Nursing Process and Drug TherapyUltimate
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Introduction to the Nursing Process and Drug Therapy
Nursing Process Steps:
-Assessment: Collect subjective and objective information.
-Nursing Diagnosis: Identify client needs related to drug therapy.
-Planning: Set goals and desired outcomes for medication management.
-Implementation: Administer drugs safely and provide education.
-Evaluation: Monitor and assess drug effectiveness and side effects.
Holistic Approach:
-Address physiological, psychological, spiritual,
cultural, and socioeconomic concerns of the client.
-Use the nursing process to guide drug therapy problem-solving.
A nurse is reviewing a client's medical record before administering medication.
Which factors can alter the client's physiologic response to the drug? Select all
that apply.
Age
Gender
Ability to swallow pills
Weight
Genetic factors
Age
Gender
Genetic factors
Physiologic response to drugs refers to a client’s ability to absorb, metabolize, and
excrete the medication. These are affected by factors such as age, genetics, and
gender.
A client’s ability to swallow pills, although it may determine the way a drug is
administered, does not affect the physiologic response. Height does not affect
response. Weight and the distribution of adipose tissue can affect the distribution of
drugs, not the client's physiologic response.
The nursing process is an evidence-based framework that is used to guide
professional nursing practice. The nursing process consists of five steps,
including which of the following? Select all that apply.
,Assessment
Planning
Evaluation
Implementation
Medical diagnosis
Assessment
Planning
Evaluation
Implementation
The nursing process consists of five steps: assessment, nursing diagnosis, planning,
implementation, and evaluation.
Medical diagnosis is not within the scope of nursing practice.
After the nurse obtains client data during the assessment phase, a nursing
diagnosis would be selected from an approved North American Nursing
Diagnosis Association (NANDA, 2021) list. The nursing diagnosis contains which
of the following? Select all that apply.
Medical diagnosis
Socioeconomic status
Statement of human need
Attention to the differences in human need fulfillment or alteration occurring
List of cues, clues, evidence, signs, symptoms, or other data to support human
need
Statement of human need
Attention to the differences in human need fulfillment or alteration occurring
List of cues, clues, evidence, signs, symptoms, or other data to support human need
The nursing diagnosis is a human need statement (part one) with attention to the
differences in human need fulfillment or alteration occurring (part 2) as evidenced by a
listing of cues, clues, evidence, signs, symptoms, or other data to support the human
need statement (part 3).
A medical diagnosis and socioeconomic status are not part of the nursing diagnosis.
Nursing Process and Drug Therapy: Assessment:
Applying the nursing process, the first step in medication administration is assessment.
The nurse begins the process with the six rights of medication administration after
having reviewed the medication in a current drug manual.
Additional considerations would include client health status, culture, vital signs, lab
values, diagnostic tests, and allergies.
Nursing Process and Drug Therapy: Nursing Diagnosis:
After the nurse obtains the client data during the assessment step, a nursing diagnosis
would be selected from the approved North American Nursing Diagnosis Association
(NANDA, 2021) list.
Remember, the nursing diagnosis incorporates three parts: Part 1, nursing diagnosis:
knowledge deficit; Part 2, "related to" or R/T: prescription for new medication; Part 3, "as
, evidenced by" or AEB: client states, "I have never taken this medication before."
A complete nursing diagnosis will have all three of these components and should come
together like this: Knowledge deficit related to prescription for new medication as
evidenced by client stating, "I have never taken this medication before."
Nursing Process and Drug Therapy: Planning:
The planning step of the nursing process takes into account the identification of goals
and outcome criteria for client care.
The goals, or outcomes, should be able to be quantified or measured.
A helpful acronym is SMART (specific, measurable, attainable, realistic, and time-
specific).
An example of a goal is, "The client will return demonstrate how to take the medication
correctly before discharge on [date]."
Nursing Process and Drug Therapy: Implementation:
During the implementation step, the nurse will proceed with nursing care in a holistic
manner to meet the identified client needs and concerns.
This is the step when the nurse will follow through with medication orders and
administer the medication to the client.
For example, the implementation step would include client education about the
medication.
Nursing Process and Drug Therapy: Evaluation:
The final step of the nursing process is vital and includes reflecting upon the entire
process and identifying whether the client goals and outcomes were met.
If the goals were not met, the evaluation step is the time when the nurse will revise the
plan of care to resolve any unmet goals whenever possible.
Sometimes, based on the evaluation of the client care, a new plan may need to be
created and initiated.
A new plan of care would be based upon new client factors or barriers that emerged
where the first plan of care was unable to meet the client goals and outcomes.
An example of evaluation would be where the nurse reviews the efficacy of the
medications and whether any adverse effects have occurred.
Assessment and Drug Therapy
Assessment Includes:
-Health history review: Obtain a list of current medications and drug allergies.
-Recognize cues to identify actual and potential health problems.
-Evaluate drug-related factors for safe administration:
---Drug action (mechanism of action)