Pharmacology and the Nursing Process Exam 1
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1. compliance Implementation or fulfillment of a prescribers
treatment plan or therapeutic plan by patient.
2. 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.
3. Noncompliance An informed decision on the part of the patient
not to adhere to or follow a therapeutic plan or
suggestion.
4. Nursing Process Assessment
Diagnosis
Planning
Implementation
Evaluation
5. Outcomes Descriptions of specific patient behaviors or
responses that demonstrate meeting of or
achievement of behaviors related to each nurs-
ing diagnosis. These statements are specific
while framed in behavioral terms and are mea-
surable.
6. Prescriber Any health care professional licensed by the ap-
propriate regulatory board to prescribe medica-
tions.
7. QSEN Quality and Safety Education for Nurses
8. KSA
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Pharmacology and the Nursing Process Exam 1
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knowledge, skills, attitudes needed to to contin-
ually improve the quality and safety of a patient
within a healthcare system
9. 6 major initiatives of QSEN Patient-centered care
Teamwork and collaboration
Evidence-based practice (EBP)
Quality improvement (QI)
Safety
Informatics
10. Nine Rights of Medication Administra- 1) Right drug
tion 2) Right dose
3) Right time
4) Right route/form
5) Right patient
6) Right documentation
7) Right reason
8) Right response
9) Right of patient to refuse
11. Right drug Must be checked against the medication label or
profile 3x b4 giving
12. Right Dose always check the dose and confirm that is appro-
priate for patient's age and size
check prescribed dose against available drug
stock and against normal drug range
recheck all math calculations
13. REMEMBER NO LEADING ZERO's 0.2 is allowed, but NEVER 2.0
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Pharmacology and the Nursing Process Exam 1
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14. Right Time Include in your 3 check the frequency of the
ordered medication, the time administered and
the last time the med was given.
***For routine med orders the standard of care
is within the half hour it was prescribed.
15. PNR as needed
16. analgesic pain reliever
17. Never use abbreviations It is crucial to patient safety to never use any
abbreviations for any component of the drug
order
18. Right Route and Form Never assume the route of admission
19. Right Patient requires confirmation of a patient's identity with
two forms of identification before drug admin-
istration
20. Right Documentation requires the nurse to record immediately the
appropriate information about the drug admin-
istered
** DOCUMENT ONLY AFTER med was given
21. Right Reason Is it appropriate to give the med
22. Right response refers to the drug and it's desired response
continually assess and evaluate the achievement
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Pharmacology and the Nursing Process Exam 1
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of the desired response as well as any undesired
response
23. right to refuse clients have right but need to clarify reason and
notify prescriber
24. When can you NEVER return a med When it has been unwrapped, or opened.
25. Medication errors any preventable event or activity that can cause
inappropriate medication use or patient harm
26. Case study on Page 7 Use of home or folk remedies
Intake of caffeine
1) What questions does the nurse need Use of over-the-counter medications
to ask during the assessment phase Past and present health history, in addition to
her anemia
Pertinent family history
Cultural differences/issues
Responses to medications taken in the past
27. Case Study on Page 7 Deficient knowledge about therapy with iron
What nursing diagnosis is appropriate supplements
at the time? Self-health management, readiness for en-
hanced
28. Case study on page 7 Think about the "Nine Rights"! Assuming the
3) What is missing, what should be prescription has her name on it (right patient),
done? and the licensed prescriber's signature (right
documentation), the prescription has the drug
name (right drug), 325 mg (right dose), PO
(right route), and right reason (for anemia), but
something is missing! The right TIME. How often
does this medication need to be taken? Should
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