of the intestine has been removed, which could impair the patient’s ability to completely absorb medication.
What can a nurse do for drug absorption?
rectal (administering an
acetaminophen
[Tylenol] suppository) inhalation (breathing in medication from an inhaler) intramuscular (getting a flu shot in the deltoid muscle) subcutaneous (injecting insulin into the fat tissue beneath the skin)
Which strategies are helpful in preventing medication errors in nursing practice?
- Follow proper medication reconciliation procedures. …
- Double check—or even triple check—procedures. …
- Have the physician (or another nurse) read it back. …
- Consider using a name alert. …
- Place a zero in front of the decimal point. …
- Document everything.
Which components of pharmacokinetics does the nurse need to understand before administering a drug?
The four main parameters generally examined by this field include
absorption, distribution, metabolism, and excretion (ADME)
.
Which factors are defined by the nurse practice acts?
The Nurse Practice Acts are the laws that define the boundaries of the nursing practice. These define
educational requirements for nurses, expanded nursing roles, and the differences between nursing and medical practice.
How should nurses prioritize nursing diagnosis?
How should a nurse prioritize nursing diagnoses? Rationale: The nurse should prioritize nursing diagnoses
related to their life-threatening potential
. Safety is always the nurse’s first priority.
What is the primary role of the nurse in primary health care?
Nurses have a key role to play in primary care in
expanding, connecting and coordinating care
. Through their training and work, they are well placed and have been shown to provide safe and effective care in disease prevention, diagnosis, treatment, management and rehabilitation.
How will you use the nursing process to guide your nursing practice?
The nursing process functions as a systematic guide to client-centered care with 5 sequential steps. These are assessment, diagnosis, planning, implementation, and evaluation. Assessment
is
the first step and involves critical thinking skills and data collection; subjective and objective.
How does the nursing process helps the nurse deliver care?
The nursing process provides that
individual-centered care is given in accordance to a plan
and that time is used in a more effective way while promoting communication between team members and increasing the quality of nursing care by providing written resources and evidence for nursing education and research.
What nursing actions should the nurse take to administer medications safely?
- THE RIGHT TO A COMPLETE AND CLEARLY WRITTEN ORDER. …
- THE RIGHT TO HAVE THE CORRECT DRUG ROUTE AND DOSE DISPENSED. …
- THE RIGHT TO HAVE ACCESS TO INFORMATION. …
- THE RIGHT TO HAVE POLICIES ON MEDICATION ADMINISTRATION.
How can you ensure that patients are receiving the correct medications?
- Verify any medication order and make sure it’s complete. …
- Check the patient’s medical record for an allergy or contraindication to the prescribed medication. …
- Prepare medications for one patient at a time.
- Educate patients about their medications. …
- Follow the eight rights of medication administration.
What are the 4 basic rules for medication administration?
The “rights” of medication administration include
right patient, right drug, right time, right route, and right dose
. These rights are critical for nurses.
What do nurses need to know about medications?
Nurses have a duty to the patient to know the actions and indications of all medications they administer, including safe dosage ranges, adverse reactions, monitoring parameters, and nursing implications.
Recognizing perceptual factors
. Misperceptions are at the root of many medication errors.
What is the priority assessment when administering a topical medication?
Assess the child’s skin integrity
before administration of topical medication. Observe for cleanliness and clean off dirt and excess lotions as needed. Assess the condition of the child’s skin, noting areas of healing, excoriation, edema, rashes, or increased redness.
How should a nurse prepare a suspension before administration?
Explanation: Medications that are suspensions tend to settle, with the solid aggregating on the bottom. Before the drug is administered, you
give the bottle a good series of snappy shakes
, so as to evenly suspend the particles in the mixture.
What is the primary role of a nurse in medication administration?
Nursing aspects of administration. The nurse is
responsible for interpreting the prescription accurately, recording that the drug has been given and observing the patient’s response
.
What are the 5 basic principles for administering medication?
One of the recommendations to reduce medication errors and harm is to use the “five rights”:
the right patient, the right drug, the right dose, the right route, and the right time.
What is the importance of pharmacodynamics in the nursing practice?
Comprehending the concepts of pharmacodynamics and pharmacokinetics allows
NPs to focus on how drugs alter the body from a physiological perspective
, which allows them to better assess patients and suggest one medication over another.
What is pharmacodynamics nursing?
Pharmacodynamics refers to
the effect of a drug on the body
; the topic encompasses not only the means by which drug receptors interact to produce their response, but also quantifies the medicine’s effects on individuals and even populations.
What is the role of the master’s prepared nurse in Pharmacotherapeutics?
Master’s-prepared nurses use
research and clinical evidence to inform practice decisions
. Master’s-degree graduates are prepared to gather, document, and analyze outcome data that serve as a foundation for decision making and the implementation of interventions or strategies to improve care outcomes.
Which action assists the nurse in preventing a potential medication error?
Medication reconciliation
is the process of comparing a patient’s medication orders to all of the medications that the patient has been taking. This reconciliation is done to avoid medication errors such as omissions, duplications, dosing errors, or drug interactions.
How can medication administration errors be prevented?
- MINIMIZE CLUTTER. …
- VERIFY ORDERS. …
- USE BARCODES. …
- BE AWARE OF LOOK-ALIKE SOUND-ALIKE (LASA) DRUGS. …
- HAVE A SECOND PAIR OF EYES CHECK PRESCRIPTIONS. …
- DESIGN EFFECTIVE WARNING SYSTEMS. …
- INVOLVE THE PATIENT. …
- TRUST YOUR GUT.
Which is an appropriate action when administering oral medications?
Administer medication orally as prescribed. Tablets:
place in mouth and swallow using water or other oral fluids
. Orally disintegrating medications: Remove carefully from packaging. Place medication on top of patient’s tongue, and have patient avoid chewing the medication.
Why is drug absorption important?
When a drug is taken orally,
it must be able to survive the low pH and presence of potentially degrading enzymes in the gastrointestinal tract
before it can be absorbed into the bloodstream.
What steps should the nurse take to minimize the risk of making a medication error?
The steps that nurse should take to minimize the risk of medication error include
the right patient, right drug, right dose, right route, right time
, right assessment, right documentation, patient’s right to education, right evaluation, and patient’s right to refuse.
Which of the following best define the process of pharmacokinetics?
Pharmacokinetics is currently defined as the study of the
time course of drug absorption, distribution, metabo- lism, and excretion
. Clinical pharmacokinetics is the application of pharmacokinetic principles to the safe and effective therapeutic management of drugs in an individual patient.
Which is the best determinant of the biologic activity of a drug?
Which is the best determinant of the biologic activity of a drug?
The fit of the drug at the receptor site
.
How do nurses care for patients?
Patient care
A nurse is a caregiver for patients and helps to manage physical needs, prevent illness, and treat health conditions. To do this, they need to
observe and monitor the patient
, recording any relevant information to aid in treatment decision-making.
How nurses can promote health?
Nurses are the catalysts for
healthier lifestyles through encouragement and teaching
, helping patients to potentially receive preventative services such as counseling, screenings, and precautionary procedures or medications.
What are the duties and responsibilities of a nurse?
- Conduct physical exams.
- Take detailed health care histories.
- Listen to patients and analyze their physical and emotional needs.
- Provide counseling and health care education to patients.
- Coordinate care with other health care providers and specialists.
What does the nurse Practice Act indicate are the responsibilities for a nurse to obtain and maintain their nursing license?
The NPA gives authority to regulate the practice of nursing and the enforcement of law to an administrative agency or BON that
is charged with maintaining the balance between the rights of the nurse to practice nursing
and the responsibility to protect the public health, safety, and welfare of its citizens (Brous, 2012 …
Why are nurse practice acts so important to nurses in carrying out their roles and responsibilities to the public?
WHY IS IT IMPORTANT? The intimate nature of nursing means that
the risk of accidents is high
. The laws and regulations set out in a state’s Nurse Practice Act have been put together to reduce the risk of harm to patients and to protect patients by ensuring the highest level of competence.
What is the most important function of the nurse Practice Act?
The NPA was designed
to protect patients’ health and to define the scope of practice for all levels of nurses
, ensuring that nurses are qualified and capable of doing their job.
What are the ABC’s of nursing?
Airway, Breathing, Circulation
(ABC’s) – Prioritizing Care for Nursing RN.
What is a nursing care priority?
Priority setting can be defined as
the ordering of nursing problems using notions of urgency and/or importance
, in order to establish a preferential order for nursing actions.
