Part 1.4: The nursing process in drug therapy and patient safety Flashcards
Pharm
information gathering regarding the current status of a particular patient, including evaluation of past history and physical examination; provides a baseline of information and clues to effectiveness of therapy
assessment
part of the nursing process; determining the effects of the interventions that were instituted for the patient and leading to further assessment and intervention
evaluation
actions undertaken to meet a patient’s needs, such as administration of drugs, comfort measures, or patient teaching
implementation
statement of an actual or potential problem, based on the assessment of a particular clinical situation, which directs needed nursing interventions
nursing diagnosis
the problem-solving process used to provide efficient nursing care; it involves gathering information, formulating a nursing diagnosis statement, prioritizing the diagnoses, developing goals and desired outcomes for the patient, carrying out interventions, and evaluating the process
nursing process
the process of prioritizing the information gathered in assessment and, using the established nursing diagnoses, to develop goals and desired outcomes for the patient
planning
A patient reports that she has a drug allergy. In exploring the allergic reaction with the patient, which of the following might indicate an allergic response?
a.Increased urination
b.Dry mouth
c.Rash
d.Drowsiness
The nurse obtains a medical history from a patient before beginning drug therapy based on an understanding of which of the following?
a.Medical conditions can alter a drug’s pharmacokinetics and pharmacodynamics.
b.A medical history is a key component of any nursing protocol.
c.A baseline of information is necessary to evaluate a drug’s effects.
d.The medical history is the first step in the nursing process.
The nurse writes a nursing diagnosis for which reason?
a.Direct medical care
b.Help to increase patient compliance
c.Identify actual or potential alteration in patient function
d.Determine insurance reimbursement in most cases
A patient receiving an antihistamine complains of dry mouth and nose. An appropriate comfort measure for this patient would be to
a.suggest that the patient use a humidifier.
b.encourage voiding before taking the drug.
c.have the patient avoid sun exposure.
d.give the patient a back rub.
When establishing the nursing interventions appropriate for a given patient
a.the patient should not be actively involved.
b.the patient support systems should be included only at discharge.
c.teaching should be done when the patient states he or she is ready to learn.
d.an evaluation of all of the data accumulated should be incorporated to achieve an effective care plan.
The evaluation step of the nursing process
a.is often used as a last resort.
b.is important primarily in the acute setting.
c.is a continuous process.
d.includes making nursing diagnoses.
