Question

estions Q/ 1. Give a detailed example of how you would handle a resident's refusal of a medications? Q/ 2. If a medication error occurs, the most important thing to do is: Q/ 3. In the event of an overdose or poisoning, what three things need to occur? Q/4. Give 4 possible symptoms of an allergic reaction to medication. Q/ 5. In the event of an anaphylactic reaction, the most important action to take is: O/ 6. How would you handle it if you suspect a teen in your care is abusing a controlled pain medication following knee surgery? You have this suspicion because they are asking you for the medication every six hours (as prescribed) but do not always appear to be having pain and seem to move around well more than half the time.

Answer 1

QUESTION 1

The resident's also have the right to refuse medications and this refusal occurs for various reasons. For instance.,

a) the resident may refuse because of the bad taste of medications b) They may have problems with swallowing c) religious, cultural or ethnic beliefs d) depression and e) Delusion ( believing that staff is intending to harm or poison him or her). These are the major reasons for refusal of medications. There are strategies to deal with these type of behaviors.

It is important to know the reason for refusal of medications by a resident. For instance., In case of patients with dementia, if the resident refuses to have medicines for more number of times without any reason, as a nurse you have to clearly explain the risk factors to them and wait for sometime and try again later as a final action. After that, report the refusal action to the prescribing practitioner or supervisor and then clearly document it in the nurses sheet. Monitor the resident after the refusal of medication for any side effects and report it to the practitioner. In case of any swallowing difficulties, this must be documented and it s also important to notify to the supervisor or to the prescribing practitioner.

QUESTION 2

Medication error is the most common cause of morbidity and preventable death in hospitals. Assessment, planning and implementation are the steps involved in the nursing process to the clinical setting to avoid medication errors and to promote safe administration. The immediate action to medication error is report the error to the treating physician so that immediate action can be taken before it reacts in the patient. Document the error in the patient record and then complete a report to the error for further follow-up and analysis. Moreover, monitor the patient for any physiological or psychological signs. Assessment, planning and implementation are the steps to avoid medication error and to promote safe administration.

QUESTION 3

During an overdose or poisoning, the nurse should assess the ingested agent, the time of ingestion, witnesses to overdose, medical history and any current medications the person is taking in the history collection. Then, on physical assessment, the nurse should focus on respiratory, cardiac, neurological, renal, hepatic functions and also measurement of height and weight. Blood tests can be ordered ( Toxicology blood and urine samples) for a patient with these type of incidents. The nurse also check for Airway, Breathing, Circulation, Acid-base balance, electrolytes and Monitor the patient to stabilize a patient who was poisoned or overdosed.

QUESTION 4

The symptoms from a drug allergy may vary depending on the type of immune mechanisms. Some people experiences mild skin rashes to sudden swelling of many body parts with life threatening fall in blood pressure. Otherthan this, there are also other major symptoms, they are as follows a) rapid pulse rate b) difficulty in breathing, c) nasal congestion d) facial swelling e) dizziness and f) light-headedness. If left untreated it can further leads to death within minutes.