Proctor
RN
Pharmacol
ogy 2019
Remediation
Postpartum Nurses, Nurse Manager, Charge Nurse, Director Nurse
1. Legal Responsibilities: Responding to a client who refuses to receive a vaccine
a. Clients have the right to refuse treatment, including the right to leave a health care
facility without a discharge prescription from the provider.
b. If the client refuses a treatment or procedure, the nurses and the providers discuss
the risk involved with refusing the treatment or procedure.
c. The nurse asks the client to sign an "Against Medical Advice" form
and documents the incident.
2. Fluid Imbalances: Identifying manifestations of fluid volume deficit
a. Vital signs: Hypothermia (hypovolemia) or hyperthermia (dehydration),
tachycardia, thread pulse, hypotension, hypotension, tachypnea, hypoxia
b. Neuro-musculoskeletal: Dizziness, confusion, weakness, fatigue; seizures
c. GI: Thirst, dry mucous membranes, dry furrowed tongue, nausea, vomiting
d. Renal: Oliguria
e. Other findings: Diminished capillary refill, cool clammy skin, diaphoresis, sunken
eyeballs, flattened neck veins, absence of tears, decreased skin turgor.
3. Antibiotics Affecting protein synthesis: Planning care for a client
prescribed erythromycin lactobionate
a. Administer erythromycin lactobionate with meal
b. Monitor for and report adverse GI effects
c. Monitor liver function test
d. Can not use with drugs: verapamil and diltiazem, HIV protease
inhibitors, antifungal medications and nefazodone --> can cause toxicity.
4. Individual considerations of medication administration: risk factors for adverse reactions
in older adult clients
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