Answer to Question 1
A
Feedback:
The nurse is responsible for all medications administered and must find a recent reference source to ensure the information learned about the medication is correct and current. Using an older drug guide could be dangerous because it would not contain the most up-to-date information. Asking another nurse or the pharmacist does not guarantee accurate information will be obtained and could harm the patient if the information is wrong.
Answer to Question 2
A
Feedback:
Because all tricyclic antidepressants (TCAs) are similarly effective, the choice of which TCA depends on individual response to the drug and tolerance of adverse effects. A patient who does not respond to one TCA may respond to another drug from this class. In addition, the nurse might inform the physician of the patient's question so the physician can explain his or her rationale for changing medications. By asking the patient if he took the medication as prescribed, the nurse is insinuating that he may not have and could damage the trusting nursepatient relationship. The nurse has no basis for commenting that the medication might not be working or that another drug would work better.
A, A nurse is adding a medication to an IV line as a piggyback
3.6 Vaginal drug administration: (a) instilling a vaginal suppository
Nurse collaboration
Drug tolerance: A shift in the dose-response curve to the right as a result of exposure to the drug.
Clinically Significant Drug-Drug Interactions in Dentistry
How to evaluate third-order determinants by Minors Method (Question 2)