UNIT 2 Flashcards

1
Q
  • Well-established, research supported framework for professional nursing practice
    -It is accessible, adaptable, and adjustable high-step process consisting assessment, nursing diagnosis, planning, and the esblihment of goal and outcome criteria, implementation
    -ensures the delivery of thorough individualized nursing care to patients regardless of age, gender, medical diagnosis, or setting.
A

nursing process

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2
Q

Major part of nursing process
- involves the use of the mind and thought processes to gather information and develop conclusion

A

Critical thinking

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3
Q

The elements of nursing process:

A

-physical
-emotional
-spiritual
-sexual
-financial
-cultural
-cognitive aspects

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4
Q
  • data are collected, reviewed, and analyzed
  • this allows you to formulate a nursing diagnosis related to the patient needs, specifically to drug administration
A

Assessment

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5
Q

Information about might come from the variety of sources including the

A

patient, patient’s family, caregiver, or significant other, and the patient’s chart.

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6
Q

Method of data collection includes:

A

interviewing, direct and indirect questioning, observation, medical records review, head-to-toe physical examination, and a nursing assessment

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7
Q

Data are categorized into:

A

objective and subjective data

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8
Q

Any information gathered through the senses; seen, heard, smelled
- may also be obtained by nursing physical assessment, nursing history, past/present medical history, results of laboratory test, diagnostic studies, procedures, measurements of vital signs, weight & height, and medication profile

A

objective data

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9
Q

data that comes from the patient

A

subjective data

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10
Q

Medication profiles include but are not limited to the ff information:

A

-any or all drug use
-use of home/folk/herbal remedies
-homeopathic treatment
-plant or animal extract
-dietary supplements
-intake of alcohol, tobacco, and caffeine
-current or history of illegal drug use
-use of over-the-counter medication such as: aspirin, paracatomol, etc
-family history
-ethnic or cultural attribution which attention to specific to different responses to medications as well as unusual individual responses
-growth and developmental stage
-issues relating to the patient’s age

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11
Q

A holistic nursing assessment includes:

A

-gathering of data about the whole of individual including the physical, emotional realms, religious preferences, beliefs, socio-cultural characteristics, race/ethnicity, lifestyle, socio-economic status, educational level, motor skills, cognitive level, support system

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12
Q

Include information shared through reliable sources such as: patient, spouse, family member, s/o, caregiver

A

subjective data

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13
Q

Once assessment of the patient or the drug has been completed, the specific prescription or medication order from the doctor or any prescriber must be check by the following 6 ELEMENTS

A
  • patient’s name
    -date of the drug ordered was written
    -name of the drug
  • drug dosage amount and frequency
    -route administration
    -prescriber’s signature
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14
Q

-Developed by professional nurses as means of communicating and sharing information about the patient and patient’s experience
-result of critical thinking, creativity, accurate collection of data regarding the patient as well as the drug

A

Nursing diagnosis

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15
Q

Nursing diagnosis related to drug therapy will most likely to grow out of data associated with the ff:

A

deficient knowledge, risk for injury, non-compliance, and various disturbances, deficits, excess, impairments in bodily function, and or other problems and concerns as related to drug therapy

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16
Q

The development of classification of nursing diagnosis has been carried out by:

A

North American Nursing Diagnosis Association International (NANDA) (NANDAI)

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17
Q

After the data are collected and the nursing diagnosis are formulated according tot the medication and drug given to the patient
-The main purposes of this is to prioritize the nursing diagnosis, and specify goals and outcome criteria including the time frame for the achievement

A

Planning

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18
Q

Planning phase includes:

A
  • identification of goals
  • outcome criteria
    -could be SHORT TERM GOAL or LONG TERM GOAL
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19
Q

Planning should be SMART. What is SMART?

A

Specific, Measurable, Attainable, Realistic, and Time-bound

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20
Q

Provides time to obtain special equipment for interventions, review the possible procedures or techniques to be used
-leads to provision of safe care if professional judgement is combined with acquisition of knowledge about the patient and medication to be given

A

Planning/ Planning phase

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21
Q

Are objective, measurable, and realistic, with an established time period for achievement of the outcomes

A

Goals

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22
Q

-Guided by the proceeding phases of the nursing process
- requires constant communication and collaboration

A

Implementation

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23
Q

Implementation may be:

A

Independent, dependent, collaborative

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24
Q
  • is common but important clinical procedure
  • a manner in which the medicine is administered that will determine to some extent whether or not the patient gains any clinical benefit or whether they suffer
A

Administration of the medicine/ Drug administration.

25
Q

Proportion of an administered drug that reaches the systemic circulation and is therefore available for distribution to the intended site of action

A

Bioavailability of the drug

26
Q

How the drug is given

A

Route of administration

27
Q

Direct entry to the venous system

A

Intravenous

28
Q

perfusion blood flow to the muscle and the fat content and temperature of the muscles

A

Intramuscular

29
Q

Cold causes ___ or decrease absorption. Heat causes ___ increase in absorption

A

vasoconstriction ; vasodilation

30
Q

Perfusion or blood flow to the tissue considering the tissue fat content and temperature of the tissue

A

Subcutaneous

31
Q

We have to consider the acidity of the stomach, length of time to the stomach,

A

Per Orem

32
Q

perfusion, the blood flow to the rectum, length of time absorption

A

Per rectal

33
Q

medicines put underneath the tongue, mucous membrane integrity

A

Mucous membrane/ sublingual/ buccal

34
Q

Skin integrity, blood flow to the area

A

Topical

35
Q

singhot

A

Inhalation

36
Q

Is written by a practitioner for a medication the will be. Here in PH, it comes from the physician
-becomes permanent part
-written, typed, or verbally

A

Medication Order

37
Q

-The freedom from accidental injury due to medical care or medical errors during the medication use or process
-to prevent adverse reaction, overdoses, and death

A

Medication Safety

38
Q

What are the 7 RIGHTS

A
  1. Right Individual
  2. Right Medication
  3. Right Dose
  4. Right time
  5. Right Route
  6. Right Documentation
  7. Right Response
39
Q
  • You have to make sure that you have the right patient
    -The standard is to check at least 2 other sources that you have the correct person
A

Right Individual

40
Q

Ensuring that you have the right medication
- prevents adverse reaction
-double check, read read read

A

Right medication

41
Q

Wrong dose can harm the patient
-the correct dose should be noted in their chart

A

Right dose

42
Q

Many medication has specific time that they need to be administered

A

Right time

43
Q

Refers to where and how the medication is given to a patient

A

Right route

44
Q

It is the sole responsibility or the person administering the medication to properly document

A

Right documentation

45
Q

Is the response of a patient to medication
-should be recorded to keep track

A

Right response

46
Q

It is a method of determining the correct drug dose for a child based on the known adult dose, assumes that the adult dose is based on a 150 pounds (lb) person

A

Clark’s rule

47
Q

Determining a pediatric dose for a child younger than 1 year of age. Based on the child’s age and the usual adult dose. Assume that the adult dose would be appropriate for a 12.5 year old child some naman is 13

A

Fried’s rule

48
Q

Determining pediatric drug dose based on the child’s age and the usual adult dose

A

Young’s rule

49
Q

T or F
If you have a powdered form, For every 250mg of medication, you need to add 1ml of sterile water

A

T

50
Q

Solutions given to a client to have support electrolytes, hydration, for medication and sources of nutrients

A

IV FLUID

51
Q

IV fluid comes in two types of bottle:

A

500ml and 100ml

52
Q

IV FLUID
Two types of tubing system

A

macroset and microset

53
Q

for normal and general application: ____
for pediatric clients, parang may pin sa dulo. and those who are suffering from kidney and heart problems which fluid delivery is very sensitive and closely calculated: ___

A

macroset ; microset

54
Q

each tubing system is designed for hospital. use of one tubing system to avoid confusion

A

Drop factor

55
Q

Usual drop factor by our local hospitals are

A

15 drops and 20 drops

56
Q

Critical part in patient care and patient education about medication administration, therapies or regimes is no exception

A

Patient education

57
Q

Is the part of the nursing process that includes monitoring whether the patient goals and outcomes related to the criteria and nursing diagnosis are met

A

Evaluation

58
Q

Is crucial to patient’s safety
-recording patient’s observations and nursing actions is an ethical responsibility

A

Documentation/ recording and reporting