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An obese patient fails to meet the goal of following a 1500 calorie diet by the end of the second week. What should the nurse and patient reassess first?
An obese patient fails to meet the goal of following a 1500 calorie diet by the end of the second week. What should the nurse and patient reassess first?
When a patient does not achieve a set goal, what should the nurse prioritize reassessing?
When a patient does not achieve a set goal, what should the nurse prioritize reassessing?
What is the primary function of ongoing evaluation during the nursing process?
What is the primary function of ongoing evaluation during the nursing process?
In the nursing process, when should the agency's ability to provide a specific diet be determined?
In the nursing process, when should the agency's ability to provide a specific diet be determined?
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What is the definition of a critical care pathway?
What is the definition of a critical care pathway?
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Why are critical care pathways beneficial?
Why are critical care pathways beneficial?
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What is the primary purpose of a critical care pathway in a healthcare setting?
What is the primary purpose of a critical care pathway in a healthcare setting?
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Who generally creates a critical care pathway?
Who generally creates a critical care pathway?
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What components are included in the functional components of health patterns identified by NANDA-I?
What components are included in the functional components of health patterns identified by NANDA-I?
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Which of the following factors can influence drug action?
Which of the following factors can influence drug action?
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Which of the following tasks is performed during the assessment step of the Nursing Process?
Which of the following tasks is performed during the assessment step of the Nursing Process?
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How does chronic smoking affect drug metabolism?
How does chronic smoking affect drug metabolism?
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Which statement regarding nursing diagnoses is most accurate?
Which statement regarding nursing diagnoses is most accurate?
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What aspect does the term 'pathophysiologic needs' not encompass according to NANDA-I?
What aspect does the term 'pathophysiologic needs' not encompass according to NANDA-I?
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What is the expected dosage requirement for older adults in comparison to younger patients?
What is the expected dosage requirement for older adults in comparison to younger patients?
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Which life-threatening illness may occur as a result of aspirin administration during viral illness in patients younger than 20 years of age?
Which life-threatening illness may occur as a result of aspirin administration during viral illness in patients younger than 20 years of age?
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What is the most common classification of medications that causes allergic reactions in children?
What is the most common classification of medications that causes allergic reactions in children?
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Which phase of the Nursing Process focuses on measuring goal/outcome achievement?
Which phase of the Nursing Process focuses on measuring goal/outcome achievement?
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Which of the following can affect the response to medication?
Which of the following can affect the response to medication?
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In the context of nursing diagnoses, which of the following is a role of the nurse?
In the context of nursing diagnoses, which of the following is a role of the nurse?
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For a pediatric patient, which medication classification should be monitored closely due to the risk of rapid allergic reactions?
For a pediatric patient, which medication classification should be monitored closely due to the risk of rapid allergic reactions?
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What effect does reduced circulation have on drug absorption?
What effect does reduced circulation have on drug absorption?
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What is the primary function of the planning step in the Nursing Process?
What is the primary function of the planning step in the Nursing Process?
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What condition is caused by a hypersensitivity reaction rather than a viral infection?
What condition is caused by a hypersensitivity reaction rather than a viral infection?
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Which of the following factors is NOT typically associated with drug actions?
Which of the following factors is NOT typically associated with drug actions?
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Which of the following best describes the purpose of nursing diagnoses?
Which of the following best describes the purpose of nursing diagnoses?
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Which of the following factors does NOT contribute to variable responses to medications?
Which of the following factors does NOT contribute to variable responses to medications?
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Which of the following is not associated with aspirin-induced Reye's syndrome?
Which of the following is not associated with aspirin-induced Reye's syndrome?
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Which medication classification is least likely to cause allergic reactions in children?
Which medication classification is least likely to cause allergic reactions in children?
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Which statement about drug action variables is accurate?
Which statement about drug action variables is accurate?
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In the context of medication safety, which of the following is essential for pediatric patients receiving antibiotics?
In the context of medication safety, which of the following is essential for pediatric patients receiving antibiotics?
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Which viral illness poses added risks when combined with aspirin in children?
Which viral illness poses added risks when combined with aspirin in children?
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What are the risks associated with mothers who smoke during pregnancy?
What are the risks associated with mothers who smoke during pregnancy?
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What is the recommended action concerning alcohol consumption prior to conception?
What is the recommended action concerning alcohol consumption prior to conception?
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What is the primary purpose of conducting a nursing assessment?
What is the primary purpose of conducting a nursing assessment?
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Which of the following is not a consequence of maternal smoking during pregnancy?
Which of the following is not a consequence of maternal smoking during pregnancy?
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How long before conception should alcohol be eliminated to promote better health outcomes?
How long before conception should alcohol be eliminated to promote better health outcomes?
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Which of the following actions is part of a nursing assessment?
Which of the following actions is part of a nursing assessment?
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Which statement best defines the NANDA-I taxonomy foundation?
Which statement best defines the NANDA-I taxonomy foundation?
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Which complication is not typically associated with maternal smoking?
Which complication is not typically associated with maternal smoking?
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Which statement accurately represents a goal statement in the planning phase of the Nursing Process?
Which statement accurately represents a goal statement in the planning phase of the Nursing Process?
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What is an example of a nursing diagnosis?
What is an example of a nursing diagnosis?
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In prioritizing care for a pediatric patient with cystic fibrosis, which problem should be addressed first?
In prioritizing care for a pediatric patient with cystic fibrosis, which problem should be addressed first?
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During the evaluation phase of the Nursing Process, what does an effective intervention indicate?
During the evaluation phase of the Nursing Process, what does an effective intervention indicate?
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What should be done first when a nurse recognizes a patient has thickened mucus secretions?
What should be done first when a nurse recognizes a patient has thickened mucus secretions?
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Which action is an example of the implementation phase of the Nursing Process?
Which action is an example of the implementation phase of the Nursing Process?
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In the context of patient education, what is a critical goal for the patient during the planning phase?
In the context of patient education, what is a critical goal for the patient during the planning phase?
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What does the evaluation phase focus on with respect to patient outcomes?
What does the evaluation phase focus on with respect to patient outcomes?
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Study Notes
Aspirin and Reye's Syndrome
- Aspirin administration during or shortly after a viral infection (chickenpox or influenza) in children under 20 can lead to Reye's syndrome, a life-threatening illness.
Allergic Reactions to Medications in Children
- Antibiotics, particularly penicillins, frequently cause allergic reactions in children.
- Close monitoring of the child's response to medications is crucial, especially with intravenous antibiotics.
Purpose of Nursing Assessment
- The primary purpose of a nursing assessment is to identify a patient's responses to health problems.
- This involves gathering a comprehensive history, performing a physical exam, and reviewing medication and professional observations.
NANDA-I Taxonomy Basis
- The NANDA-I taxonomy is based on human response patterns.
Nursing Process Assessment Step
- The assessment phase of the Nursing Process involves collecting and communicating data.
- This includes gathering information from various sources such as physical examinations, patient histories, medication histories, and observations.
Nursing Diagnoses
- Nursing diagnoses identify patient problems that nurses can treat independently within their scope of practice.
- They don't identify disease states or causes of illness but focus on the patient's response to health problems.
Goal Setting in Nursing Process
- Patient understanding of interventions and commitment to goals needs reassessment if goals aren't met.
- Ongoing evaluation, assessment, and readjustment of interventions are part of the ongoing phases of the nursing process.
Critical Care Pathways
- Critical care pathways are standardized care plans derived from best practices.
Planning Phase of Nursing Process
- The planning phase of the Nursing Process involves developing goals and expected outcomes, like a patient stating the expected side effects of a medication.
Prioritizing Pediatric Patient Care
- In a pediatric patient with cystic fibrosis, thickened mucus secretions, affecting breathing, are the highest priority over other problems like decreased appetite, lack of knowledge, or decreased mobility.
Variables Influencing Drug Action
- Body weight affects drug response; obese patients may need increased dosages, while underweight individuals may require decreased dosages.
- Chronic smokers metabolize drugs faster than non-smokers.
- Patient attitudes and expectations influence medication response.
- Older adults generally require decreased drug dosages.
- Reduced circulation slows drug absorption.
Factors Affecting Drug Action
- Age, body weight, metabolic rate, illness, and teratogenicity (potential for causing birth defects) can all influence how a drug acts on the body.
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Description
This quiz explores critical aspects of nursing assessment regarding pediatric medications and their reactions, including the risk of Reye's syndrome with aspirin and allergic reactions to antibiotics. Understand the NANDA-I taxonomy and the importance of thorough assessments in nursing practice.
