The Nursing Process in Patient-Centered Pharmacotherapy Chapter 11 – Flashcards
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the systematic validation and documentation of information. It is particularly important because the data provided form the basis on which nursing diagnoses are made and care is planned, implemented, and evaluated.
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Assessment
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Current health history Patient symptoms Current medications Past health history Patient's environment Primary language and communication needs With medications, it is important to ask about OTC, vitamins, minerals, and herbal supplements. Also ask specifically about patches, caffeine and nicotine.
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Subjective data includes what....
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Physical assessment Laboratory tests Diagnostic studies
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Objective data
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1. What things help you take your medications as prescribed? 2. What things prevent you from taking your medicine as prescribed? 3. What would you do if you forgot to take a dose of your medication?
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3 important questions include
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Decision about the need/problem of the patient, may be an actual problem or risk for problem, requires critical thinking, creativity, and accurate data collection Use NANDA-I format
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A nursing diagnosis is made based on the analysis of the assessment data.
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Characterized by goal setting or expected outcomes
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Planning
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Goals need to: Be patient centered Be realistic, measurable, with realistic deadlines Be acceptable to all parties Be shared with all Identify components for evaluation
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PLANNING GOALS
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Nursing actions necessary to accomplish the goals
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Implementation
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General - take drug as prescribed Self-administration - how to physically administer the drug Diet - foods to include or avoid Side effects - common side effects and how to minimize Cultural and genetic considerations
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Patient teaching
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Take medication as prescribed by your health care provider. If you have questions, call. Keep medication in original labeled container and store as instructed. Keep all medicines out of reach of children. Remind grandparents and visitors to monitor their purses and luggage when visiting.
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Helpful and Healthful Points to Remember 1
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Before using any OTC drugs, check with your health care provider. Pharmacists are good resources to ask before buying or using a product. Bring all medications with you when you visit the health care provider.
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Helpful and Healthful Points to Remember 2
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Know why you are taking each medication and under what circumstances to notify the health care provider. Alcohol may alter the action and absorption of the medication. Use of alcoholic beverages is discouraged around the time you take your medications and is absolutely contraindicated with certain medications.
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Helpful and Healthful Points to Remember 3
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Smoking tobacco alters absorption of some medications. Consult your health care provider or pharmacist for specific information.
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Helpful and Healthful Points to Remember 4
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Ongoing and related to progress and goal achievement, Related to achievement of goals, If not met, reassess and continue. Determine need for follow-up. Refer to community resources.
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Evaluation
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Answer: D Rationale: The goal "Patient will independently administer prescribed dose of insulin at end of 1 hour of instruction." meets the following criteria of planning: This goal is patient-centered, clearly states expected change, is realistic and measurable, has realistic deadlines, and identifies components for evaluation.
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Which is a correctly written goal by the nurse? Patient will administer the prescribed dose. Patient will learn to administer insulin. Patient will know how to take insulin correctly. Patient will independently administer prescribed dose of insulin at end of 1 hour of instruction.
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Which information will the nurse include in the patient teaching? (Select all that apply.) Cost of drugs Administration technique Instructions regarding drug discontinuation Foods to avoid when taking a certain drug Side effects to report to health care provider
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Answer: B, C, D, E Rationale: Patient teaching should include general information (e.g., instructions for taking drug, importance of compliance, monitoring of laboratory values); self-administration (drug administration, route, appropriate technique); diet (foods to include or avoid in the diet); side effects (which side effects to expect and which to report to HCP); and cultural considerations.
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Answer: A Rationale: Assessment is the first phase of the nursing process. It is particularly important because the data provided by the assessment forms the basis on which care is planned, implemented, and evaluated.
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What is the first step of the nursing process when working with patients receiving drug therapy? Assessment Planning Implementation Evaluation
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Answer: C Rationale: Readiness to learn should be assessed before information is presented to the patient. The patient's reading level and the planned number of teaching sessions based on complexity of the drug therapy are needed, but they are not as critical as assessing the patient's readiness to learn. Telling a patient that he or she must do something is inappropriate.
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Before information about drug therapy is presented to a patient, it is most important for the nurse to determine the patient's reading level. plan the number of teaching sessions. assess the patient's readiness to learn. tell the patient that he or she must comply with the drug therapy.
