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16 Cards in this Set

  • Front
  • Back
Implementation or fulfillment of a prescribers or caregivers prescribed treatment or therapeutic and plan by a patient
compliance
statements that are time specific and describe generally what is to be accomplished to address a specific nursing diagnosis
goals
any preventable adverse drug event involving inappropriate medication use by a patient or health care professional; it may or may not cause harm to the patient
medication error
an informed decision on the part of the patient not to adhere to or follow a therapeutic plan or suggestion
noncompliance
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, implementation, and evaluation
nursing process
descriptions of specific patient behaviors or responses that demonstrate meeting of or achievement of goals related to each nursing diagnosis
outcome criteria
any health care professional licensed by the appropriate regulatory board to prescribe medications
prescriber
data defined as any information gathered through the senses or that which is seen, heard, felt, or smelled
objective data
data include information shared through the spoken word by any reliable source, such as the patient, spouse, family member, significant other, and/or caregiver
subjective data
What part of the nursing diagnosis is the human response of the patient to illness, injury, or significant change?
Part one of formulating a nursing diagnoses
What part of the nursing diagnosis identifies the factor(s) related to the response, with more than one factor often named
Part two of formulating a nursing diagnoses
What part of the nursing diagnosis contains a listing of clues, cues, evidence, or other data that support the nurse's claim that this diagnosis is accurate
Part three of formulating the nursing diagnosis
For routine medication, give the medications no more than ______ before or after the actual time specified in the prescribers order
1/2 hour
For medications designated to be given stat you must administer within _______ of the time the order is written
1/2 hour
Name the 6 rights of medication administration
right drug
right dose
right time
right route
right patient
right documentation
What do you do if the medication order does not include the route?
The nurse must ask the prescriber to clarify it