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Pharm. Ch. 1
| Question | Answer |
|---|---|
| What is compliance (Adherence)? | Implementation or fulfillment of a prescriber's course of treatment by a patient |
| What are goals? | statements that are time specific and describe generally what is to be accomplished to address a specific nursing diagnosis |
| What is noncompliance (Nonadherence)? | An informed decision on the part of the patient not to adhere to or follow a therapeutic plan. |
| What is the nursing process? | An organizational framework for the practice of nursing. in encompasses all staps taken by the nurse in caring for a patient |
| What is outcome criteria? | Descriptions of specific patient behaviors or responses that demonstrate meeting of or achievement of goals related to each nursing diagnosis |
| What is prescriber? | Any health care professional licensed by the appropriate regulatory board to prescribe medications |
| What are the 5 nursing process steps? | assessment, nursing diagnosis, planning, implementation, and evaluation |
| The nursing process ensures? | that patient will get best quality care regardless of age, gender, medical diagnosis, or setting |
| What is critical thinking? | mid and thought proces to gather info. and then develop conclusion, make decisions, draw inferences and reflect upon all aspects of patient care. |
| What do the elements of the nursing process adrress? | physical, emotional, spiritual, sexual, financial, cultural and cognitive aspects of a pt. |
| The nursing process is? | a central process and framework for nursing care. |
| What is collected during the initail assessment phase? | data is collected, reviewed and analyzed |
| Where can info. about the pt. come from? | pt. pt's family, caregiver, and significant other and the pt's chart |
| What are the methods of data collection? | interviewing, direct and indirect questioning, observation, medical records review, head to toe physical exam, and nursing assessment |
| What is objective data? | data from senses |
| What is subjective data? | What the pt says and feels |
| What does a medical profile include? | all drug use, home or folk remedies, intake of alcohol, tobacco and caffeine, OTC meds, hormonal drugs, health history, history of illegal drugs, family history, growth and developmental stage (age and regimen) |
| What is a holistic nursing assesment? | assessing the pt as a whole (everything about them) |
| What should you assess about medications? | perscribed, OTC, herbs, theraputic drug use, allergic reactions, AE, routes, test results, toxicities, antidotes, history, pt's questions |
| What six elements must the prescribers order be checked for? | pt name, date the drug order was written, name of drug, dosage & frequency, route, and signature |
| Once pt and drug info. have been collected the nurse must? | critically analyze ans synthesize the info. (verify and document) |
| What are nursing diagnosis used for? | means of communicating and sharing info about the pt and pt experience |
| what are nursing diagnosis a result of? | critical thinking, creativity and accurate collection of data |
| What is the NANDA? | considered to be the major contributer to the development of nursing knowledge and leading authority |
| What is the purpose of NANDA? | to increase the visibility of nursing's contribution to the care of pt's and to further develop, refine, and classify the info and phenomena relation to nurses |
| How many steps are there to formulate a ND? | 3 steps |
| What are the 3 steps? | human response of the pt to illness or injury, factors related to the response, list of clues, bues, evidence and other data to suppost the nurse's clain that this diagnosis is accurate |
| What happens after data is collected and ND are formed? | planning |
| How does the planning phase begin? | identification of goals and outcomes |
| what is the major purpose of planning? | prioritize the ND and specify goals and outcome criteria, time frame |
| What are the criteria for goals? | they are objective, measurable, and realistic |
| Planning phase is catorigized in what catagorize? | physiologic, psychologic, spiritual, sexual, cognitive, motor |
| What comes after the planning phase? | implementation |
| what is implementation? | communicaition and collaboration with the pt and with members of the health care team associated with pt care. |
| What does implementation consist of? | initiation and completion of specific actions |
| Nursing actions may be? | independent, collaborative or dependent |
| What are the 5 rights to med. admin? | right pt, right time, right drug, right route, right dose |
| What might be the 6th right? | right documentation |
| criteria to be considered when admin. meds is? | pt. safety, pt. education, double checking, storage of drug, accurate calculation, right route |
| When giving meds the RN should always? | check all med orders |
| How many times? | 3 and consider if the med is right for the pt |
| If doubt exist when giving pt meds a nurse should? | contact the prescriber |
| If an verbal order is given to give a med the prescriber should? | sign the order within 24 hrs |
| The use of the drugs _________ name is preferred? | generic |
| The nurse should never _________ ANYTHING | assume |
| When considering the does the nurse should always? | check the dose and see if it is good with the pt's weight and size and against normal dosage range |
| When calculating pay special attention to? | decimal points |
| What decimal is not acceptable? | 2.0 because mistaken for 20 |
| Who are more sensitive to meds? | infants and elderly |
| if meds are given at a certain time they must be within? | 1/2 hr before or after scheduled time |
| Stat meds should be administered? | within 1/2 hour |
| Nurses should always document? | any change |
| The effect of a change in the dosing or timing of medication should? | never be underestimeted |
| another problem that arrises while giving meds is? | multiple drug therapy and drug drug, drug food interaction |
| If the order does not have the route the nurse must? | call the perscriber |
| Again, the nurse should never _____ | ASSUME |
| To ensure the right pt the nurse should? | ask pt to state hame, check pt band to confirm pt. name, identification #, age and allergies |
| Acceptable identifiers of pt are? | name, identification #, telephone # |
| pt's chart should always have: | date and time of med admin., name of med, dose, route, and site |
| In documentation you should include? | symptoms, AE, toxicity, why you didn't give a med (if you didn't), refusal of med, actual time, data reguarding clinical observations and treatment of the pt if med. error has occured |
| If a med. error occurs? | the error should not be included in nursing notes you have to fill out an incident report |
| What is a medication error? | any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of the health care professional, pt or consumer |
| What is the last step in the nursing process? | Evaluation |
| What is the evaluation phase? | it is systematic, ongoing, and a dynamic phase of the nursing process |
| What does the evaluation phase include? | monitering the fulfillment of goals and outcome criteria |
| What do you document in the evaluation phase? | clear, concise, abbreviation free charting that records info related to goals and oucome criteria and meds |
| Evaluation also includes? | monitoring the implementation of standards of care |
Created by:
alicia.rennaker
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