Chapter 4: The Nursing Process And Patient Safety Flashcards
Assessment statement
PES:
P: problem
E: etiology (related to)
S: signs/symptoms (as evidenced by)
What is the nursing process?
ADPIE: A: assessment D: diagnosis P: planning (patient centered goals) I: implementation (nurse centered statement) E: evaluation: review the goal
Which of the following is a correctly written goal?
A: EZ will administer the prescribed dose.
B: EZ will learn to administer insulin.
C: EZ will know how to take insulin.
D: EZ will independently administer prescribed dose of insulin at end of 1 hour of instruction.
D:
A leaves no time to reassess. B &C are wrong because you cannot measure learning or knowing.
Factors that modify drug response
Absorption, distribution, metabolism, excretion, age, body weight, toxicity, pharmacogenetics, route of administration, time of administration, emotional factors, pre-existing disease state, drug history, tolerance, cumulative effect, drug-drug interaction, drug-food interaction.
5 plus 5 rights
1: right client
2: right drug
3: right time
4: right route (example: IV)
5: right dose
1: right documentation
2: right assessment
3: right to education
4: right evaluation
5: right to refuse
Forms and routes of administration
Tablets, capsules, liquids, transdermal, topical, installations (drops), inhalations, nasogastric and gastronomy tubes, suppositories, parenteral (injectables)
2010 national patient safety goals
1: use TWO identifiers
2: timely reporting of critical tests and results
3: safe labeling
4: anticoagulantion safety
5: hand hygiene
6: preventing infection
7: reconciling medications across the continuum
8: providing patient with reconciled medication list
9: patient knowledge
Culture of safety
1: QSEN (quality and safety in the education of nurses)
2: disposal of meds
3: counterfeit drugs
4: pill splitting
5: internet consumerism
6: do not crush
7: high alert medications
8: look- alike, sound- alike drugs
9: pregnancy categories
10: prevention of medical errors
