5) Evaluation - ANSWhat are the five steps of the nursing process?
to identify, diagnose, and treat human responses to health and illness - ANSWhat is the purpose of the
nursing process?
subjective data - ANSverbal information from the patient, family members, friends, or other sources,
including symptoms described by, and apparent to, the patient
objective data - ANSsigns that are directly measured or detected by another person regarding the
patient's health
pre-administration assessment - ANSallows health care providers to establish the baseline data needed
to individually tailor medication therapy
1) establish baseline measurements
2) anticipate adverse effects
3) identify high-risk patients - ANSthree goals specific to a particular drug
4) determine self-care capacity - ANSapplies to all drugs but may be more critical for some drugs than for
others
, baseline measurements of the parameters of the drug - ANSused to modify need to be determined to
evaluate whether or not this response is achieved
adverse effects of a medication - ANSusually known; baseline measurements can help providers
determine if one has occurred
high-risk patients - ANS-determined by individual characteristics
-individual characteristics that predispose a patient to an adverse reaction depend on the drug under
consideration
-cannot determine without understanding pharmacology of the medication.
self-care capacity - ANS-evaluated to determine ability to understand and effectively used medications
-If the nurse determines that the patient is unable to do so, alternative arrangements must be made. -A
thorough assessment will identify these factors, thereby allowing the nurse to account for them when
formulating nursing diagnoses and a care plan.
Nursing Diagnosis - ANSmade based on the analysis of the assessment data
medical diagnosis - ANSidentifies a disease condition and the results of diagnostic tests and procedures
The planning step of the nursing process involves - ANS-defining goals, establishing priorities, identifying
specific interventions, and establishing criteria for evaluating success
-will allow the nurse to promote beneficial pharmacologic effects and anticipate side/adverse effects,
rather than react to them after the effect occurs
Goal of drug therapy - ANSto provide maximum benefit with minimum harm
The planning step of the nursing process involves - ANSsetting goals and creating a care plan
Setting Priorities - ANS-Highest priority is given to life-threatening conditions (e.g. anaphylactic shock,
ventricular fibrillation) and to reactions that cause severe, acute discomfort and to reactions that can
result in long-term harm
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