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Medication Questions and Answers (Q&A)

Travis Martin

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In the late 1990s, a company came up with a drug called Adderall that was used to help children who have ADHD. Adderall was the first drug produced by the company Shire Pharmaceuticals. After people starting using the drug and felt that it treated their ADHD effectively, then the company produced another version of the drug called Adderall XR. It was released to the public in the early 2000s.

The difference between the two drugs is that Adderall is limited in the time that it will treat the ADHD symptoms. That is why children will often have to take medication at school so that they can have the same effects throughout the day. Adderall XR lasts much longer so that children would not have to take another dose later in the day.

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When you want a patient to get medication into the bloodstream as soon as possible, then most of the time, the tablet will go under the tongue. There are certain drugs that are meant for that type of placement in order for it to work. These include cardiovascular drugs, benzodiazepines and steroids. Sometimes, there are vitamins and minerals that are being ingested by placing them under the tongue or on the floor of the mouth.

The reason is because there is a mucous membrane underneath the tongue and this absorbs quickly. Also, the connective tissue under the tongue helps out with the absorption. So, if a nurse has a patient and he or she is given a sublingual tablet, then the patient should be advised to place the tablet under the tongue.

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A hypertonic mixture has a greater concentration of solutes than another solution. A condensed solution outside of a cell is called hypertonic and has more solutes than the cytosol in the interior of the cell.

When immersed in a hypertonic mixture, osmotic pressure tends to force water to run out of the cell in order to stabilize concentrations of the solutes on either side of the cell membrane. The cells often take on the look of a pin cushion.

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When a patient enters the hospital, he or she may need an IV. This is because the patient’s fluids need to be regulated.

Also, it makes it a lot easier for nurses to administer medication. Sometimes, medication should be given quickly to the patient. Even though an IV is very important, it can cause problems. If the client’s hand has become infiltrated at the site where it goes into the client’s hand, it can become swollen and painful because it has entered the skin.

People are different and sometimes an IV can cause pain. Therefore, the nurse can help the client’s discomfort. They best way to intervene on this problem is to elevate the hand and wrap it in a warm towel.

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When a person is suffering from constipation, then this person may receive an enema. In many cases, patients are required to get enemas due to certain injuries and problems. However, the patient will need to be positioned in order for the nurse to administer the enema. This all depends on the ailment and injuries of the patient.

Sometimes, the person’s arms or another limb may be injured, and the nurse may not want the patient to put all of his or her weight onto that limb. So, there are several ways that the patient may lay in order for the nurse to appropriately administer the enema. They may lay on their right side, left side, or pull their knees to their chest. They can also lay on their back.

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Many drugs are administered by mouth, but there are different ways that the drug can be placed in the mouth in order to get the best effect for both the patient and the time needed to get the medicine into the patient’s bloodstream. If a nurse is administering a type of drug that is to be given by the buccal route, then she or he will place the pill or tablet between the client’s cheek and gum.

Since the medicine goes straight into the bloodstream, it will not have to spend time going through the patient’s digestive system which takes quite a bit of time. Some of the drugs that are administered by the buccal route include the midazolam which is used to treat epilepsy.

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If you are prescribed a drug, the pharmacist will often write on the prescription what items the patient should not take with this drug. Often, alcohol and other medications should not be mixed with this drug. This means that the patient should not take the drug while drinking alcohol or taking other drugs.

However, there are times when another drug may be given with this drug. One time is if a physician asks you to do so. Another time, a nurse may give another drug to someone who is already taking a drug because that drug may reduce the response of another drug.

Another drug may need to be reduced because the person took too much of it or the person had an allergic reaction to the drug.

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Correct answer option A - Discontinue the I. V infusion.

The signs (red, swollen and warm to touch) at the site of IV insertion are all signs of infection and the infusion should be stopped from that site immediately.

A new insertion site should be opened and the infusion should continue through the new site. Applying a warm, moist compression to IV site, checking IV infusion for latency and applying and ice pack to the IV site are not the right actions to be taken by the nurse. The single best option to be taken by the nurse is option A.

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When it comes to giving the insulin shot here, the best place to give it from this list is the anterior aspect of the thigh. The reason that this area is the best location is that this is an area where there is mainly muscle and fat and there is no major blood vessels or arteries near here.

It is always known that insulin shots should always be given where there is fat. This allows for easy administering of the shot to the point that over time the patient will not even know that they are getting a shot. The fat of the buttocks is also a great place to give insulin shots and again the reason for this is that the buttocks have plenty of fat as part of them.

The other areas and parts of the body that are listed here are located near major arteries and also known bony structures. These areas would not allow for the proper administering of an insulin shot.

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The answer is C. In a situation where a client has a urine specific gravity of 1.040, a subnormal serum osmolality, and a serum sodium level of 128 mEq/L, the nurse should question an order for Dextrose 5% in water (D5W) IV fluid. If the patient is experiencing these symptoms, that means they are already losing too many solutes.

This state is called “hypotonic”. Dextrose 5% in water is also a hypotonic solution and it would only make the condition worse. Any of the other answer choices would be a better solution to improve the patient’s state.

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