1. Develop at least two (2) complete nursing diagnoses related to medication administration.
Impaired Oral Mucous Membrane related to Medication side effects as evidenced by dry mouth and difficulty swallowing. (546)
Risk for Aspiration related to impaired swallowing. (67)
Impaired Tissue Integrity related to Excess fluid volume as evidenced by damaged tissue surrounding the subcutaneous area.
Risk for Infection related to tissue destruction.
2. Identify the six rights of medication administration.
Right Medication-Ensure that the client is about to receive the medication that was ordered.
Right Dose-Make sure the dose is appropriate for the client and pay close attention to calculations, that yield multiple pills or a large …show more content…
If the time differ from the ordered time, document the reason for the delay. Also, if the client refuses the medication or if a condition prevents the medication from being given, document that as well. (773)
3. List factors that influence the selection of the syringe size and type, the needle length and gauge.
Select the syringe according to the type of medication you are giving and the location the medicine is being delivered, for instance utilizing an insulin syringe to administer insulin.
The length of the needle is determined by the site of the injection. Examples include utilizing a short length needles for intradermal and subcutaneous injection and longer needles for intramuscular injections. Additionally, the client’s body mass should be taking into consideration. The gauge is selected according to the site of the injection as well as the thickness of the medication. (780-784, 797)
4. Locate sites commonly used for subcutaneous (SC), Intradermal (ID), Intramuscular (IM) injections and describe techniques for administering meds through these …show more content…
Impaired mental status such as confused clients or those with an altered level of consciousness require monitoring. Clients with impaired circulation such as, peripheral vascular disease, diabetes, or congested heart failure is at risk for tissue damage. Likewise, cold application is not advised for these clients. Open wounds are more sensitive to heat and cold. Heat will increase bleeding and swelling during the first 24 hours following a traumatic injury. Moreover, heat can burn or worsen damaged skin with blisters. Cold therapy can decrease blood flow, which increases tissue damage to open wounds. Hypersensitivity to cold can result in swelling, joint pain, or muscle spasms.