Ati pn pharmacology proctored

ATI PN PHARMACOLOGY M M M




PROCTORED COMPLETE M M




SOLUTION

1. A nurse is providing nursing care to patients after completing a ca
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re plan from nursing diagnoses. In which step of the nursing process is
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the nurse? M



a. Assessment
b. Planning
c. Implementation
d. Evaluation

ANS: C M


Implementation, the fourth step of the nursing process, formally begins after
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a nurse develops a plan of care. With a care plan based on clear and relevant
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nursing diagnoses, a nurse initiates interventions that are designed to assist th
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e patient in achieving the goals and expected outcomes needed to support or i
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mprove the patient’s health status. The nurse gathers data during the assessm
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ent phase and mutually sets goals and prioritizes care during the planning ph
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ase. During the evaluation phase, the nurse determines the achievement of go
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als and effectiveness of interventions.
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2. The nurse is teaching a new nurse about protocols. Which
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information from the new nurse indicates a correct understanding of the teach
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ing?
a. Protocols are guidelines to follow that replace the nursing care plan.
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Protocols assist the clinician in making decisions and choosing
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b. interventions for specific health care problems or conditions.
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M Protocols are policies designating each nurse’s duty according to
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c. standards of care and a code of ethics. M M M M M M M

M Protocols are prescriptive order forms that help individualize the plan
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d. of care. M



ANS: B M


A clinical practice guideline or protocol is a systematically developed set of
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Mstatements that helps nurses, physicians, and other health care providers ma
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ke decisions about appropriate health care for specific clinical situations. Thi
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s guideline establishes interventions for specific health care problems or con
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ditions. The protocol does not replace the nursing care plan. Evidence-
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Mbased guidelines from protocols can be incorporated into an individualized
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plan of care. A clinical guideline is not the same as a hospital policy. Standi
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ng
orders contain orders for the care of a specific group of patients. A protocol is 1
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not a prescriptive order form like a standing order.
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,ATI PN PHARMACOLOGY M M M




PROCTORED COMPLETE M M




SOLUTION
3. The standing orders for a patient include acetaminophen 650 mg eve
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ry 4 hours prn for headache. After assessing the patient, the nurse identifie
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s the
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need for headache relief and determines that the patient has not had acetamin
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ophen in the past 4 hours. Which action will the nurse take next?
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a. Administer the acetaminophen. M M



b. Notify the health care provider to obtain a verbal order.
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c. Direct the nursing assistive person M M M M


nel to give the acetaminophen. Per
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form a pain assessment only afterM M M M M M


administering the M


d. acetaminophen.
ANS: A M


A standing order is a preprinted document containing orders for the condu
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ct of routine therapies, monitoring guidelines, and/or diagnostic procedures
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Mfor specific patients with identified clinical problems. The nurse will admi
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nister the medication. Notifying the health care provider is not necessary if
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Ma standing order exists. The nursing assistive personnel are not licensed t
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o administer medications; therefore, medication administration should not
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be delegated to this person. A pain assessment should be performed befor
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e and after pain medication administration to assess the need for and effect
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iveness of the medication. M M M




4. Which action indicates a nurse is using critical thinking f
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or implementation of nursing care to patients?
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Determines whether an intervention is correct and appropriate for the
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a. given situation M

Reads over the steps and performs a procedure despite lack of clinical
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b. competency
c. Establishes goals for a particular patient without assessmentM M M M M M M


d. Evaluates the effectiveness of interventions M M M M




ANS: A M


As you implement interventions, use critical thinking to confirm whether the
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interventions are correct and still appropriate for a patient’s clinical situation.
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You are responsible for having the necessary knowledge and clinical compet
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ency to perform interventions for your patients safely and effectively. The nu
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rse needs to recognize the safety hazards of performing an intervention witho
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ut clinical competency and seek assistance from another nurse. The
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, ATI PN PHARMACOLOGY
M M M




PROCTORED COMPLETE M M




SOLUTION
nurse cannot evaluate interventions until they are implemented. Patients need 2
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ongoing assessment before establishing goals because patient conditions can
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