NR 293 Quiz 1

NR 293 Quiz 1

Student Name

Chamberlain University

NR-293: Pharmacology for Nursing Practice

Prof. Name:

Date

Rights of Medication Administration

Right Patient

The first principle of safe medication administration is to ensure the correct patient is receiving the medication. This involves verifying the patient’s identity through at least two methods, such as checking the identification band and confirming their name or date of birth.

Right Dose and Route

Nurses must ensure that the dose and route specified in the prescription align with the patient’s needs. If the prescription includes multiple routes, consult the healthcare provider to confirm the intended route and discontinue unused options.

Right to Refuse

Patients have the right to refuse medication. If a patient refuses, the nurse should dispose of the medication appropriately, document the refusal, and inform the healthcare provider as necessary.

Medication Pharmacokinetics

First Pass Effect

Oral medications undergo the first-pass effect, where the liver metabolizes the drug before it reaches systemic circulation. This reduces the drug’s bioavailability, necessitating higher oral doses to achieve therapeutic effects. For example, oral morphine often requires a higher dose due to this effect.

Nursing Considerations in Medication Administration

Patient Interaction

Stay with the patient until the medication is fully swallowed or administered, ensuring compliance and preventing misuse. Avoid leaving unused medications at the bedside.

Administration Protocol

Provide oral medications with water unless contraindicated. Certain liquids, such as milk, may interfere with absorption.

References

American Nurses Association. (2015). Code of ethics for nurses with interpretive statements. Silver Spring, MD: Nursesbooks.org.

NR 293 Quiz 1

McCuistion, L. E., Vuljoin-Dimaggio, C., Winton, M. B., & Yeager, J. J. (2021). Pharmacology: A patient-centered nursing process approach. St. Louis, MO: Elsevier.