Identify a contraindication to the administration of a medication to the client
NURS 6052N Identify actual and potential incompatibilities of prescribed client medications
NURS 6052N QUIZ 9: WALDEN UNIVERSITY
Question 5
A male patient has been on long-term bicalutamide (Casodex) therapy. In order to assess adverse effects of the drug therapy, the nurse will closely monitor which of the following?
Response Feedback:
It is important for the nurse to monitor the patient’s liver function closely if the patient is on prolonged therapy with an antiandrogenic agent. Adverse effects of the therapy include gynecomastia, diarrhea, hot flashes, breast pain, impotence, loss of libido, and abnormal liver functions. Monitoring of blood counts, an annual pap smear, and regular visual function tests are advised for patients undergoing tamoxifen therapy.
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NURS 6052N Identify actual and potential incompatibilities of prescribed client medications
NURS 6052N Identify actual and potential incompatibilities of prescribed client medications
In this section of the NCLEX-RN examination, you will be expected to demonstrate your knowledge and skills of adverse effects, contradictions, side effects and interactions of medications in order to:
Identify a contraindication to the administration of a medication to the client
Identify actual and potential incompatibilities of prescribed client medications
Identify symptoms/evidence of an allergic reaction (e.g., to medications)
Assess the client for actual or potential side effects and adverse effects of medications (e.g., prescribed, over-the-counter, herbal supplements, preexisting condition)
Provide information to the client on common side effects/adverse effects/potential interactions of medications and inform the client when to notify the primary health care provider
Notify the primary health care provider of side effects, adverse effects and contraindications of medications and parenteral therapy
Document side effects and adverse effects of medications and parenteral therapy
Monitor for anticipated interactions among the client prescribed medications and fluids (e.g., oral, IV, subcutaneous, IM, topical prescriptions)
Evaluate and document the client’s response to actions taken to counteract side effects and adverse effects of medications and parenteral therapy
The administration of medications involves far more than handing an ordered medication to a client. The administration of medications entails the nurse’s application of critical thinking skills, their professional judgment, their application of pathophysiology, and a thorough knowledge of the client and their condition.
When medications are ordered, the nurse must be knowledgeable about the indications, contraindication, side effects, adverse effects and the interactions associated with the medication, as found in a reliable resource such as the Physician’s Desk Reference. If, and when, the nurse’s knowledge of these things and the nurse’s knowledge about the client and their condition are not consistent and congruent with each other, the nurse must question the order and discuss their concerns with the ordering physician or licensed independent practitioner such as a physician’s assistant or nurse practitioner.
After a medication has been administered, the nurse is also responsible and accountable for closely monitoring the client for any side effects and adverse actions.
