ASSESSMENT
Before administering any medication, the nurse verifies this information using two identifiers
What is patient identity?
A patient who does not understand why they take a medication may have this nursing diagnosis.
What is Deficient Knowledge?
This measurable statement identifies what the patient should achieve after medication education
What is a patient outcome/goal?
The nurse follows these medication administration principles to ensure safe delivery.
What are the Rights of Medication Administration?
After administering a pain medication, the nurse reassesses this to determine effectiveness.
What is pain level?
This assessment should be completed before giving an antihypertensive medication.
What is blood pressure?
A patient receiving opioids may be at risk for this nursing diagnosis.
What is Risk for Ineffective Breathing Pattern?
The nurse establishes these before administering medications to ensure desired outcomes.
What are expected outcomes?
This action is performed immediately before administering medication.
What is patient identification verification?
This documentation demonstrates whether a medication achieved its intended effect.
What is evaluation of medication effectiveness?
This information helps determine whether a patient may have an adverse reaction to a medication.
What is allergy history?
A patient taking multiple medications may have this risk diagnosis.
What is Risk for Injury?
This SMART goal demonstrates effective medication teaching
– What is "The patient will correctly describe the purpose of the medication before discharge"?
This nursing action should occur if a medication order appears incorrect.
What is clarifying the order with the provider?
A patient's blood pressure decreases after receiving an antihypertensive; this indicates this phase of the nursing process.
What is evaluation?
Before administering insulin, the nurse should assess this laboratory value.
What is blood glucose level?
A patient who refuses medications because of misconceptions may have this nursing diagnosis.
What is Deficient Knowledge?
Before administering a PRN pain medication, the nurse should establish this expected outcome.
What is reduced pain level?
This type of medication requires verification with another nurse in many facilities
What is a high-alert medication?
If a medication does not produce the desired outcome, the nurse should do this next.
What is reassess and revise the plan of care?
Before administering an opioid, the nurse should assess this vital sign closely.
What is respiratory rate?
An elderly patient taking antihypertensives may have this risk diagnosis related to dizziness.
What is Risk for Falls?
Planning for medication administration includes prioritizing care based on this principle.
What is patient safety?
The nurse administers a medication through this route using a needle inserted into muscle tissue.
What is the intramuscular (IM) route?
This process involves comparing patient outcomes with expected goals.
What is evaluation?