What is the responsibility of the nurse related to the patient's drug therapy? (Select all that apply.)

Teaching the patient how to cope with therapy to ensure the best outcome.

Providing therapy as well as medications.

Evaluating the effectiveness of therapy.

Altering the drug regimen to optimize outcome.

Recommending appropriate over-the-counter medications to treat adverse effects of prescription drug therapy.

Answer and Explanation

Correct Answer : A,C

a) Teaching the patient how to cope with therapy is part of the nurse's responsibility to ensure the patient understands the treatment regimen, side effects, and how to manage any challenges, thus improving outcomes.

b) Providing therapy refers to administering medications, but nurses generally do not "provide therapy" in the broader sense (such as deciding what therapy a patient needs beyond the prescribed drug regimen).

c) Evaluating the effectiveness of therapy is the nurse's responsibility as part of the ongoing assessment. The nurse should monitor how well the drug is working and identify any adverse effects.

d) Altering the drug regimen is outside the nurse’s scope of practice. Nurses can suggest changes or communicate concerns, but altering drug regimens requires a healthcare provider’s approval.

e) Recommending over-the-counter medications for adverse effects is not within the nurse's scope unless advised by a healthcare provider. Nurses should guide patients based on provider orders and not independently suggest over-the-counter remedies.

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Correct Answer is D

Explanation

a) "Signature" and "hospital" are not part of the six rights of medication administration. The correct rights ensure patient safety by verifying essential aspects of drug administration.

b) "Solution," "doctor," and "shift" are not part of the six rights. The focus should be on ensuring the correct patient receives the right medication in the right manner.

c) "Order" and "signature" are important for verifying prescriptions, but they are not included in the six rights of administration.

d) The six rights of medication administration are right medication, right dosage, right route, right time, right client (patient), and right documentation. These ensure medication safety and prevent errors.

A. Ask the pharmacist if the drug may be crushed. B. Crush the tablet and mix it with pudding. C. Insist that the tablet must be chewed as ordered. D. Request a liquid form of the medication from the pharmacy.

Correct Answer is A

Explanation

a) The safest action is to consult the pharmacist to determine if the chewable tablet can be crushed without affecting its efficacy or safety. Some chewable tablets must be chewed for proper absorption, while others may be safely crushed.

b) Crushing the tablet without verifying its safety could alter the drug's effectiveness or cause adverse effects, so it should not be done without confirmation.

c) Insisting that the tablet be chewed disregards the child’s potential difficulty with chewing, which may lead to refusal or improper administration.

d) Requesting a liquid form could be an alternative, but it is not the immediate next step. Some medications may not be available in liquid form, so checking with the pharmacist first is the appropriate action.

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What is the responsibility of the nurse related to the patient's drug therapy? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The six rights of medication administration is:

Correct Answer is D

Explanation

The nurse is preparing to administer a chewable tablet to a preschool-age child. The child's parent reports always crushing the tablet and mixing it with pudding when giving it at home. What is the nurse's next action?

Correct Answer is A

Explanation

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