Discussion Topics, Chapter 4, The Nursing Process in Drug Therapy and Patient
1. A patient is admitted to your institution directly from her attending physician%u0432%u0402%u2122s office. The patient has been admitted to your institution before; however, the previous medical records are not available.
a. What questions should be asked about medications during your admission assessment?
b. What objective information is important to document that will affect this patient%u0432%u0402%u2122s drug profile?
2. As Dr. Sheila Pearson walks through the third floor nurses%u0432%u0402%u2122 area, she verbally orders the nurse to %u0432%u0402%u045APlease start drug X four times per day to the patient in Room 3,2,4, I will write the order later.%u0432%u0402%u045C
a. What essential elements are missing from this medication order?
b. What potential medication errors could occur?
c. How does the nurse effectively address this order?
Discussion Topics, Chapter 5, Dosage Calculations
1. Your clinical instructor has assigned you to present in postclinical conference about the four measuring systems that can be used in drug therapy.
a. Briefly describe each system.
b. Which system is best for use by health care professionals? Defend your answer.
2. James is a 4-year- old who is 35 inches tall and weighs 22 pounds. He needs to receive an antibiotic for a sinus infection.
a. Describe the three rules for calculating pediatric drug dosages.
b. Use each method to calculate the correct drug dosage for James based on the following information: penicillin, adult dose 1,000 mg orally every 12 hours.
c. Discuss the different dosing considerations for pediatric patients compared to those for adults.
Discussion Topics, Chapter 6, Challenges to Effective Drug Therapy
1. Shawn Phillips, a graduate student, requests a prescription sleep aid from his student health center. %u0432%u0402%u045AThe commercials are on all the time and the people look so refreshed.%u0432%u0402%u045C He reports drinking four to five cups of coffee and two caffeinated soft drinks per day. Shawn plays basketball for 1.5 hours until 10:30 PM. He tries to go to sleep at 11:00 PM. without success. For the past week, he has been taking the recommended dose of an over-the- counter sleep medication. He states that %u0432%u0402%u045Asince it%u0432%u0402%u2122s not prescription, it must not be strong enough to get me to sleep. I%u0432%u0402%u2122m just groggy all day.%u0432%u0402%u045C
a. Which factors in Shawn%u0432%u0402%u2122s life may contribute to his difficulty sleeping?
b. What teaching points are important to include for patients who inquire about direct-to-consumer advertising?
c. How would the nurse respond to Shawn%u0432%u0402%u2122s OTC medication statement?
2. A neighbor asks your advice on whether he should stop his %u0432%u0402%u045Aexpensive chemical%u0432%u0402%u045C antihypertensive prescription medication immediately. He states herbal therapy has to be safer since it has been around for thousands of years.
a. What advice should you give your neighbor?
Discussion Topics, Chapter 7, Introduction to Cell Physiology
1. Your clinical group is assigned to present an education program to high school students in a health careers class. The students are beginning a study of cancer and chemotherapeutic drugs. Your assignment is to discuss the basics of cell physiology.
a. Identify and explain the role of each part of the human cell.
b. Explain the importance of each organelle within the cell cytoplasm.
2. You are assigned to care for Mr. Jones, who is receiving chemotherapy. He is confused because his health care provider told him that the drugs he would receive attacked the cancer by diffusion and osmosis during the S phase of the cell cycle.
a. Explain the difference between diffusion and osmosis. Explain the actions of isotonic, hypertonic, and hypotonic solutions.
b. What occurs during the S phase of the cell cycle?
c. In one sentence, explain to Mr. Jones how the drug he is going to receive will kill the cancer cells.
Discussion Topics, Chapter 8, Anti-Infective Agents
1. James is a 5-year- old who has been admitted to the general pediatric unit for IV antibiotics because of a severe spider bite that has become infected despite treatment at home with oral antibiotics. His mother is very upset that James has to be in the hospital. She voices frustration that the antibiotics have not worked and questions why he needs a different drug.
a. What actions would you expect to take as the nurse to ensure that James receives the antibiotic to treat his infection? This answer should include suggestions for addressing the mother%u0432%u0402%u2122s concerns.
b. What are the most common adverse reactions of antibiotic treatment that James may experience, and what nursing actions should be implemented to help address these effects? Please address the reactions in separate answers.
2. A 60-year- old female presents with the complaint of a sore throat. She voices frustration that %u0432%u0402%u045Athe antibiotics are not working this time.%u0432%u0402%u045C Further discussion reveals that she is taking %u0432%u0402%u045Aleftover%u0432%u0402%u045C antibiotics that were prescribed for her husband 3 years ago.
a. What teaching is needed to help this patient develop an understanding of the proper administration of the prescribed antibiotics?
b. Explain the issue of bacterial resistance, how it is a concern for this patient, and measures to help prevent resistance.