PNSG 216 Unit 13 - Clinical Decision
Making PRN Medications Exam
Questions & Answers8
ASSESSMENT related to drug administration - ANSWERS-Health history
Physical examination
Baseline VS, Lab values and other tests
Ongoing assessments allows the nurse to evaluate the outcomes of medication administration
History from a pt to find out - ANSWERS-Medication prescribed, OTC, NHP
Allergies
Compliance
Reasons for non compliance
Medications current and past
Response to medications
Personal/ social hx: alcohol, tobacco, caffiene, illicit drugs
The order - ANSWERS-Assess the prescribed medication
Order complete -
Current or expired
Appropriate dosage and time interval
Appropriate for the client
Lifespan considerations
Contraindications
Special assessments
, Patient teaching
The nursing process - ANSWERS-Medications as part of your care plan
Protocols that involve medication admin
Nitro spray protocol
Hypoglycemic protocol
Pain control
Ongoing assessments - ANSWERS-Therapeutic benefits
Adverse effects
Lack of improvement means further assessments must be done to determine reason
Dosages, frequency and follow up bloodwork may be necessary
PRN meds - ANSWERS-As required by the patients condition
Nursing judgment based on assessment
Has written parameters that include:
The reason for administration
The minimum interval of time between doses
Dose range - 325 - 650 mg Tylenol
The maximum number of daily doses to be administered
Maximum amount in 24 hours
PRN drug classifications - ANSWERS-Analgesics (for pain)
Anti-inflammatory drugs (for inflammation and pain)
Sedatives or hypnotics (for sleep)
Making PRN Medications Exam
Questions & Answers8
ASSESSMENT related to drug administration - ANSWERS-Health history
Physical examination
Baseline VS, Lab values and other tests
Ongoing assessments allows the nurse to evaluate the outcomes of medication administration
History from a pt to find out - ANSWERS-Medication prescribed, OTC, NHP
Allergies
Compliance
Reasons for non compliance
Medications current and past
Response to medications
Personal/ social hx: alcohol, tobacco, caffiene, illicit drugs
The order - ANSWERS-Assess the prescribed medication
Order complete -
Current or expired
Appropriate dosage and time interval
Appropriate for the client
Lifespan considerations
Contraindications
Special assessments
, Patient teaching
The nursing process - ANSWERS-Medications as part of your care plan
Protocols that involve medication admin
Nitro spray protocol
Hypoglycemic protocol
Pain control
Ongoing assessments - ANSWERS-Therapeutic benefits
Adverse effects
Lack of improvement means further assessments must be done to determine reason
Dosages, frequency and follow up bloodwork may be necessary
PRN meds - ANSWERS-As required by the patients condition
Nursing judgment based on assessment
Has written parameters that include:
The reason for administration
The minimum interval of time between doses
Dose range - 325 - 650 mg Tylenol
The maximum number of daily doses to be administered
Maximum amount in 24 hours
PRN drug classifications - ANSWERS-Analgesics (for pain)
Anti-inflammatory drugs (for inflammation and pain)
Sedatives or hypnotics (for sleep)
