PHAR 1000 Assignment Practical Nurse

PHAR 1000 Assignment: Case Study (25% total)

Read all of the instructions before you begin. You may complete this assignment individually
or with a partner.

Purpose:

This assignment provides the opportunity for students to apply pharmacology knowledge.
You will be assessed on how you apply an understanding of the following general learning
outcomes:
 Examine medication measurements using various systems of measurements.
(amount/quantity)
 Examine selected herbal products or substance substitute, including their effects,
side effects, and interactions with other drugs.
 Examine nursing implications and responsibilities related to medication
administration.

Instructions

Read the case study (p. 3) and answer the following questions based on the rights of
medication administration. For each medication ordered clearly identify
the following:
 Right patient:
o Indicate how you would verify you have the right patient
 Right medication & Right reason:
 Patient’s medical diagnosis that relates to the medication
 The mechanism of action (effect)
 The pharmacological class
 Right route:
o Identify the abbreviations indicated in the order
 Right dose:
o Calculate the ordered dosage (show calculation)
o Identify if the dosage is safe (provide rationale)
 Right time:
o indicate if the drug is ordered at the right time and frequency
 Right assessment:
o Identify 1 priority pre-assessment for each medication
o Identify 1 priority post-assessment for each medication. Can not be the same
as the pre-assessment)
 Right patient education
o Indicate 1 teaching point for each medication (teaching information is found
in your drug guide)
 Right to refuse:
o Provide one NANDA diagnosis based on a patient refusing their medication
(see Box 1.1 Guidelines for Nursing Care Planning p.3 in Lilley et al.,
Pharmacology textbook)
o Include 1 diagnosis statement
o Include 1 outcome statement
o Include 1 intervention

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PHAR 1000 Assignment Practical Nurse

 Right documentation:
o Indicate when documentation would occur
o Indicate what to be documented

Herbal:
o Explain the patient teaching that would be done for the herbal product.
o Explain why this education is important

Use your required readings for this assignment.

 The 10 rights of medication administration are identified in Lilley et al.

 Drug specific information should be from your drug guide
 Refer to herbal links listed in Moodle if available OR to your textbook

Additional recommended resource.

Ackley and Ladwig's Nursing Diagnosis Handbook: An Evidence-Based Guide to Planning for

creating Nursing Diagnosis, nursing outcome, and interventions

 
Assignment Requirements:

 Assignment must be typed

 Include a cover page and reference page
 Maximum 3 pages using assignment template
 Follow APA format for title page, reference page and citations
 Please submit in word. (No PDF submissions, zip files, mac pages or Google docs
will be acceptable
 See marking guide p. 3

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PHAR 1000 Assignment Practical Nurse

Case Study

Mr. Sims

You are a Practical Nurse working in continuing care and have been assigned Mr. Sims,
40years old. Mr. Sims has refused his Lasix as he does not like how it makes him feel.

Primary medical diagnoses: Exacerbation of congestive heart failure (CHF)

History: Mr. Sims currently has a cold and is using goldenseal (0.5 mL oral three
times a day) to manage his symptoms. He weighs 95 kg and is 196 cm in height.

Doctors’ Orders: Medications

•Digoxin (Lanoxin) 0.125 mg oral once daily maintenance
• Furosemide (Lasix) 20 mg oral once a day at hs bedtime
Medications Available on Unit
 Digoxin 0.25 mg tablets
 Lasix 20 mg tablets

Marking Guide

Criteria Grade & Comments

Indicates the following for each medication:
 Right patient (1)
 Right medication & Right reason (6)
 Right route (2)
 Right dose (4)
 Right time (2)
 Right assessment (4)
 Right to refuse (NANDA) (3)
 Right patient education (2)
 Right documentation (1)
25 marks
Teaching provided for herbal and rationale
for why this teaching is important
4 marks
APA ( Title page, Citation, Reference)
3 marks
Total for Assignment: /32

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