Nursing Assessment and Pediatric Medications

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Questions and Answers

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?

  • The nurse’s personal feelings about obese patients
  • The healthcare agency's ability to provide the prescribed diet
  • The patient's weight loss progress
  • The patient's understanding of the 1500 calorie diet (correct)

When a patient does not achieve a set goal, what should the nurse prioritize reassessing?

  • The patient's family involvement
  • The availability of resources at the healthcare facility
  • The patient's comprehension of the treatment plan (correct)
  • The nurse’s workload and schedule

What is the primary function of ongoing evaluation during the nursing process?

  • To adjust interventions as needed to facilitate patient outcomes (correct)
  • To report the nurse's performance to the administration
  • To document the care provided for legal records
  • To finalize the patient's discharge plan

In the nursing process, when should the agency's ability to provide a specific diet be determined?

<p>Prior to the implementation of the intervention (A)</p> Signup and view all the answers

What is the definition of a critical care pathway?

<p>A standardized care plan from best practice patterns (D)</p> Signup and view all the answers

Why are critical care pathways beneficial?

<p>They are derived from best practices, promoting higher quality of care. (D)</p> Signup and view all the answers

What is the primary purpose of a critical care pathway in a healthcare setting?

<p>Standardizing care based on evidence (A)</p> Signup and view all the answers

Who generally creates a critical care pathway?

<p>A team of healthcare professionals (C)</p> Signup and view all the answers

What components are included in the functional components of health patterns identified by NANDA-I?

<p>Activity, fluid volume, nutrition, self-care, and sensory perception (B)</p> Signup and view all the answers

Which of the following factors can influence drug action?

<p>Body weight (B)</p> Signup and view all the answers

Which of the following tasks is performed during the assessment step of the Nursing Process?

<p>Collecting and communicating data (A)</p> Signup and view all the answers

How does chronic smoking affect drug metabolism?

<p>Accelerates drug metabolism (D)</p> Signup and view all the answers

Which statement regarding nursing diagnoses is most accurate?

<p>Nursing diagnoses describe patient problems that nurses treat. (D)</p> Signup and view all the answers

What aspect does the term 'pathophysiologic needs' not encompass according to NANDA-I?

<p>Health patterns (D)</p> Signup and view all the answers

What is the expected dosage requirement for older adults in comparison to younger patients?

<p>Decreased dosage needed (B)</p> Signup and view all the answers

Which life-threatening illness may occur as a result of aspirin administration during viral illness in patients younger than 20 years of age?

<p>Reye‘s syndrome (D)</p> Signup and view all the answers

What is the most common classification of medications that causes allergic reactions in children?

<p>Antibiotics (B)</p> Signup and view all the answers

Which phase of the Nursing Process focuses on measuring goal/outcome achievement?

<p>Evaluation (C)</p> Signup and view all the answers

Which of the following can affect the response to medication?

<p>Patient's attitude (C)</p> Signup and view all the answers

In the context of nursing diagnoses, which of the following is a role of the nurse?

<p>Identifying patient problems within professional practice (A)</p> Signup and view all the answers

For a pediatric patient, which medication classification should be monitored closely due to the risk of rapid allergic reactions?

<p>Antibiotics (D)</p> Signup and view all the answers

What effect does reduced circulation have on drug absorption?

<p>Delays absorption rate (B)</p> Signup and view all the answers

What is the primary function of the planning step in the Nursing Process?

<p>Setting patient goals/outcomes (D)</p> Signup and view all the answers

What condition is caused by a hypersensitivity reaction rather than a viral infection?

<p>Anaphylactic shock (C)</p> Signup and view all the answers

Which of the following factors is NOT typically associated with drug actions?

<p>Skin color (D)</p> Signup and view all the answers

Which of the following best describes the purpose of nursing diagnoses?

<p>To identify nursing interventions for patient care (C)</p> Signup and view all the answers

Which of the following factors does NOT contribute to variable responses to medications?

<p>Body posture (D)</p> Signup and view all the answers

Which of the following is not associated with aspirin-induced Reye's syndrome?

<p>Administering acetaminophen during viral illness (C)</p> Signup and view all the answers

Which medication classification is least likely to cause allergic reactions in children?

<p>Antacids (B)</p> Signup and view all the answers

Which statement about drug action variables is accurate?

<p>Body weight affects dosage requirements. (A)</p> Signup and view all the answers

In the context of medication safety, which of the following is essential for pediatric patients receiving antibiotics?

<p>Close monitoring of medication response (B)</p> Signup and view all the answers

Which viral illness poses added risks when combined with aspirin in children?

<p>Influenza A (A)</p> Signup and view all the answers

What are the risks associated with mothers who smoke during pregnancy?

<p>Higher frequency of miscarriage and low-birth-weight infants (B)</p> Signup and view all the answers

What is the recommended action concerning alcohol consumption prior to conception?

<p>Eliminate 2 to 3 months before planned conception (D)</p> Signup and view all the answers

What is the primary purpose of conducting a nursing assessment?

<p>Exploring patient responses to health problems (B)</p> Signup and view all the answers

Which of the following is not a consequence of maternal smoking during pregnancy?

<p>Enhanced brain development in infants (A)</p> Signup and view all the answers

How long before conception should alcohol be eliminated to promote better health outcomes?

<p>2 to 3 months (D)</p> Signup and view all the answers

Which of the following actions is part of a nursing assessment?

<p>Conducting a physical examination (D)</p> Signup and view all the answers

Which statement best defines the NANDA-I taxonomy foundation?

<p>Human response patterns (A)</p> Signup and view all the answers

Which complication is not typically associated with maternal smoking?

<p>Increased rate of postpartum hemorrhage (D)</p> Signup and view all the answers

Which statement accurately represents a goal statement in the planning phase of the Nursing Process?

<p>The patient will state the expected adverse effects of medication by the end of the teaching session. (C)</p> Signup and view all the answers

What is an example of a nursing diagnosis?

<p>The patient is at high risk for falls related to hypotension. (A)</p> Signup and view all the answers

In prioritizing care for a pediatric patient with cystic fibrosis, which problem should be addressed first?

<p>Thickened mucus secretions. (A)</p> Signup and view all the answers

During the evaluation phase of the Nursing Process, what does an effective intervention indicate?

<p>Itching has resolved. (A)</p> Signup and view all the answers

What should be done first when a nurse recognizes a patient has thickened mucus secretions?

<p>Implement respiratory interventions to clear the airways. (A)</p> Signup and view all the answers

Which action is an example of the implementation phase of the Nursing Process?

<p>Administering medications as prescribed by the healthcare provider. (C)</p> Signup and view all the answers

In the context of patient education, what is a critical goal for the patient during the planning phase?

<p>The patient will understand the medication side effects. (A)</p> Signup and view all the answers

What does the evaluation phase focus on with respect to patient outcomes?

<p>Determining if interventions led to the desired outcomes. (C)</p> Signup and view all the answers

Flashcards

Reye's Syndrome

A life-threatening condition associated with aspirin use during viral infections in children.

Aspirin Administration Risks

Aspirin can lead to Reye's syndrome in children under 20 during viral illnesses.

Common Allergic Reaction Medication

Antibiotics, particularly penicillins, often cause allergic reactions in children.

Monitoring Pediatric Patients

It's crucial to assess children's responses to antibiotics closely to prevent rapid allergic reactions.

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Medications and Allergies

Antacids and analgesics are less likely to cause allergic reactions in children compared to antibiotics.

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Anaphylactic Shock

A severe, life-threatening allergic reaction that may occur with certain medications.

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Growing Awareness of Drug Effects

Increasing understanding of how medications impact pediatric patients is essential for safety.

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Importance of Patient Education

Educating families about potential risks of medications is vital in pediatric care.

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Tobacco use in pregnancy

Tobacco use increases risks like miscarriage and low birth weight.

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Alcohol consumption and conception

Alcohol should be avoided 2-3 months before conception and during pregnancy.

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Primary purpose of nursing assessment

To explore patient responses to health problems.

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Components of nursing assessment

Developing a base of information through history and observations.

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NANDA-I taxonomy foundation

Based on human response patterns to health conditions.

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Risks of smoking during pregnancy

Includes stillbirth, premature birth, and low birth weight infants.

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NCLEX Client Needs Category

Focuses on Health Promotion and Maintenance.

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NursingProcess Step: Assessment

Initial step to gather patient information for care planning.

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Pathophysiologic needs

Needs related to the physiological dysfunctions affecting health.

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NANDA-I taxonomy

A system to categorize human response patterns in nursing.

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Health patterns

Functional components of human health affected by various factors.

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Assessment step of Nursing Process

The phase where data is collected and communicated.

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Nursing diagnoses

Statements identifying patient problems nurses can treat independently.

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Collecting data

Gathering patient information during the assessment phase.

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Goals of nursing care plan

Outcomes established to guide patient care programs.

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Patient problems

Challenges that require nursing intervention to address.

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Patient reassessment

The process where a nurse reviews the patient's understanding of treatment goals.

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1500 calorie diet understanding

Patient's comprehension and knowledge of a low-calorie diet to meet health goals.

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Nursing Process

A systematic method that involves assessing, diagnosing, planning, implementing, and evaluating patient care.

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Goal not met

A situation where expected outcomes of patient care are not achieved.

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Critical Care Pathway

A standardized care plan that outlines best practices for patients in critical care.

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Best practice patterns

Evidence-based approaches that are followed in patient care to ensure optimal outcomes.

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Quality Improvement Officer

A professional responsible for evaluating and enhancing the quality of care in healthcare settings.

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Patient Education

Informing and teaching patients about their health and treatment plans.

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Variables influencing drug action

Factors affecting how drugs work in the body, including age and weight.

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Body weight and drug dosage

Obese patients typically need higher dosages, while underweight patients need lower dosages for medications.

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Chronic smoking effect on drugs

Chronic smokers metabolize drugs faster than nonsmokers, affecting drug efficacy.

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Patient attitude towards medication

A patient’s expectations can significantly affect their response to medications.

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Age’s influence on drug responses

Older adults usually require lower dosages to achieve similar therapeutic effects as younger individuals.

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Factors affecting drug actions

Key factors include age, body weight, metabolic rate, and illness status.

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Metabolic rate's role in drug action

An individual's metabolic rate can significantly affect how a medication is processed in the body.

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Illness and drug response

Presence of illness can change how drugs affect an individual, requiring adjustments in treatment.

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Nursing Process: Planning Phase

The stage where specific patient goals are set for outcomes after care.

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Example of Planning Phase Goal

"The patient will state the expected adverse effects of medication by the end of the teaching session."

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Implementation Phase

The stage in the Nursing Process where nursing interventions are carried out.

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Nursing Diagnosis Phase

This phase identifies patient problems based on assessment data.

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Evaluation Phase

The step in Nursing Process to assess effectiveness of the care provided and patient outcomes.

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Priority Nursing Problem: Cystic Fibrosis

Thickened mucus secretions impacting breathing is prioritized for patient care.

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Patient Prioritization

Determining which patient problems require urgent attention.

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Outcome Expectation in Nursing

The anticipated results of interventions that guide nursing actions.

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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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