Introduction To Nursing Informatics 5th Edition Pamela Hussey,Margaret Ann Kennedy (eds.) - Solutions

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Jason Jacob, aged 4 years, is ordered amoxicillin syrup for otitis media. His mother, following the directions, reconstitutes the amoxicillin powder with water. How would you advise Jason’s mother about the storage requirements of amoxicillin syrup? Why should these storage recommendations be
With reference to your area of clinical practice, provide two examples of drug summation and potentiation.
Jacqui Quick, a 21-year-old student, is on a 21-day course of amoxicillin to treat a chest infection. Two days after completion of the course of the antibiotic, she notices an unpleasant taste and white coating on her tongue. Her doctor diagnoses this condition as oral Candida infection (thrush).
How would you advise a patient on the storage requirements for glyceryl trinitrate tablets?
What advantage does the sublingual spray of glyceryl trinitrate have over the sublingual tablets?
Why should tetracyclines not be given to young children or during pregnancy?
Why should tetracyclines not be swallowed with milk?
Why is aspirin not normally available as an elixir or syrup?
Why should a patient on MAOIs not use preparations such as nasal decongestants for a common cold?
Which of the following foods should not be eaten by a patient on non-selective monoamine oxidase inhibitors (MAOIs)?• broccoli;• broad beans;• cabbage;• Cheddar cheese;• red wine;• Marmite;• steak.
Why should thiopentone and suxamethonium, two drugs often administered at the same time, not be given as one injection?
From the same article as question 6 is taken this sentence: ‘After an enterohepatic circulation the drug [tetracycline] is chelated with the divalent ions [calcium or iron] in the stool and excreted.’Explain what is meant by ‘enterohepatic circulation’ and ‘chelated’. Discuss the
The following statement was taken from a well-known journal (Neu HC (1978) ‘A symposium on the tetracyclines: a major appraisal’, Bulletin of the New York Academy of Medicine, 54, 141–55):‘Approximately 20% to 50% is unabsorbed and eliminated through the gut or the biliary tract.’Discuss
What other drugs commonly have their blood levels monitored?
When the antibiotic gentamicin is administered, blood levels of the drug are often monitored. Why?
When alcoholics are given normal doses of some hypnotics, sleep is not induced. Why?
Why is it sometimes dangerous to administer drugs to patients with renal failure?
Explain the significance of the enterohepatic cycle.
Levodopa (L-dopa) has been ordered for Michael Ng, who suffers from Parkinson’s disease. Why is dopamine ineffective in treating Mr Ng’s condition?
You are confronted with the following drug prescription for your patient: warfarin 2 mg nocte;aspirin 100 mg mane. Explain what will happen with drug distribution in protein binding following administration of these medications.
Iain O’Grady is admitted to hospital with 35 per cent burns to his body. He develops a deep vein thrombosis and is placed on a heparin infusion. Would the dose be higher, lower or the same as the dose used for a patient without burns? Why?
Insulin is a protein that cannot be given orally. Why is this so?
Why would you advise a patient who is taking glyceryl trinitrate tablets not to swallow the tablets but rather to allow them to dissolve under the tongue?
Explain the following terms and derive a sentence for each word:(a) lipophobic;(b) lipophilic;(c) hydrophobic;(d) hydrophilic.
Sipping whisky or taking beer through a straw is said to make one intoxicated faster. Could there be any scientific explanation for this?
Theoretically, aspirin is better absorbed in the stomach. In actual fact, most is absorbed in the small intestine. Why?
It has been noted that oestrogens administered transdermally have less effect on blood lipoprotein levels than when given orally. Can you suggest why?
Oestrogens are sometimes administered transdermally to combat menopausal symptoms. There are fewer adverse effects when the drugs are administered in this way. Why?
Why may a patient suffering from kwashiorkor (protein deficiency) respond badly to some drugs?
Why do you think the blood–brain barrier exists?
Can you develop an argument for and against the lay terms used in question 4?
Give the correct therapeutic classification for the following:(a) water pills;(b) blood-thinning drugs;(c) headache tablets.
Some benzodiazepines do not have the suffix referred to in question 2, but can you identify any commonality in their generic names? (See Chapter 34.) (N.B. The similarity in names of drugs cannot be relied on, as there are many exceptions to this supposed ‘rule’. For example, chlorpropramide
Many benzodiazepines have a common suffix. What is this suffix? (Refer to the drug summary table in Chapter 34.)
Beta-blockers generally have the suffix ‘-olol’, but two end in ‘-alol’, namely labetalol and sotalol.Is there a reason for this? You will have to refer to Chapters 44, 45 and 48 to answer this question.
What would the emergency nurse look for in checking Ms LT’s method of administering the sublingual dose of glyceryl trinitrate?
When should a bottle of glyceryl trinitrate be discarded after opening?
How should glyceryl trinitrate be stored in order to ensure maximum effectiveness of therapy?
When should the eye drops be discarded, and why?
Where should the eye drops be stored?
How should the eye drops be administered to ensure maximum benefit from the antibiotic therapy?
Using the clinical decision-making process, what aspects would be evaluated to determine that the child’s respiratory symptoms had improved?
What instructions would be provided by the doctor and pharmacist to Ms JT in administering salbutamol using a spacer device?
Why were the spacer device together with the mask recommended for Master M, rather than a metered-dose inhaler on its own?
John Hall, a 45-year-old male, has been ordered co-trimoxazole (sulfamethoxazole and trimethoprim)tablets over a 21-day period to treat a mild Pneumocystis carinii pneumonia infection. What counselling would you offer Mr Hall in reducing the risk of photosensitivity?
Jane Blake, who has asthma, is ordered timolol eye drops to treat acute closed-angle glaucoma. What is the problem associated with this order?
After 1 week of receiving digitalis therapy for congestive cardiac failure, Madga Borishev complains of diarrhoea and feeling very nauseated. What would you suspect? What would you do?
Marissa Bombaso, a patient admitted for severe anaemia, is cross-matched for 2 units of packed cells.During the first hour of the blood transfusion, you notice her oral temperature rises to 38 °C. What would you do?
Chui Yuit Ming, a 60-year-old patient with severe peripheral vascular disease, returns from theatre following a femoropopliteal bypass operation. She has been placed on an epidural infusion containing bupivacaine for analgesic relief. On checking her vital signs, her respiration rate has dropped
You notice a new nurse on your ward has left the medications for Jack Jones on the bed table.The patient has left the ward to have an X-ray taken. Is this good practice on the part of the nurse?Why or why not?
State the five cardinal rights of drug administration, and give examples of each right.
Graduate nurse Clara Jones has been assigned to care for four patients, two of whom are named Mr Smith. What strategies can Clara implement in order to avoid medication errors relating to these two patients?
Describe the checking procedure involved in administering warfarin to a patient.
As a nursing student, you are asked to assist in the checking procedure of a morphine ampoule from the locked, dangerous-drugs cupboard. Outline what is involved in this procedure.
Jane Black has commenced a course of digitalis therapy for congestive cardiac failure. What aspects will you evaluate while the patient is on this therapy?
Maria Bombardi, a patient who has developed a severe chest infection, is commenced on vancomycin therapy. What aspects will you evaluate while the patient is on this therapy?
Identify the important components of the clinical decision-making process.
In caring for a patient with an intravenous infusion, you notice the infusion stops dripping. What action would you take?
Morris Jones, a 50-year-old executive, takes glyceryl trinitrate tablets when he has an attack of angina, and applies a glyceryl trinitrate transdermal pad every morning as a preventive measure against angina. With reference to the formulations (tablet versus transdermal pad), describe how these
You, as the administering nurse, are confronted with the following prescription for your patient: enoxaparin 20 mg IM daily. What is wrong with this prescription? Why?
How would you prepare the skin for a transdermal patch?
Your patient has been ordered aminophylline suppositories for asthma. What advantages has this formulation over theophylline tablets?
How would you administer an intramuscular injection into the gluteal muscles to prevent damage to the sciatic nerve?
Bupivacaine is available with adrenaline for use as an epidural anaesthetic. What advantages does adrenaline provide in this preparation?
Your patient has been ordered enteric-coated aspirin tablets. How do these tablets work to prevent gastric irritation?
Can you think of any reasons why drugs are not normally administered vaginally except for topical treatment? (Think about the gross and microscopic anatomy of the vagina.)
What advice should be given to women concerning the administration of pessaries and vaginal creams?
Why is indomethacin, an acidic drug, absorbed from the rectum at a slower rate than prochlorperazine, a basic drug?
Ibuprofen (an anti-inflammatory analgesic) can be obtained as a solution in gelatine capsules for the treatment of acute painful conditions. In the treatment of rheumatoid arthritis, ibuprofen is usually given in the form of an enteric-coated tablet. Why is there a difference in the two
Suggest two reasons why suppositories should not always be inserted high into the rectum.
Can you think why cocoa butter is sometimes used in the formulation of suppositories?
Why should suppositories be inserted with the patient in the left lateral position?
Explain the nurse’s responsibility for drug administration in an emergency situation.
Explain the meaning of the following terms:(a) telephone orders;(b) standing orders;(c) supplementary prescribing.
Differentiate the requirements for storage and administration of restricted substances and drugs of dependence.
Indicate the schedule to which the following drugs belong:(a) morphine;(b) amoxicillin;(c) paracetamol;(d) nystatin.
3. Why might nurses’ role in ethical oversight, and as patient and social justice advocates be more important with the introduction of advanced analytic techniques and embedded artificial intelligence in healthcare technologies?
2. Define artificial intelligence, and its sub-domain machine learning. Artificial intelligence is being used in the detection of disease, management of chronic conditions, delivery of health services and drug discovery. Describe one example of a nursing tool, that you think could improve patient
1. Compare and contrast the approach that the nursing profession has historically taken to examine the impact of new technology on its role in healthcare with the socio-technical approach used here to explore the role of emerging digital technology.
4. Evaluate the ethical, social justice, and nursing care implications of emergent digital technology like artificial intelligence and robotics upon various aspects of the nursing role.
3. Understand philosophical and conceptual inquiry as it relates to the use of artificial intelligence and robots/robotics within nursing practice and future models of care.
2. Explore new social and technical (socio-technical) relationships that are beginning to emerge between humans and technology in all areas of nursing practice.
1. Understand emergent digital technology, as related to nursing practice, education, research, and leadership.
3. To gain a better understanding of the responsibilities of a technology enabled nurse, this video lecture will introduce you to a patient, Josephine, recently discharged from the hospital and how digital tools are helping her recovery at home(https://youtu.be/EjletAiz1_8). The video starts with
2. You are serving on a hospital quality improvement committee, you are interested in increasing your knowledge about quality improvement. What online learning opportunities are available to you?
1. In your clinical practice, how might you/a health care team use immersive clinical simulations to continue to develop your clinical expertise?
9. Consider that digital health tools will continue to influence your nursing practice now and in the future.
8. Understand that clinical practice requires collaboration with nursing informatics specialists to provide safe quality patient centric care.
7. Understand that consumers are becoming more engaged in their care and are using many digital tools to manage their health.
6. Understand that as a nurse, professional development, particularly in the area of informatics, is important.
5. Assess your current and future role as a nurse in the digital health ecosystem.
4. Identify digital health care tools that patients, families, consumers and caregivers will use now and in the future.
3. Describe the concept of connected health and its impact on the healthcare environment.
2. Describe the use of virtual clinical simulations to master nursing knowledge, skills and attitudes.
1. Identify technology tools that will enable you to learn about nursing and health care.
3. Learning activity—Select one of the COP websites listed in Table 14.1. After reviewing the resources on this website, consider how you would create a community of practice within your own practice domain. Identify the topic what resources you would need and who you would ask to join your
2. Do you think the feature of the Open Innovation 2.0 paradigm and COP are aligned? Discuss the key features on where there is overlap between them?
1. Discuss the role of the COP in the accelerating service improvements for technology adoption in Health and Social Care.
3. Consider the importance of global collaboration through education and research and consider their impact in the context of the profession of nursing.
2. Review in context this contribution through existing Communities of Practice and evolving new paradigms for collaboration such as Open Innovation 2.0 and Ecosystems in Health and Social Care.

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Introduction To Nursing Informatics 5th Edition Pamela Hussey,Margaret Ann Kennedy (eds.) - Solutions

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