Pharmacology and the nursing process- Sherpath, WEEK 2

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

Which statements are classified as objective data? Select all that apply.

“Temperature 97.4°F.” (correct)

“Coughing up yellow phlegm.” (correct)

“Facial expression does not match body language.” (correct)

“Patient is a widow and lives with her oldest son.”

Information from which sources would be classified as subjective data? Select all that apply.

Friends (correct)

Laboratory test results

Family members (correct)

Patient (correct)

Which description of pre-administration assessment data is accurate?

Data that establish a patient’s baseline before administration of a drug (correct)

Data that reflect how a drug affected the patient after administration

Financial and demographic data obtained before a patient is admitted to the hospital

Data from the pharmaceutical company that contain recommendations for drug administration

Which description correctly defines a nursing diagnosis?

A diagnosis based on information found in the nursing assessment regarding patient responses to actual or potential problems Signup and view all the answers

Which actions occur during the planning stage of the nursing process? Select all that apply

Defining goals Signup and view all the answers

How does a medical diagnosis differ from a nursing diagnosis? Select all that apply.

A medical diagnosis identifies a disease process. Signup and view all the answers

Which “rights” are components of the original five rights of drug administration? SATA

Right patient Signup and view all the answers

The Joint Commission requires two forms of identification verification before administering drugs. Which right of drug administration does this support?

Right patient Signup and view all the answers

Incorporating religious considerations into the implementation of drug therapy relates to which component?

Patient education Signup and view all the answers

Which rights are additional rights of the five-plus-five rights of drug administration? Select all that apply.

Right evaluation Signup and view all the answers

Using the nursing process, which component is the nurse discerning during the evaluation phase?

Degree of goal attainment Signup and view all the answers

To determine patient response to drug therapy, which factors would the nurse evaluate? Select all that apply.

Adherence Signup and view all the answers

Which methods can be used to evaluate the patient’s adherence to a drug regimen? Select all that apply.

Interviewing the patient Signup and view all the answers

Which statement describes how the nursing process applies to pharmacology?

It promotes adherence to a prescribed drug regimen. Signup and view all the answers

A nurse notes in the electronic health records that the patient was constantly twisting his or her wedding band during the admission assessment. Which type of data collection does this fall under?

Objective Signup and view all the answers

A patient describes to the nurse that a newly prescribed drug made them feel shaky. Which type of data is this?

Subjective Signup and view all the answers

Which nursing diagnoses are appropriate for a patient with a hip fracture?

Fall risk Signup and view all the answers

Which interventions related to drug therapy are part of the planning phase of the nursing process?

Providing patient education Signup and view all the answers

Match the aspect of planning to its example.

Resolution of confusion within 48 hours = Goal Patient safety during period of resolution = Priority Move the patient to a room closer to the nurses’ station = Intervention Patient has remained free of injury; patient is alert and oriented = Evaluation Signup and view all the answers

Which components need to be addressed to facilitate patient adherence to pharmacologic therapy?

Diet Signup and view all the answers

A patient has been admitted for intractable nausea, and his or her morning drugs are due. Which of the original rights of drug administration will require special attention by the nurse?

Right route Signup and view all the answers

Match the “right” to its example.

Collection of appropriate data after drug administration = Right assessment Provision of drug information = Right education Appraisal of a drug’s therapeutic, side, and adverse effects = Right evaluation Patient has remained free of injury; patient is alert and oriented = Right documentation Signup and view all the answers

Interventions were implemented to reduce a patient’s pain level to less than 3 on a pain scale and prevent side effects from hydrocodone/acetaminophen. Which assessment data indicates the goal was not met?

The patient is restless and unable to sleep at 0100 hours. Signup and view all the answers

Which factors may cause a patient’s dissatisfaction with their current drug regimen?

High cost Signup and view all the answers

Study Notes

Objective Data

Vital signs
Laboratory results
Physical assessment findings

Subjective Data

Patient’s perception of their health status
Patient’s feelings and emotions
Patient’s beliefs and values

Pre-administration Assessment Data

Data gathered before administering a drug
Helps nurses make informed decisions about drug administration
Includes patient’s medical history, allergies, current medications, and vital signs

Nursing Diagnosis

Clinical judgment about a patient’s response to actual or potential health problems
Identifies patient needs requiring nursing intervention
Focuses on the patient, not the disease

Planning Stage of the Nursing Process

Setting goals for patient care
Determining interventions to achieve goals
Prioritizing interventions

Medical vs. Nursing Diagnosis

Medical Diagnosis identifies a disease
Nursing Diagnosis focuses on the patient's response to the disease or health problem

Five Rights of Drug Administration

Right Drug
Right Dose
Right Time
Right Route
Right Patient

Joint Commission Requirement

Two forms of identification verification before administering drugs
Supports the Right Patient of drug administration

Incorporating Religious Considerations

Represents the Right to Refuse component of the five-plus-five rights of drug administration

Five-Plus-Five Rights of Drug Administration

Original Five Rights (Right Drug, Right Dose, Right Time, Right Route, Right Patient)
Additional Five Rights:
- Right Documentation
- Right Reason
- Right Response
- Right to Refuse
- Right Education

Evaluation Phase of the Nursing Process

Discerns if the interventions were effective in meeting the patient's needs
Determine if patient response to drug therapy aligns with goals

Evaluating Response to Drug Therapy

Assessing for desired therapeutic effects
Monitoring for adverse effects
Evaluating patient satisfaction

Assessing Adherence to Drug Regimen

Direct Observation of patients taking medications
Pill Counts to assess medication use
Patient Interviews to understand adherence challenges

Nursing Process and Pharmacology

The nursing process is a framework for providing safe and effective drug therapy

Data Collection

Objective Data: Observable and measurable findings
Subjective Data: Obtained from the patient’s perspective

Types of Data

Objective Data: Observing a patient twisting their wedding band during assessment
Subjective Data: A patient describing their experience with a new medication

Nursing Diagnoses for Hip Fracture

Risk for Injury
Impaired Physical Mobility
Acute Pain
Risk for Constipation

Drug Therapy Interventions in the Planning Phase

Drug Administration
Monitoring for Adverse Effects
Patient Education

Planning Aspects and Examples

Goal Setting: Maintaining pain level below 3 on a pain scale
Interventions: Administering hydrocodone/acetaminophen
Evaluation: Assessing pain level and monitoring for side effects

Patient Adherence Factors

Knowledge and understanding of their medication regimen
Beliefs and attitudes about medications
Support systems and resources

Original Right Requiring Attention

Right Time - Medications are due, and the patient is experiencing intractable nausea, making adhering to the original time difficult

Right and Example

Right Drug: Administering the correct drug
Right Dose: Giving the exact amount of medication as prescribed
Right Time: Giving the medication at the scheduled time
Right Route: Administering medication through the correct route (e.g., oral, intravenous)
Right Patient: Verifying patient identity before medication administration

Goal Not Met

Pain level greater than 3 on a pain scale indicates the goal was not met

Patient Dissatisfaction with Drug Regimen

Side effects or adverse effects
Cost of medication
Difficulty with regimen adherence
Lack of understanding about the drug
Insufficient information about the medication

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Description

Test your understanding of objective data statements by selecting all that apply in the given quiz. This quiz is designed to assess your knowledge of facts that are measurable and verifiable. Challenge yourself to differentiate between objective and subjective data.