The Nursing Process & Drug Therapy Flashcards
goals
statements that are time specific and describe generally what is to be accomplished to address a specific nursing diagnosis
compliance
implementation or fulfilment of a prescriber’s or caregiver’s prescribed course of treatment or therapeutic plant by a patient
medication error
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
noncompliance
an informed decision on the part of the patient not to adhere to or follow a therapeutic plan or suggestion
nursing process
an organisational framework for the practice of nursing; it encompasses all steps taken by the nurse in caring for a patient: assessment, nursing diagnosis, planning (with goals and outcome criteria), implementation of the plan (with patient teaching), and evaluation
outcome criteria
descriptions of specific patient behaviours or responses that demonstrate meeting of or achievement of goals related to each nursing diagnosis; these statements, as with goals, are verifiable, framed in behavioural terms, measurable, and time specific (outcome criteria are considered to be specific, whereas goals are broad)
prescriber
any health care professional licensed by the appropriate regulatory board to prescribe medications
six rights of medication administration
right drug right dose right time right route right patient right documentation
other six rights of medication administration
right right right right right right
An 86-year-old patient is being discharged home on digitalis therapy and has very little information regarding the medication. Which statement best reflects a realistic outcome of patient teaching activities?
A. the patient and patient’s daughter will state the proper way to take the drug
B. the nurse will provide teaching about the drug’s adverse effects
C. the patient will state all the symptoms of digitalis toxicity
D. the patient will call the prescriber if adverse effects occur
A. the patient and patient’s daughter will state the proper way to take the drug
A patient has a new prescription for a blood pressure medication that may cause him to feel dizzy during the first few days of therapy. Which is the best nursing diagnosis for this situation?
A. activity intolerance
B. risk for injury
C. disturbed body image
D. self-care deficit
B. risk for injury
A patient’s chart includes an order that reads as follows: “Lanoxin 250 mcg once daily at 0900.” Which action by the nurse is correct?
A. the nurse gives the drug via the transdermal route
B. the nurse gives the drug orally
C. the nurse gives the drug intravenously
D. the nurse contacts the prescriber to clarify the dosage route
D. the nurse contacts the prescriber to clarify the dosage route
The nurse is compiling a drug history for a patient. Which question from the nurse will obtain the most information from the patient?
A. “do you depend on sleeping pills to get to sleep?”
B. “do you have a family history of heart disease?”
C. “when you have pain, what do you do to reprieve it?”
D. “what childhood diseases did you have?”
C. “when you have pain, what do you do to reprieve it?”
A 77-year-old man who has been diagnosed with an upper respiratory tract infection tells the nurse that he is allergic to penicillin. Which is the most appropriate response by the nurse?
A. “that’s to be expected - lots of people are allergic to penicillin”
B. “this allergy is not of major concern because the drug is given so commonly”
C. “what type of reaction did you have when you took penicillin?”
D. “drug allergies don’t usually occur in older individuals because they have built up resistance”
C. “what type of reaction did you have when you took penicillin?”
The nurse is preparing a care plan for a patient who has been newly diagnosed with type 2 diabetes myelitis. Put into correct order the steps of the nursing process, with 1 being the first step and 5 being the last step.
A. implementation B. planning C. assessment D. evaluation E. nursing diagnoses
A. 4 B. 3 C. 1 D. 5 E. 2
