Med Admin Chapter 1 Flashcards
A series of nursing actions to protect the patient from drug error
9 Rights of Drug Administration
A drug effect that is more severe than expected and has the potential to damage tissue or cause serious health problems also called toxic effect or toxicity
Adverse effect
The first step of the nursing process that involves gathering information about the patient that will be used in planning care
assessment
A health-related reason for not giving a specific drug to a patient or a group of patients
contraindication
A name (or label) for the patient’s disease or condition
diagnosis
Unintended but not unusual effects of the drug that occur in many people taking the drug; they are usually mild and do not require that the drug be stopped
expected side effects
The process of determining the right response looking at what happens to the patient when the nursing care plan is out into action
evaluation
any setting in which the LPN practices nursing
healthcare setting
Information used to reliably prove an individual is the person for whom the drug treatment is intended. Identifiers may be person’s full name, their medical record identification number, birth date, or even the telephone number
identifiers
The act of carrying out the planned interventions
implementation
A system to guide the nurse’s work in a logical way. Consists of five major steps 1, assessment, 2, diagnosis, 3, planning, 4, implementation, 5, evaluation
nursing process
information that can be seen, heard, felt, or measured by someone other than the patient
objective data
using information gathered in the nursing assessment about the patient to set short term and long term goals
planning
reports of what the patient says he or she is feeling or thinks
subjective data
the intended action of the drug, also known as a drug’s beneficial outcome
therapeutic effect
What are the 5 steps to the nursing process?
ADPIE, assessment, diagnosis, planning, implementation, and evaluation
Who is the comprehensive care plan done by? (the nursing process)
The RN
What does the first part of Assessment relating to drug administration involve?
gathering information about the patient and the patient’s health condition before you give drugs/medications
What can LPNs do?
#1 assess vital signs #2 assess physical findings based observation #3 auscultation #4 light palpation as appropriate
What are the 9 rights?
#1 right patient #2 right drug #3 right dose #4 right route #5 right time #6 right reason #7 right documentation #8 right response #9 right to refuse
What part of the nursing process involves Therapeutic effects, expected side effects, and adverse effects
Evaluation
What part of the nursing process involves objective and subjective data
assessment
what part of the nursing process involves the 9 rights
implementation
what part of the nursing process involves primary and secondary nursing problems, social, psychologic, educational, safety, nutritional (MASLOWs) problems
diagnosis
what part of the nursing process involves therapeutic goals, knowledge about the drug, special needs equipment, and teaching needs
planning
What are the 2 highest priorities for an LPN during the initial assessment phase?
Collect data about the patients health and health condition
During the diagnosis stage what is the LPNs role
to determine how much the patient understands about his or her drug/medication
If you’re teaching a patient with depression about the adverse effects of a prescribed drug what part of the nursing process related to drug therapy are you engaging in at this point of the teaching plan?
The evaluation stage because that is the stage where adverse effects fall under
Patient recently began taking blood pressure medication and comes for a follow up appointment. Which phase of the nursing process is this?
Evaluation because it is a follow up
The LPN gives drugs to her assigned patients for that shift, which phase of the nursing process is this?
Implementation because medication administration is the 9 Rights
You have a new order for a med and the order is unclear as to how many times a day it is given, what is your best action?
Call the health care provider to clarify the order
A patient is receiving antibiotics for pneumonia.. a rash appears on the person’s chest.. it itches and they have shortness of breath.. Which effect is this?
adverse
Before administration of a scheduled drug the patient states they cannot take the drug due to an allergy, what should you do first?
Do not give the drug, obviously, but clarify the patient’s allergy history then notify the health care provider to determine the next course of action
If a patient has a drug ordered by a doctor and they want it to be administered by mouth, what is going to be your priority assessment?
Making sure they can swallow
You are obtaining a patient’s drug history.. what information should you collect?
Drugs currently being taken, diseases or issues requiring a drug prescription, alcohol use, and drug allergies
