Please I need help with the following questions for a better understanding. Medication Administration You have been assigned to be the medication nurse in a long-term care facility to a group of 20 residents, of which are there for short-term rehabilitation after total hip replacement. It is the first time you have worked with this group and therefore are unfamiliar with their medication routines and preferences. 1 . The 1900—0730 shift nurse has completed his report and asks you if there are any questions. What information regarding the residents themselves would be beneficial for you to know in order to organize the administration of medications for the shift? 2. The distribution system for this facility is a combination of stock supply and unit dose. Why would these two systems be most appropriate for a long-term care facility? The Medication Administration Record (MAR) for one of your assigned residents, Mrs. Lowery, is provided for you to use for your shift 0700—1930. 3. For medications you are unfamiliar with, what resources could you use to learn about these medications prior to administration? Which one is the best source of nursing implications? 4. The MAR reflects the "standard" administration times used in the facility when transcribing the medication orders. Based on an understanding of pharmacodynamics and medication interactions for the oral medications, which administration times are not appropriate? Explain. 5. Using an SBAR format, how would you approach the primary care provider to address this issue? s (situation) B (background) A (assessment) R (recommendations) 6. For each of the medications listed on the MAR: a. What equipment will you need to prepare and administer the medications? b. What key physical assessments and/or lab data are needed prior to administering these medications? medication Route Equipment Patient/lab data - nitro-dur patch - novolog - lanoxin - caltrate -Coumadin -Lyrica - actonel - tmoptic - combivent - cyanocobalamin 7. Describe the "Rights of Medication" and the 'Three Checks!' How do these facilitate a culture of safety in medication administration? Right Key points -Drug - patient - dose - route - time - documentation - reason - to know - to refuse 8. Mrs. Lowery tells you, "l am not taking all those nine o'clock pills. I can't swallow them— they get stuck in my throat!' a. What information do you need about the ordered medications to address this problem? b. What alternatives are available to help with this swallowing issue? medication usual dosage form can it be crushed? alternatives - caltrate with vitamin D - lyrica c. c.How would you administer the medications to Mrs, Lowery? 9. The medication Lyrica is not available in the resident's routine medication drawer. What could be the cause of this problem and how will you obtain the medication when needed? 10. You go to place the Nitro-Dur patch on Mrs. Lowery and note that the patch from yesterday is still applied to her chest. The MAR indicates that it was removed the previous evening as ordered. What should be your first action? How will you address this occurrence? 11. Mrs. Lowery' prefers to insert her own eye drops. As you observe her doing so, what key aspects of the administration procedure should she be doing to ensure correct technique?

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