Chapter 1: RN process and drug therapy Flashcards
Implementation or fulfillment of a prescriber’s
or caregiver’s prescribed course of treatment or therapeutic
plan by a patient.
compliance
Statements that are time specific and describe generally
what is to be accomplished to address a specific nursing diagnosis.
goals
Any preventable adverse drug event involving
inappropriate medication use by a patient or health care
professional; it may or may not cause the patient harm
medication error
An informed decision on the part of the
patient not to adhere to or follow a therapeutic plan or suggestion.
noncompliance
An organizational framework for the practice
of nursing. It encompasses all steps taken by the nurse in
caring for a patient: assessment, nursing diagnoses, planning
(with goals and outcome criteria), implementation of the
plan (with patient teaching), and evaluation
Nursing process
Descriptions of specific patient behaviors or
responses that demonstrate meeting of or achievement of
goals related to each nursing diagnosis. These statements, as
with goals, are verifiable, framed in behavioral terms, measurable,
and time specific.
outcome criteria
Outcome criteria are considered
to be specific, whereas goals are broad
Medication profiles include, but are
not limited to
any and all drug use;
use of home or folk remedies and herbal and/or homeopathic
treatments, plant or animal extracts, and dietary supplements;
intake of alcohol, tobacco, and caffeine; current or past history
of illegal drug use; use of over-the-counter (OTC) medications past and present
health history and associated drug regimen(s); family history
and racial, ethnic, and/or cultural attributes with attention to
specific or different responses to medications as well as any
unusual individual responses; and growth and developmental
stage (e.g., Erikson’s developmental tasks) and issues related to
the patient’s age and medication regimen
A holistic nursing
assessment includes gathering of data about the whole individual,
including
physical/emotional realms, religious preference,
health beliefs, sociocultural characteristics, race, ethnicity, lifestyle,
stressors, socioeconomic status, educational level, motor
skills, cognitive ability, support systems, lifestyle, and use of
any alternative and complementary therapies
Assessment about the specific drug includes…
specific information about prescribed,
OTC, and herbal/complementary/alternative therapeutic drug
use, with attention to the drug’s action; signs and symptoms of
allergic reaction; adverse effects; dosages and routes of administration;
contraindications; drug incompatibilities; drug-drug,
drug-food, and drug–laboratory test interactions; and toxicities
and available antidotes
Other factors must be considered in determining the right
time,
multiple-drug therapy, drug-drug or drug-food
compatibility, scheduling of diagnostic studies, bioavailability
of the drug (e.g., the need for consistent timing of doses around
the clock to maintain blood levels), drug actions, and any biorhythm
effects such as occur with steroids
Ask the patient to state
name, and then check the patient’s identification band
to confirm the patient’s name, identification number, age, and
allergies
Acceptable identifiers include
patient’s name, an assigned
identification number, a telephone number, or other patientspecific
identifier
Armbands are commonly used in the acute
care setting
and may serve as one identifier, with the other one
being date of birth, Social Security number, or home address.
do not record completion
of an
incident report in the medical chart.
