Examine nursing implications and responsibilities related to medication administration Instructions

Examine nursing implications and responsibilities related to medication administration Instructions

Description

This assignment provides the opportunity for students to apply pharmacology knowledge. You will be assessed on how you apply an understanding of the following general learning outcomes: • Examine medication measurements using various systems of measurements (amount/quantity) • Examine selected herbal medications, including their effects, side effects, and interactions with other drugs • Examine nursing implications and responsibilities related to medication administration Instructions • Read the case study (p. 2) and answer the following questions based on the rights of medication administration. o For each medication ordered clearly identify the following  Right medication & Right reason: o Patient’s medical diagnosis that relates to the medication o The mechanism of action (effect) o The pharmacological class  Right dose: • Calculate the ordered dosage (show calculation) • Identify if the dosage is safe (provide rationale)  Right time: • indicate if the drug is ordered at the right time and frequency  Right route: • Identify the abbreviations indicated in the order  Right patient: • Indicate how you would verify you have the right patient  Right documentation: • Indicate when documentation would occur  Right assessment: • Identify 1 priority pre-assessment for each medication • Identify 1 priority post-assessment for each medication  Right patient education • Indicate 1 teaching point for each medication (from the Nursing 2019 Drug Handbook)  Right to refuse: • Provide one NANDA diagnosis based on a patient refusing their medication (see p. 109 in Lilley et al.) • Include 1 diagnosis statement • Include 1 outcome statement • Include 1 intervention o Herbal:  Explain the patient teaching that would be done for the herbal  Explain why this teaching is important Use your required readings for this assignment. o The 10 rights of medication administration are in Lilley et al. o Drug specific information in Wolters Kluwer Nursing 2019 Drug Handbook o Refer to herbal links listed in Moodle if available OR to the Wolters Kluwer Nursing 2019 Drug Handbook o Nurse’s Pocket Guide (15 ed) Doenges, Moorhouse, & Murr. (2019). Assignment Requirements: • Assignment must be typed • Include a title page and reference page • Maximum 2 pages using assignment template • Follow APA format for title page, reference page and citations • No PDF submissions, zip files or Google docs • See marking guide p. 2 Case Study Mr. Sims You are a Practical Nurse working in continuing care and have been assigned Mr. Sims, 40 years old. Mr. Sims has refused his Lasix as he does not like how it makes him feel. Primary medical diagnoses: Exacerbation of congestive heart failure (CHF) History: Mr. Sims currently has a cold and is using goldenseal (0.5 mL po tid) to manage his symptoms. He weighs 95 kg and is 196 cm in height. Doctors’ Orders: Medications • Digoxin (Lanoxin) 0.125 mg po once daily maintenance • Furosemide (Lasix) 20 mg po once a day at hs Medications Available on Unit: • Digoxin 0.25 mg tablets • Lasix 20 mg tablets Marking Guide Criteria Mark & Comments Indicates the following for each medication: • Right medication & Right reason (6) • Right dose (4) • Right time (2) • Right route (2) • Right patient (1) • Right documentation (1) • Right assessment (4) • Right patient education (2) • Right to refuse (NANDA) (3) 25 marks Teaching provided for herbal and rationale for why this teaching is important 4 marks APA 3 marks Total for Assignment: /32

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