compliance
Implementation or fulfillment of a prescriber's or caregiver's prescribed course of treatment or therapeutic plan by a patient. Also called adherence
goals
Statements that are time specific and describe generally what is to be accomplished to address a specific nursing diagnosis
medication error
Any preventable adverse drug event involving inappropriate medication use by a patient or health care professional; it may or may not cause the patient harm
noncompliance
An informed decision on the part of the patient not to adhere to or follow a therapeutic plan or suggestion. Also called nonadherence
nursing process
An organizational framework for the practice of nursing. It encompasses all steps taken by the nurse in caring for a patient: assessment, nursing diagnoses, planning (with goals and outcome criteria), implementation of the plan (with patient teaching), an
outcome criteria
Descriptions of specific patient behaviors or responses that demonstrate meeting of or achievement of goals related to each nursing diagnosis. These statements, like goals, should be verifiable, framed in behavioral terms, measurable, and time specific
prescriber
Any health care professional licensed by the appropriate regulatory board to prescribe medications
right drug, right dose, right time, right route, right patient, right documentation
six rights of medication administration
patient's name, date, name of drug, drug dosage amount and frequency, route of administration, prescriber's signature
prescription or medication order from prescriber must be checked for the following 6 elements:
date and time of medication administration, name of medication, dose, route, site of administration
the patient's chart should always have the following information regarding medication administration:
allergies
highest priority when obtaining a pharmacologic history from a patient:
check the patient's armband before administering medication
When administering medications to a patient, which action will the nurse perform?
monitoring the patient continuously for therapeutic and adverse effects
What activities is the nurse responsible during the evaluation phase of drug administration?
medication effect on patient
The nurse should include which information when evaluating the outcome after a patient's medication has been administered?
physician, dentist, physician assistant, nurse practitioner
The nurse has an order for administering a medication to her patient. Which providers have legal authority to prescribe medications for patients?
3
The nurse should check a medication how many times prior to administration of a medication under the "right drug" part of the Six Rights?
The patient and patient's daughter will state the correct dosing and administration of the drug
An 86-year-old patient is being discharged to home on digitalis therapy and has very little information regarding the medication. Which statement best reflects a realistic goal or outcome of patient teaching activities?
risk for injury
A patient has a new prescription for a blood pressure medication that may cause him to feel dizzy during the first few days of therapy. The best nursing diagnosis for this situation is
The nurse should contact the prescriber to clarify the dosage route
A patient's chart includes an order that reads as follows: "Lanoxin 250 mcg once daily at 0900." Which action by the nurse is correct?
When you take your pain medicine, does it relieve the pain?
The nurse is compiling a drug history for a patient. The most helpful question the nurse can ask is
What type of reaction did you have when you took penicillin?
A 77-year-old man who has been diagnosed with an upper respiratory tract infection tells the nurse that he is allergic to penicillin. Which is the most appropriate response by the nurse?