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