Which information is essential for the nurse to collect when ...

[Chelseaamend]

Which information is essential for the nurse to collect when reviewing a patient's medication list? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.
 
  1. Drug names
  2. Drug manufacturer
  3. Dosage being taken
  4. Frequency of administration
  5. When last refill was obtained

Question 2

During evaluation, the nurse, patient, and physician determine that the goals of antibiotic therapy have not been met. What actions are indicated? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.
 
  1. Review the dosage of the medication
  2. Consider checking serum drug levels
  3. Discard the idea that the infection is treatable
  4. Consider prolonging therapy
  5. Consider using a different antibiotic

[Brenm]

Answer to Question 1

1,3,4
Rationale 1: Drug name is essential information for this assessment.
Rationale 2: It is not necessary to record the name of the drug manufacturer.
Rationale 3: Dosage being taken is essential information for this assessment.
Rationale 4: Frequency of administration is essential information for this assessment.
Rationale 5: It is not necessary to determine when the last prescription refill was obtained.
Global Rationale: Drug name, amount being taken, and frequency of administration are all essential parts of a medication history. It is not important to record the name of the drug manufacturer or when the last prescription refill was obtained.

Answer to Question 2

1,2,4,5
Rationale 1: The dosage may not be correct for the individual patient.
Rationale 2: In some instances, checking serum drug levels will help identify if the dosing schedule is adequate.
Rationale 3: Just because the first evaluation is that the goal is not met does not indicate that the goal is not a good one or that the therapy is not going to work.
Rationale 4: The drug may work if given more time.
Rationale 5: The infection may require use of a second antibiotic.
Global Rationale: Just because the first evaluation is that the goal is not met does not indicate that the goal is not a good one or that the therapy is not going to work. The drug may work if the dosage is altered (which may be indicated by serum drug level) or if therapy is continued for a longer time. The antibiotic may need to be changed.

[Chelseaamend]

Excellent

[Joy Chen]

Gracias!