Question

will you help me answer these questions please as a certified medication aide

Scenarios for Practice Documentation Directions: After reading each scenario, draft on a separate sheet of paper an entry that you believe should be entered in the medical record. I. Mr. Brown has an order for Lanoxin 0.25mg ad. When you check Mr. Brown's pulse, you find it is 52 beats per minute. What should you do? Document your observation and action taken. I. Mr. Haffner has a diagnosis of hypertension and currently has Aldactone 25mg gd ordered to treat his hypertension. Physician orders state monitor B/P weekly and report systolic over 180 and diastolic over 100. Mr. Haffner's B/P is 200/100 when you obtain his weekly B/P as ordered. What should you do? Document your observations and action taker III. While administering 8 p.m. medications, you discover that Mrs. Woods is not in the facility. The charge nurse informs you that Mrs. Woods is visiting her family and will return at 9 p.m. What should you do? Document your observation and action taken. IV. You are working 3-11 shift and are assigned to pass medications. One of your residents, Mrs. Smith, tells you she is tired and has not been sleeping well. She asks you to bring her sleeping medication with her 8 p.m. routine medications. What should you do? Document your observation and action taken. V. As you prepare to administer the afternoon dose of Keflex as ordered by the physician to Mr. Jones, he says his stomach has hurt since he took the last dose at 8 a.m. He refuses to take the dose until you find out whether or not his discomfort is caused by the Keflex. What should you do? Document your observation and action taken. VI. You are working 3-11 shift and are assigned to pass medications. When you make first rounds, Mr. Young tells you his bowels have not moved for several days. You promise to check his PRN orders and bring him whatever medication the physician has ordered Records verify that he has not had a bowel movement for three days, so you plan to administer the laxative with Mr. Young's regular bedtime medications. At 7:30 p.m., when you return from supper, the charge murse tells you Mr. Brown is very agitated. He threw his dinner tray at the dietary worker and refuses to allow anyone into his room until he receives his laxative. The charge nurse advises you to give Mr. Young's PRN Medication for anxiety. You prepare and administer Buspar 20 mg po tid and the laxative Milk of Magnesia 30 cc q3d for constipation. At 8:30 p.m. you return and Mr. Young is quiet, but his bowels have not moved. What should you do? Document your observation and action taken. How could Mr. Young's anxiety have been prevented? VIL. You are working the 3-11 shift and when you count the controlled medication with the off- going nurse, you find an error in the count. The container of Codeine 30 mg for Ms. Clark contains 29 tablets, but the controlled substance record states there shonld be 30, What should you do?

Answer 1

Ans:-

1. When we administer lanoxin to the patient we should be careful about the pulse rate of the patient before administering it, as it increases vagal activity thereby decreasing heart rate by slowing depolarization of pacemaker cells in the AV node.

In question patient is already having bradycardia as his pulse rate is 52, so nurse should wait for sometime before giving it. And she should check for the lanoxin toxicity as bradycardia is among the sign of the lanoxin toxicity .