Chapter 2: Application of Pharmacology in Nursing Practice

Question 1

7 aspects of drug therapy & patient care

Answer 1

(1) Preadministration assessment
(2) Dosage and administration
(3) Evaluating & promoting therapeutic effects
(4) Minimizing adverse effects
(5) Minimizing adverse interactions
(6) Making (PRN) decisions
(7) Managing toxicity.

Question 2

Preadministration assessment

Answer 2

3 goals:

(1) Collecting baseline data
(2) Identifying high-risk patients
(3) Assessing for self-care ability

Question 3

Predisposing factors

Answer 3

1. Pathophysiology: liver and kidney impairment
2. Genetic factors
3. Drug allergies
4. Life span considerations: pregnancy, age

Question 4

3 principal tools to identify patients with predisposing factors

Answer 4

Patient history
Physical exam
Lab data

Question 5

Nursing Process

Answer 5

(1) Assessment
(2) Diagnosis (Analysis)
(3) Planning
(4) Implementation
(5) Evaluation.

Question 6

Assessment

Answer 6

Collecting patient data

Question 7

Analysis (Nursing Diagnoses)

Answer 7

Information to determine actual and potential health problems.

Question 8

3 statements of Nursing Diagnoses

Answer 8

(1) A statement of actual or potential health problem
(2) A statement of problem’s probable cause or risk factors. “related to”
(3) The signs, symptoms, or evidence of the problem. (omitted for potential problems). “as evidenced by”

Question 9

Planning

Answer 9

Interventions directed at solving or preventing the problem

Question 10

Implementation

Answer 10

Using the interventions identified during planning

Question 11

Evaluation

Answer 11

Determine the degree to which treatment has succeeded

Question 12

Evaluation of therapy

Answer 12

(1) Therapeutic responses
(2) Adverse drug reactions and interactions
(3) Adherence to the prescribed regimen
(4) Satisfaction with treatment.