N104: Essentials of Nursing Care - Health Safety

N104: Essentials of Nursing Care – Health Safety Study Guide o If there is evidence that a patient does not follow other care regimens, the nurse must suspect that medication regimens may not be followed. o Emotional issues and stress may impair the patient's ability to follow a medication regimen. Analysis and Diagnosis When the initial assessment is complete, the nurse and patient must use the assessment data to identify nursing diagnoses that will drive the patient's plan of care. Appropriate nursing diagnoses related to medication safety might include: • Health maintenance, ineffective • Knowledge, deficient • Noncompliance • Poisoning, risk for • Therapeutic regimen management, effective or ineffective Planning When appropriate nursing diagnoses have been identified, the nurse and patient must establish goals for each diagnosis and interventions to move the patient toward the expected outcomes. Goals or expected outcomes for medication safety might include: • The patient describes the purpose, action, and expected effects of each medication. • The patient states when each medication should be taken and the dose that should be taken. • The patient demonstrates proper administration of each medication. • The patient describes any unexpected effects that might occur with each medication and describes the appropriate steps to take if an undesired effect occurs. Intervention/Implementation Interventions that might be used will depend on the goals set, the patient's readiness to learn and perform the skills, and the patient's physical and mental conditions. Specific interventions for medication safety management might include: • Teaching related to each medication, including the name, dose, route, schedule, expected effects, and any adverse effects that might occur. • Describe what steps must be taken, if adverse effects occur. • Monitor vital signs. • Demonstrate the delivery of each medication, particularly if the medication is to be given in any manner other than orally. • Ensure that the patient has the appropriate equipment for the medication administration at home. • Educate the patient and family about the five rights of the medication administration. Evaluation

©2017

Achieve Test Prep

Page 124

of 135