Ouch! (44)
Is of short duration, has limited tissue damage, and is protective.
What is acute pain?
This medication reaction causes a sudden constriction of bronchiolar muscles, edema of the pharynx and larynx, and severe wheezing and shortness of breath; this can be a life-threatening emergency.
What is an anaphylactic reaction?
The minimum level of care accepted to ensure high-quality patient care.
What are standards of care?
These are the five rights of delegation.
What is the right task, the right circumstance, the right person, the right directions and communication, and the right supervision and evaluation.
Documentation, transporting patients to procedural areas and other nursing units, medical order transcription, and telephone consultations with other healthcare providers are all examples of this type of care activity.
What are indirect care activities?
Chronic pain in the absence of an identifiable physical or psychological cause.
What is idiopathic pain?
The minimum blood serum concentration of medication reached just before the next scheduled dose.
What is the trough?
What the nurse does after determining that the patient met the expected outcomes and goals, and confirms the evaluation with the patient if possible.
What is discontinuing a Care Plan?
This type of leader develops effective teams on the nursing unit, empowers staff members, communicates effectively with nursing team, and guides and supports the nursing team in shared decision making.
What is a transformational leader?
Examples of these include ambulation, toileting, eating, dressing, bathing, and grooming.
What are activities of daily living? (ADLs)
This pain scale uses faces to describe the pain intensity.
What is the Wong-Baker Faces Pain Scale?
The combined effect of two medications that is greater than when each medication is given independently. An example of this is taking a diuretic and a vasodilator to control high blood pressure.
What is the synergistic effect?
Statements of progressive, step-by-step physical, emotional , or behavioral responses that a patient needs to accomplish to achieve the goals of care.
What are outcomes?
Freedom of choice and responsibility for the choices.
What is autonomy?
Instrumental activities of daily living (IADLs)
What is shopping, caring for pets, home maintenance, housecleaning, writing checks, or taking medications.
Moaning, crying, gasping, or grunting.
What are vocal behavioral indicators of the effects of pain?
When a patient needs a medication quickly but not right away - the nurse typically has up to 90-minutes to administer the medication.
What is a "NOW" order?
What the nurse does if he or she has not selected the relevant nursing diagnosis.
What is redefine the diagnosis.
This refers to individuals being answerable for their actions.
What is accountability?
A preprinted document containing medical orders for routine therapies, monitoring guidelines, and/or diagnostic procedures for specific patients with identified clinical problems.
What is a standing order?
This non-pharmacological pain-relief intervention provides mental and physical freedom from tension or stress and provides individuals with a sense of control.
What is relaxation?
The seven rights of medication administration.
What is the right medication, the right dose, the right patient, the right route, the right time, the right documentation, and the right indication?
Similar to and often the same assessment skills and techniques (observations, physiological measurements, use of measurement scales, patient interview) that is performed during a patient assessment.
What are evaluative measures?
This promotes patient and family-centered involvement in planning care. This also improves patient care coordination, and enhances communication among the health care team.
What is interprofessional rounding?
Medication administration, insertion of a Foley catheter, discharge instructions, or counseling during a time of grief.
What are direct care interventions.