question

assessment phase

answer

the systematic collection, organization, validation, and documentation of patient data, (medication assessment) focus on whether the patient is experiencing the expected therapeutic benefits from the medications, dosage review, serum levels obtained, also identify any adverse effects,baseline data compared with current assessment to determine what changes have occured, assess the ability of the patient to assume responsibility for self-administration of medications-next diagnosis phase

question

baseline data

answer

patient information that is gathered before pharmacotherapy is implemented

question

evaluation phase

answer

compares the patient's current health status with the desired outcome,

question

nursing diagnoses

answer

clinically based judgment about the patient and his or her response to health and illness, addresses the patient's responsed related to drug administration, developed after assessment data, focused on patient's problems and verified with the patient or caregiver, these diagnoses will form the basis for the remaining steps of the nursing process, compares patient's current health status with the desired outcome

question

nursing process

answer

five-part decisions-making system that includes assessment, nursing diagnosis, planning, implementation and evaluation

question

objective data

answer

information gathered through physical assessment, laboratory tests, and other diagnostic sources

question

outcome (goals)

answer

objective measurement of goals, developed from nursing diagnosis, direct the interventions required by the plan of care, focus on what patient is able to achieve, provides specific, measurable criteria that is used to measure goal attainment, written to include the patient, the actions required by that subject and the specific time frame the subject will accomplish that performance

question

planning phase

answer

prioritizes diagnoses, formulated desired outcomes, and selects nursing interventions that can assist the patient to return to establish an optimum of wellness, short and long term goals are established, links the strategies, or interventions to the established goals and outcomes, involves drug administration and patient teaching

question

subjective data

answer

information gathered regarding what a patient states or perceives

question

What information do you collect during assessment?

answer

medications patient receiving, health history information, physical assessment data, lab values, other measurable data and assessment of medication effects including both therapeutic and side effects

question

implementation phase

answer

involves administering the drugs, carrying out interventions to promote a therapeutic response and minimize adverse effects of the drug, nurse interventions- monitoring side effects, documenting medications and patient teaching, nurse applies the knowledge, skills, and principles of nursing care to help move the patient toward the desired goal and optimal wellness

question

Does the nursing diagnosis identify medical problems experienced by the patient?

answer

no

question

An appropriate stated goal for a patient with type 1 diabetes mellitus is?

answer

the patient will demonstrate self-injection of insuling, using a preloaded syringe, into the subcutaneous tissue of the thigh prior to discharge

question

A 15 year old with a history of type 1 diabetes presents to the emergency department in diabetic ketoacidosis. She has successfully self-managed her diet and insulin therapy for the last two years. She confides in the nurse that she deliberately skipped some of her insulin doses because she did not want to gain weight, and she is afraid of needle marks. What nursing diagnoses is most appropriate in this situation?

answer

Deficient Knowledge

question

Which factor is most important for the nurses to assess when evaluating the effectiveness of a patient's drug therapy?

answer

Evidence of therapeutic benefit

question

Which part of the nursing process is where the nurse assesses the effectiveness of the medication?

answer

Evaluation

question

During the evaluation phase of drug administration, the nurse completes what responsibilities?

answer

Monitors the patient for therapeutic and adverse effects.

question

How long does the assessment phase last?

answer

it is an ongoing process that begins with the nurse's initial contact with the patient and continues with every interaction thereafter

question

Once pharmacotherapy is initiated, ongoing assessment are conducted to determine?

answer

the effectiveness of the medication

question

What does the nursing diagnoses focus on?

answer

the patients needs not the nurses needs

question

During the diagnosis phase of pharmacotherpay what are the three main areas of concern?

answer

promoting therapeutic drug effects, minimizing adverse drug effects and toxicity, maximizing the ability of the patient for self-care, including the knowledge, skills and resources necessary for safe and effective drug administration.

question

How is the diagnosis written?

answer

one-two or three part statemtn depending on whether the nurse has identified a wellness, risk or actual problem

question

What is in the third part of the diagnoses?

answer

the evidence gathered to support the chosen statement

question

What do short and long term goals focus on?

answer

What the patient will be able to do or achieve, not what the nurse will do

question

What are the two most common nursing diagnoses for medication administration?

answer

deficient knowledge and noncompliance

question

define deficient knowledge

answer

occurs when patient was given a new prescription and has no previous experience with the medication, also may be applicable if the patient has not received adequate education about the drugs being prescribed

question

define non compliance

answer

also called nonadherence assumes that the patient was properly educated but made the decision not to take the medication

question

Before establishing the diagnosis of non compliance what should the nurse assess?

answer

does the patient understand why the medication was prescribed?, was dosing and scheduling information explained? are adverse effects causing the patient to refuse the medication? Is noncompliance related on inadequate financial resources

question

What is the overall goal of the nursing plan of care?

answer

safe and effective administration of medication

question

What is an integral step of the planning phase?

answer

planning for the prevention or treatment of expected adverse effects

question

What does the intervension phase include?

answer

appropriate documentation of the administration of medication, as well as any adverse effects observed or reported by patient

question

In the evaluation phase why is it important to compare the patient's current health status with the desired outcome?

answer

to determine if the plan of care is appropriate, if it was met or if it needs revisions

question

As it related to pharmacotherapy what is evaluation used to determine?

answer

whether the therapeutic effects of the drug were achieved, as well as whether adverse effects were prevented or kept to acceptable levels.

question

Appraisal of a patient's condition that involves gathering and interpreting data

answer

assessment phase

question

Patient information that is gathered before pharmacotherapy is implemented

answer

baseline data

question

Objective assessment of the effectiveness and impact of interventions

answer

evaluation phase

question

Any object or objective that the patient or nurse seeks to attain or achieve>

answer

goal

question

When the nurse applied knowledge, skill and principles of nursing care to help move the patient toward the desired goal and optimal wellness.

answer

implementation phase

question

Clinically based judgment about the patient and his or her response

answer

nursing diagnosis

question

Five-part decision-making system that includes assessment, nursing diagnosis, planning, implementation and evaluation

answer

nursing process

question

Information gathered through physical assessment, laboratory tests and other diagnostic sources.

answer

objective data

question

Linkage of strategies or interventions to established goals and outcomes.

answer

planning phase

question

Information gathered regarding what a patient states or perceives.

answer

subjective data

question

____ and ____ are taken during the initial meeting between the nurse and the patient

answer

health history, physical assessment

question

Problem-focuses or ______ _______ history is taken to focus on the symptoms that prompted the patient to seek health care.

answer

chief complaint

question

Nurses use their skills in ________ during the interview to collect data that are denied or downplayed.

answer

observation

question

The ______ ________ is a systematic method of problem solving that forms the foundation for nursing practice.

answer

nursing process

question

first step in nursing process

answer

assessment

question

data that includes what the patient says

answer

subjective data

question

data gathered through diagnostic sources

answer

objective data

question

provides the basis for planning patient care

answer

nursing diagnoses

question

objective measures of goals

answer

outcomes

question

links strategies or interventions to established outcomes

answer

planning

question

assessment of goals and outcomes

answer

evaluation

question

A male patient has just returned from surgery. The nurse is taking the patient's vital signs, checking his incision site and determining if he is in pain. What step of the nursing process is the nurse using?

answer

assessment

question

A male patient has begun to complain of pain in his incision site. The nurse is to administer morphine sulfate 2 mg IV. What step of the nursing process is the nurse using?

answer

intervention

question

A male patient has inquired about the physical therapy he will be receiving to regain his mobility after his knee replacement surgery. The nurse will interact with physical therapy to coordinate his plan of care. What step of the nursing process it the nurse using?

answer

planning

question

A male patient received physical therapy and has regained his mobility after his knee replacement surgery. The nurse interacts with physical therapy to determine if the patient is ready to be discharged from the skilled unit. What step of the nursing process is the nurse using?

answer

evaluation

question

A female patient is complaining of pain in her right hip. The nurse records in the medical record that the patient reported pain on walking and that it was worse at night. What type of information has the nurse gathered?

answer

subjective data

question

A female patient is complaining of pain in her right hip. The nurse has assessed the area and found swelling, redness and open areas, and there is a history of trauma to the hip. What type of information has the nurse gathered?

answer

objective data

question

A female patient is complaining of pain in her right hip. The nurse has assessed the area and has found swelling, redness, and open areas, and there is a history of trauma to the hip. This information will be used to compare with assessment information gathered following surgery. What type of information has the nurse gathered?

answer

baseline data

question

A female patient is recovering from a fracture of the right hip. The interdisciplinary team has established a schedule of physical therapy for her. She is ambulating using a quad cane without assistance. It has been established she is ready to be discharged to her home. What type of information has been presented?

answer

outcomes

question

What is the priority factor in establishing a plan for a patient who will be on routine antihypertensive medication at home?

answer

risk for noncompliance

question

What factor established from the patient's health history would suggest the greatest potential for noncompliance with the medication regimen?

answer

elderly

question

The nurse is developing goals and outcomes for a female patient who is being discharged today following recent abdominal surgery. One key element regarding these goals is that they:

answer

should be patient oriented

question

All drugs have more than one:

answer

name

question

How do therapeutic drugs differ from foods, household products and cosmetics?

answer

Food, household products and cosmetics are not designed for the treatment of disease and suffering

question

What method is used for fast delivery of a drug to the cerebrospinal fluid?

answer

intraperitoneal

question

What term describes how much of a drug is available to produce a biologic response?

answer

bioavailability

question

What is the process of moving a drug from its site of administration across one or more boyd membranes to circulating fluid?

answer

absorption

question

The nurse is collecting a client's health history pertinent to drug therapy. What information should be collected?

answer

pregnancy status, allergy information, use of drugs, tobacco or alcohol

question

Which factor is most important for the nurse to assess when evaluating the effectiveness of a client's drug therapy?

answer

evidence of therapeutic benefit

question

When conducting drug teaching with a hearing-impaired client, the nurse should?

answer

conduct the teaching in a quiet place with limited background noise

question

Prior to initiating drug therapy in elderly clients, the nurse should assess the results of:

answer

renal and hepatic function tests

question

A 15 year old adolescent who has been successfully managing her type I diabetes presents to the Emergency Department in diabetic ketoacidosis. She confides to the nurse that she deliberately skipped some of her insulin doses because she didn't want to gain weight. Which nursing diagnosisis most appropriate in this situation?

answer

noncompliance

question

The nurse develops what goal for a client with type 1 diabetes mellitus?

answer

The client will demonstrate self-injection of insulin, using a preloaded syringe, into the subcutaneous tissue of the thigh prior to discharge

question

A nurse teaching a client about her mediation includes what information?

answer

side effects that need to be reported to the primary health care provider

question

When evaluating the effectiveness of medication therapy, the nurse places the priority on what?

answer

determining if a therapeutic effect has occurred

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