foundations ch 5 part 3

How should patient problems be prioritized?

According to Maslow's hierarchy of needs, life-threatening conditions, severity of illness, and time factors.

Which needs are addressed first according to Maslow's hierarchy?

Physiological needs.

Which patient problems usually take priority?

Actual problems over potential problems unless the potential problem is life-threatening.

What factors can change patient priorities?

The patient's condition, severity of illness, time factors, and stage of recovery.

What is the priority before surgery?

Fearfulness.

What is the priority immediately after surgery?

Recent onset of pain.

What are common priorities during recovery?

Deficient nutrition and potential for infrequent bowel elimination.

What are common priorities before discharge?

Teaching wound care, activity restrictions, and improving self-esteem.

What are nursing interventions?

Activities performed by nurses to help patients achieve their goals.

What are the two types of nursing interventions?

Physician-prescribed interventions and nurse-prescribed interventions.

What are physician-prescribed interventions?

Actions ordered by a physician or other licensed healthcare provider.

What are the LPN/LVN responsibilities for physician-prescribed interventions?

Administer treatments, monitor the patient, teach the patient, and validate order safety.

What are nurse-prescribed interventions?

Independent nursing actions initiated by the nurse.

Give examples of nurse-prescribed interventions.

Turning the patient, back massage, monitoring for complications.

What should be considered when selecting nursing interventions?

Related factors, risk factors, patient-centered goals, and the nursing diagnosis.

What is the goal of nursing interventions?

To reduce or eliminate the cause of the patient's problem.

Why must nursing interventions be specific?

To reduce misinterpretation and ensure consistent patient care.

What are the components of a specific nursing intervention?

Subject, action verb, and qualifying details such as frequency, duration, distance, or amount.

Give an example of a specific nursing intervention.

Ambulate the patient 30 feet three times a day at 0900, 1400, and 1900.

Give another example of a specific nursing intervention.

Turn the patient every 2 hours using a lift sheet with assistance from two staff members.

What is a written nursing care plan?

A document that communicates the patient's plan of care to all healthcare providers.

Why is a nursing care plan important?

It promotes continuity of care and helps achieve patient outcomes.

How should every nursing care plan be written?

It should be individualized, realistic, specific, evidence-based, and compatible with the medical plan of care.

What are the common components of a nursing care plan?

NANDA diagnosis, patient goals, nursing interventions, and rationale.

What is a concept map?

A visual representation of the patient's problems, interventions, and outcomes.

Who benefits most from concept maps?

Visual learners.