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A nurse concludes a nursing diagnosis of Altered Health
Management is appropriate for a client who has stopped
What was the exact reason for stopping the drug
taking prescribed medications. Which factor would be
most important for the nurse to determine?
A nurse has collected all the relevant data and is now clus-
tering the information to determine the client's needs. The Analysis
nurse is involved in which phase of the nursing process?
A nurse caring for a client is articulating the steps for
carrying out nursing activities that will assist in achieving
Planning
client goals. The nurse is in which phase of the nursing
process?
Identifying client problems related to drug therapy
Some of the nursing diagnoses developed by NANDA-I
are useful in identifying client problems related to drug
therapy and are more commonly used when administer-
ing drugs. The nursing diagnoses developed by NANDA-I
After teaching a group of nursing students about nurs-
do not classify the clients according to their age groups or
ing diagnoses, the instructor determines that the teach-
the drugs based on their actions. NANDA-I nursing diag-
ing was successful when the students correctly point out
noses do not identify the expected outcome of treatments
which item as the most useful related to the nursing di-
given. An expected outcome will be specifically related to
agnoses developed by the North American Nursing Diag-
the kind of drug treatment given to the client. After the
nosis Association-International (NANDA-I)?
nursing diagnoses are formulated, the nurse develops ex-
pected outcomes, which are client oriented. The expected
outcomes will be generated through efficient planning
and implementation of the care plan. NANDA-I nursing
diagnoses are not used to identify expected outcomes for
clients.
A nurse is caring for a client diagnosed with a respiratory
condition for which drug therapy has been prescribed.
What would the nurse need to address when developing
appropriate expected outcomes related to the drug ther-
apy?
, Chapter 04, The Nursing Process pharmacology (test bank)
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Maximum level of wellness reasonably attainable for the
client
The nurse should know that the expected outcome de-
scribes the maximum level of wellness that is reasonably
attainable for the client and that the therapeutic effect
is achieved. The expected outcome for a client does not
include the amount of time the client will take to recover
fully, the number of drugs the client will require during
the treatment, or the possible adverse reactions that could
occur during the therapy
Method of drug administration
When the client is willing and able to manage the treat-
ment regimen, the nurse should provide information con-
cerning the drug, the method of administration, what type
of reactions to expect, and what to report to the primary
health care provider. A client willing to take responsibil-
A client with a cardiac disorder is being discharged
ity for their treatment may need the nurse to develop a
home. What would the nurse include when teaching the
teaching plan that gives the client the information needed
client about administering the prescribed drug therapy at
to properly manage the therapeutic regimen. The nurse
home?
need not educate the client on the composition of the
drug or the disorders for which the drug is used, because
this information will not assist the client in administering
the drug by themselves to achieve the therapeutic effect.
The nurse ensures that the drug is not contraindicated for
the client before its administration. Therefore, it is consid-
ered safe for the client to take the drug independently.
A nurse is providing care to a client who has been admit-
Review the subjective and objective data.
ted to the health care facility. When administering drugs
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