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Test Bank for Pharmacology and the Nursing Process 8th Edition By Linda Lilley, Shelly Collins, Julie Snyder Chapter 1-58 |Complete Guide 2022$16.49
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, Chapter 01: The Nursing Process and Drug Therapy 4
Chapter 01: The Nursing Process and Drug Therapy
MULTIPLE CHOICE
The nurse is writing a nursing diagnosis for a plan of care for a patient who has been
newly diagnosed with type 2 diabetes. Which statement reflects the correct format for a
nursing diagnosis?
Anxiety
Anxiety related to new drug therapy
Anxiety related to anxious feelings about drug therapy, as evidenced by statements
such as “I’m upset about having to test my blood sugars.”
Anxiety related to new drug therapy, as evidenced by statements such as “I’m
upset about having to test my blood sugars.”
ANS: D
Formulation of nursing diagnoses is usually a three-step process. “Anxiety” is missing the “related
to” and “as evidenced by” portions of defining characteristics. “Anxiety related to new drug
therapy” is missing the “as evidenced by” portion of defining characteristics. The statement
beginning “Anxiety related to anxious feelings” is incorrect because the “related to” section is
simply a restatement of the problem “anxiety,” not a separate factor related to the response.
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p. 7
TOP: NURSING PROCESS: Nursing Diagnosis
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
The patient is to receive oral guaifenesin (Mucinex) twice a day. Today, the nurse was busy
and gave the medication 2 hours after the scheduled dose was due. What type of problem does
this represent?
“Right time”
“Right dose”
“Right route”
“Right medication”
ANS: A
“Right time” is correct because the medication was given more than 30 minutes after the
scheduled dose was due. “Dose” is incorrect because the dose is not related to the time the
medication administration is scheduled. “Route” is incorrect because the route is not affected.
“Medication” is incorrect because the medication ordered will not change.
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 11
TOP: NURSING PROCESS: Implementation
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
The nurse has been monitoring the patient’s progress on a new drug regimen since the first
dose and documenting the patient’s therapeutic response to the medication. Which phase of the
nursing process do these actions illustrate?
a. Nursing diagnosis
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