The learner will utilize which phases of the nursing process to determine the effectiveness of medications when completing the medication administration record (MAR) when doing a Preparation for Practice exercise?

Question

1. Assessment and evaluation
2. Nursing diagnosing and planning client goals
3. Identifying of problems and nursing diagnosing
4. Implementation and evaluation

Answer 1

Assessment and evaluation

Rationale: The medication administration record includes the usual dose, route, frequency, class, and action of the drug, the rationale for administration, side effects with nursing implications, and assessment data that indicate effectiveness. This will help the learner to become familiar with the evaluations necessary to determine effectiveness. The medication administration record form directs the learner to plan for assessing and evaluating for effectiveness but it does not direct the learner to include nursing diagnoses or client goals. The MAR includes the rationale for administration but does not include nursing diagnoses. Side effects with nursing implications and evaluation data for determining effectiveness are to be included, but the form does not specifically require nursing implementation.