The nurse plays a major role in which of the following aspects of ...

[KWilfred]

The nurse plays a major role in which of the following aspects of medication therapy? (Select all that apply.)
 
  1. Determining the necessity of a particular medication
  2. Discontinuing prescribed medications when appropriate
  3. Preparation of the client's prescribed dose of medication
  4. Monitoring the pharmacological effects of the prescribed medication
  5. Delivering the medication in accordance with the prescriber's directions
  6. Instructing the client regarding the pharmacological effects of the medication

Question 2

The nurse is preparing to administer a nasal instillation of medication to a client. The best position for accessing the posterior pharynx is to place the client in a supine position and tilt the client's head:
 
  1. Backward
  2. Over the edge of the bed with the head to one side
  3. Over a small pillow and back
  4. In a chin-down position

[bd5255]

Answer to Question 1

ANS: 3, 4, 5, 6
The nurse plays an essential role in medication preparation and administration, medication teach-ing, and evaluating clients' responses to medications. The remaining options are not in the nursing scope of the RN.

Answer to Question 2

ANS: 1
Placing the client's head backward will allow the instillation to drop into the posterior pharynx. Turning the head to one side will allow the instillation to go into the frontal and maxillary sinus-es. Putting the head over a pillow and placing it back will instill the drops in the ethmoid or sphenoid sinuses. A chin-down position will not allow the medication to enter the posterior pharynx.

[KWilfred]

Excellent

[nanny]

TYSM