(Taylor, p.1502) | NI # 5Prior to 0900 HCTZ dose, assess BP + HR.Hold med if SBP < 100 or DBP < 60 per MD order. | Rationale:Assessment is a prerequisite to administration. (Taylor, p. 821) Nurse should ask if patient’s condition and symptoms warrant receiving each drug. (Taylor, p. 819)HCTZ is a thiazide diuretic that lowers BP. (Lilley, p. 410) | EVALUATION7:Goal met.
The first six rights are: * Right patient-always id patient before given out meds * Right medication-check meds three times before administering * Right dosage-check the MAR or printout with dr’s order. Some meds need to reach a consistent level in your bloodstream in order to be effective. * Right route- verify route by checking original dr’s order for medication not specific clarify it * Right time-meds are scheduled for various reasons check the dr’s orders * Right documentation-immediately after and definitely not
Nutritional matinence; 4.) Oral contraceptives and smoking- risk of blood clots/stroke 5.) Infrequent physical examinations Nursing Diagnosis #1: Pain (acute) related to postprocedure swelling and nerve damage as evidenced by patient report of pain (Gulanick, Myers pg 124). Nursing Intervention 1 | Desired Outcome 1 | Desired Outcome 2 | Evaluation Method | Rationale | Nurse will monitor patients pain on a scale of 0-10 every shift (Nanda, 2012). | Patient will report satisfactory pain control at a level less than 3-4 on a 0-10 rating scale X 30 days.
MS CONTIN Tablets are NOT intended for use as a prn analgesic. The MS CONTIN 100 and 200 mg tablet strengths are high dose, controlled-release, oral morphine formulations indicated for the relief of pain in opioid-tolerant patients only. MS CONTIN is not indicated for pain in the immediate postoperative period (the first 12-24 hours following surgery) for patients not previously taking the drug, because its safety in this setting has not been established. MS CONTIN is not indicated for pain in the postoperative period if the pain is mild, or not expected to persist for an extended period of time. MS CONTIN is only indicated for postoperative use if the patient is already receiving the drug prior to surgery or if the postoperative pain is expected to be moderate to severe and persist for an extended period of time.
Are there any contraindications or precautions that would eliminate the use of this drug for Ms. Johnson? Yes, she has been diagnosed with peptic ulcer disease. Aspirin is contraindicated in patients with this condition, Ms. Johnson smokes and aspirin should be avoided by patients who smoke (Aschenbrenner, 2012). 3. What patient variables are most important to consider for Ms. Johnson when assessing her drug therapy?
INCORRECT An elevated creatinine level is not related to low albumin levels.The nurse notes that the medication dosage is in the safe range for elderly clients. The medication is to be administered IV every twelve hours.22. The nurse recognizes that the frequency of drug administration is based on which characteristic of the medication?A) Bioavailability. INCORRECT Bioavailablity describes the rate and extent to which a drug enters the systemic circulation. B) Protein binding.
A) the projected success rate when used precisely as directed B) the success rate from clinical trial use of the product C) the failure rate when used precisely as directed D) the success rate based on actual use by the general public Answer: D Page: 333 3. The effectiveness of a contraceptive for women of childbearing age is commonly expressed as A) the percentage that does not become pregnant while using the method for one year. B) the percentage risk of failure based on product testing by the manufacturer. C) the number of failures per 1,000 uses based on user surveys. D) educated guesses by the sellers of the contraceptive.
Which nursing intervention should be initiated to prevent increased ICP? B) Administer a prescribed stool softener as needed (PRN). 4. Which medication is best for the nurse to administer to Jeff for his complaint of headache? D) Acetaminophen (Tylenol).
Then position and drape patient as needed, adjust bed to proper height, and orient patient to call light/bed control system. Simultaneously adjust side rails. Explain to patient that the nurse will conduct hourly rounds to reassess for fall risks, provide toileting needs, and attend to symptom management. Also provide clear instructions to patient and family regarding mobility restrictions and ambulation and transfer techniques. Briefly explain to patient the specific safety measures to prevent falls (e.g., wear well-fitting, flat footwear with nonskid soles; dangle feet for a few minutes before standing; walk slowly; ask for help if dizzy or weak).
While they focused on her physical rehabilitation they did not aim to improve Jenny’s understanding of the use of insulin and informing her of the possible reasons as to why the insulin had caused her body to go into shock. This clinical oversight is clear as five days after her discharge she was readmitted after a fall down a flight of stairs after injecting insulin. The Hypothetico-Deductive reasoning model (Higgs, Ajjawi, McAllister, Trede & Loftus, 2008, p. 136) places emphasis on the management of a health problem as part of a clinical reasoning process which should include the provision of information so the patient is better informed and so the chance of future admittance due to reasons of a similar nature is greatly