"3 Checks" safe medication administration Correct Answers
First Check:
-read the MAR & select the appropriate medications from
storage area & compare label on the medications with the MAR
Second Check:
-Compare medications labels with MAR a second time
Third Check:
-At the bedside, verify correct client using two identifiers and
assess for allergies
-scan client's ID band and each medication. *scanner is 3rd
check*
A conceptual framework Correct Answers A group of related
ideas or statements
A nurse shows an understanding of the central concepts of
nursing when she does which of the following? Correct
Answers 1. includes a client's family in discussions regarding
the clients discharge health needs
2.assesses a physically dependent client's spouse for indications
of caregiver stress
3. Asks the clients to define what "healthy and well" means to
them
5. Advocates for a client who is not responding to current pain
control treatment
A paradigm Correct Answers A set of shared understandings
and assumptions about reality and the world
,A theory Correct Answers A supposition or system of ideas
that is proposed to explain given phenomenon
Absorption Correct Answers Meds passes from stomach into
the blood stream
active listening Correct Answers 1.S= face other person
Squarely
2.O=adopt an open posture
3.L= lean toward other person
4.E=maintain good eye contact
5.R=remain relatively relaxed
adaptability Correct Answers the adjustments of the client
system variables to environmental stressors in order to maintain
client stability or move toward the optimal wellness level
adaptation Correct Answers The process by which a person in
one or more dimensions changes in response to stress
adherence Correct Answers the extent to which an individuals
behavior coincides with medical or health advice
Adverse reaction Correct Answers unexpected finding that
does harm; not predictable
Anaphylactic reaction Correct Answers A severe allergic
reaction usually occurs immediately after the administration of
the drug `
, Anger or hostility Correct Answers Definition: Negative
Feelings because of a blocked goal or loss of self esteem
How to Assess: Determine what goals may be blocked and what
factors may be contributing to
Nursing Interventions:
-recognize that anger probably not meant in personal way
-recognize your own feelings
-accept what client says and allow ventilation
-if possible alter plan of care to accommodate client wishes
more fully
Antagonistic reaction Correct Answers a drug that inhibits cell
function by occupying receptor sites
Anxiety Correct Answers Definition: uneasiness caused by
nonspecific apprehension
How to Assess: Assessed similarly to fear
Nursing Interventions:
-give opportunity to talk to about general state of feelings
-get involved in a distracting and if possible physically active
exercise
-give very gentle care with extra concern for comfort measures
i.e.:back rub, warm bath, etc.
-give simple explanations
Behavioral stability Correct Answers an appropriate dynamic
balance that preserves the integrity of the client-system as
reflected by coping with stressors to maintain an optimal level of
health/wellness