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Medication Administration Case Study 1

- Margaret Wilson is a 64-year-old woman recovering from a total hip replacement in the hospital who lives at home with her husband. She has diabetes managed with diet and oral medications and glaucoma requiring daily eye drops. - Bethany Owens is the nursing student assigned to care for Mrs. Wilson and administer her medications, including reviewing the six rights of medication administration. - The case study involves Bethany providing the right medications and treatments to Mrs. Wilson, including dealing with constipation and administering the correct dose of insulin based on her blood sugar level.

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Lamirah Thomas
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434 views2 pages

Medication Administration Case Study 1

- Margaret Wilson is a 64-year-old woman recovering from a total hip replacement in the hospital who lives at home with her husband. She has diabetes managed with diet and oral medications and glaucoma requiring daily eye drops. - Bethany Owens is the nursing student assigned to care for Mrs. Wilson and administer her medications, including reviewing the six rights of medication administration. - The case study involves Bethany providing the right medications and treatments to Mrs. Wilson, including dealing with constipation and administering the correct dose of insulin based on her blood sugar level.

Uploaded by

Lamirah Thomas
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Medication Administration Case Study 1

Margaret Wilson, a 64-year-old woman, is on the rehab floor recovering after a total hip replacement. She is planning to go
home in 2 days. She lives with her husband in a one-story home. Mrs. Wilson is a retired school teacher, and her husband is an
accountant. Mrs. Wilson has three children who all live out of town. Mrs. Wilson has diabetes and has been controlling it with
diet and oral medications. Mrs. Wilson has glaucoma and requires eye drops daily. While in the hospital, she has been receiving
Lovenox subcutaneously and insulin for an elevated blood sugar level. Mrs. Wilson has been progressing well since her surgery.
Bethany Owens is the nursing student who is assigned to care for Mrs. Wilson today. Part of her assignment is administering
medications to Mrs. Wilson.

Question 1

Bethany is preparing Mrs. Wilson’s morning medications. She reviews the rights of medication administration before starting.
Her instructor asks her to name the six rights to medication administration. What are the six rights?

The six rights to administering medication are the right medication, the right dose, the right patient, the right route, the right
time, and the right documentation.

Question 2

Bethany is getting Mrs. Wilson’s medications together to take into her before breakfast. The NSAID says that it must be given
with food. What should Bethany do about administering this medication to Mrs. Wilson?

 A Give that medication with the other morning medications. It won’t hurt as long as she eats soon.

 B Take the medication in with the rest of the medications, but tell Mrs. Wilson not to take it until she eats breakfast.

 C Administer the medication after the meal has been served, and ensure that Mrs. Wilson is eating.

 D Do not administer the medication because it is not scheduled at the same time as the others.

Question 3

 Mrs. Wilson tells Bethany that even though she took a laxative, she still has not had a bowel movement. Bethany
reviews the prn orders and sees an order for a glycerin suppository for constipation. What is the correct technique for
Bethany to insert the suppository?

Bethany should spread Mrs. Wilson buttocks, lubricate the rounded end of the suppository, and insert
it with the index finger past the internal anal sphincter and against the rectal wall.

Question 4

 Mrs. Wilson has a dose of NPH (intermediate-acting) insulin ordered hs (at bedtime). She also has coverage for an
elevated blood sugar level. Her 9:00 pm blood sugar level was 220. The sliding-scale insulin order reads as follows:

Give regular insulin sub-q.

150-200 2 units

201-275 4 units

Call if above 275.

 A Give the patient the NPH insulin and do not give the regular insulin to avoid overdose.
 B Mix the regular and NPH insulins together, and administer as one injection.

 C Draw up 2 extra units of the NPH insulin, and give the injection.

 D Draw the NPH insulin dosage up and administer; then draw up the regular insulin in a separate syringe and
administer.

Medication Administration Case Study 2


Abby Dalton, a 34-year-old white woman, hurt her back at work several weeks ago. She was treated in the clinic at work. It is
now been 4 weeks, and she is still having intermittent pain that forces her to lie down. She is concerned about getting back to
work because she lives alone and is her sole supporter. Abby has been taking anti-inflammatory and pain medications, but they
make her nauseated. She has made an appointment with Heather Montgomery, a nurse practitioner who focuses on the use of
complementary and alternative (CAM) treatments.

Question 1

Heather uses the following types of treatments for pain. Which ones are CAM treatments? (Select all that apply.)

 A Massage therapy

 B Tai chi

 C Guided imagery

 D Chinese herbal therapy

 E Narcotic administration

Question 2

Heather assesses that Abby is very stressed about getting back to work as soon as possible and becomes tense and agitated
when talking about it. What type of CAM treatment is the best treatment for Abby?

 A Relaxation therapy

 B Biofeedback

 C Acupuncture

 D Gingko biloba

Question 3

Heather assesses the medications that Abby is taking. Why would it be important to do this before recommending any herbal
therapies?

It is important that Heather does the assessment of medications because herbal remedies
may interact with certain medications and cause negative interactions between the drug and
the herb.

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