Drug Administration & Clinical Judgment Vocabulary

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Vocabulary flashcards covering key terms on drug-delivery routes, clinical judgment frameworks, ethical obligations, and bias awareness presented in the nursing lecture notes.

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33 Terms

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Transdermal Medication

A drug formulation delivered through the skin via a patch, with absorption potentially affected by skin integrity, circulation, or temperature.

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Absorption (Pharmacology)

The process by which a drug enters the bloodstream from its site of administration.

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Patient-Centered Practice

Nursing approach that prioritizes the patient’s values, needs, and preferences in all care decisions.

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Drug-Seeking Patient

An individual who presents with the primary intent of obtaining controlled substances rather than treatment of a genuine medical condition.

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Clinical Judgment

The nurse’s interpretation and decision-making process regarding a patient’s needs and the actions to take.

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Reflection-in-Action

Real-time thinking and adjustment a nurse performs while an event is occurring.

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Reflection-on-Action

Deliberate thinking after an event to evaluate performance and outcomes for future improvement.

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Tanner’s Clinical Judgment Model

A four-step framework (Noticing, Interpreting, Responding, Reflecting) describing how nurses think in practice.

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Lasater Clinical Judgment Rubric

Assessment tool based on Tanner’s model used to evaluate students’ clinical judgment skills in simulation or practice.

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Competing Obligations

Simultaneous duties a nurse holds toward patient, self, team, and community that may conflict and require prioritization.

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ANA Code of Ethics for Nurses

Authoritative guide outlining ethical obligations, including the principle that health is a universal right.

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Universal Right to Health

Ethical assertion that every person deserves timely access to essential health services, including emergency care.

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Triage

The process of prioritizing patients based on urgency of need to ensure timely treatment in emergency settings.

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Personal & Professional Values

Core beliefs that guide a nurse’s behavior; self-awareness of these values is essential for ethical practice.

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Unconscious Bias

Implicit attitudes or stereotypes that affect understanding, actions, and decisions without conscious awareness.

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Interprofessional Partnerships

Collaborative relationships among healthcare professionals founded on mutual respect and effective communication.

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Policy & Procedure

Formal organizational guidelines that standardize actions, reporting, and follow-up in specific clinical situations.

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Assumption

An unverified belief accepted as true without evidence; can impair objective clinical judgment.

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Stereotype

Oversimplified, fixed idea about a group that may lead to biased care when applied to individual patients.

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Oral Route

Drug administration method in which the patient swallows medication.

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Enteral Route

Delivery of medication directly into the gastrointestinal tract via tube (e.g., NG or PEG tube).

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Sublingual Administration

Placement of medication under the tongue for rapid absorption.

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Buccal Administration

Placement of medication against the mucous membrane of the cheek for absorption.

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Intravenous (IV) Injection

Introduction of medication directly into a vein for immediate systemic effect.

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Intra-arterial Injection

Administration of medication directly into an artery.

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Intracardial Injection

Injection of medication into the heart muscle or chambers.

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Intraperitoneal Injection

Delivery of medication into the peritoneal cavity.

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Intraspinal Injection

Administration of medication into the spinal canal (e.g., epidural or intrathecal).

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Intraosseous Injection

Injection of medication into bone marrow when IV access is unavailable.

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Topical Route

Application of medication onto skin or mucous membranes for local or systemic effect.

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Vaginal Administration

Placement of medication inside the vagina for local or systemic therapy.

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Rectal Administration

Insertion of medication into the rectum, useful when oral route is contraindicated.

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Inunction

Method of administering a drug by rubbing it into the skin.