Raeann Wahl
NUR 210
ATI Pharmacology Remediation
11/19/21
Management of Care
Information Technology

When transcribing a new prescription, it is important to verify all abbreviations and
unknown spelling of medications to ensure no errors are made.
Safety and Infection Control
Reporting of Incident/Event/Irregular Occurrence/Variance

The priority action to take for a missed medication administration is to fill out an incident
report.
Psychosocial Integrity
Substance Abuse and Other Disorders and Dependencies

When teaching a client about nicotine cessation with a transdermal patch, it is important
to include that the patch should be applied to a hairless area of the skin and should not be
worn for longer than prescribed.
Pharmacological and Parenteral Therapies
Adverse Effects/Contraindications/Side Effects/Interactions

Manifestations of an allergic reaction include hyperkalemia, dysrhythmias,
hypernatremia, and specifically dyspnea, rash, and pruritus with carbapenem reactions.

Diuretics work to excrete excess water in the body which causes an increase in urinary
output.

The RN needs to notify the provider of adverse reactions to mannitol which include: heart
failure, pulmonary edema, rebound increased intracranial pressure, fluid and electrolyte
imbalances, and metabolic acidosis.
Expected Actions/Outcomes

The indications for administering epinephrine following administration of blood are
anxiety, urticaria, wheezing, shock, cardiac arrest.

Therapeutic effects of desmopressin include decreased urine volume and increased urine
osmolarity.

Therapeutic effects of filgrastim include decreased incidence of infection after receiving
chemotherapy, radiation, or bone marrow transplantation.
Medication Administration

When administering nitroglycerin ointment, the nurse should apply to clean, hairless skin,
cover with clear plastic wrap, and avoid touching ointment with the hands.

The priority intervention for diabetic ketoacidosis is to administer fluid.

The first action when mixing insulins in one syringe is to inject air into the cloudy
insulin.

Priority teaching about medication for type 2 diabetes mellitus include adhering to proper
diet and physical activity.

Titrating continuous nitroprusside include monitoring blood pressure and ECG for
excessive hypotension and cyanide poisoning.

The therapeutic level of INR is 2-3.

Teaching that needs to be given to a new grad when administering heparin is the need to
hold pressure on the injection site for 1-2 minutes after injection.

Evaluating medication prescriptions include monitoring for improvement of pain, cough
suppression, resolution of diarrhea, and reversal of respiratory depression.

When completing a medication reconciliation the RN compiles a list of the client’s
current medications then compare it with the new medication prescriptions and reconcile
with the provider to resolve discrepancies.
Pharmacological Pain Management

The priority action when administering a controlled substance is to know the therapeutic
effects of the drug versus the adverse effects and how to prevent and treat them.
Reduction of Risk Potential
Laboratory Values

Laboratory values to report include excessive levels of antidepressants in the blood.