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TEST BANK Pharmacology and the Nursing Process 9th Edition Linda Lane Lilley, Shelly Rainforth Collins, Julie S. Snyder A+

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TEST BANK Pharmacology and the Nursing Process 9th Edition Linda Lane Lilley, Shelly Rainforth Collins, Julie S. Snyder A+....

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  • July 24, 2024
  • 669
  • 2023/2024
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  • pharmacology
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  • nursing
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  • 9th
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  • linda lane lilley
  • shelly rainforth collins
  • pharmacology and the nursing process 9th edition l
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TEST BANK Pharmacology and the Nursing Process
9th Edition Linda Lane Lilley, Shelly Rainforth
Collins, Julie S. Snyder A+



Chapter 01: The Nursing Process and Drug Therapy


MULTIPLE CHOICE


1. 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?
a. Anxiety
b. Anxiety related to new drug therapy
c. Anxiety related to anxious feelings about drug therapy, as evidenced by statements
such as “I’m upset about having to test my blood sugars.”
d. 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) TOP: NURSING PROCESS:
Nursing Diagnosis
MSC: NCLEX: Safe and Effective Care Environment: Management of Care


A+ Page 1

,Created By: A Solution



2. 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?
a. “Right time”
b. “Right dose”
c. “Right route”
d. “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) TOP: NURSING PROCESS:
Implementation
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control


3. 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




b. Planning
c. Implementation
d. Evaluation


ANS: D



A+ Page 2

,Created By: A Solution


Monitoring the patient’s progress, including the patient’s response to the medication, is part of
the evaluation phase. Planning, implementation, and nursing diagnosis are not illustrated by this
example.


DIF: COGNITIVE LEVEL: Understanding (Comprehension) TOP: NURSING PROCESS:
Evaluation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care


4. The nurse is assigned to a patient who is newly diagnosed with type 1 diabetes mellitus.
Which statement best illustrates an outcome criterion for this patient?
a. The patient will follow instructions.
b. The patient will not experience complications.
c. The patient will adhere to the new insulin treatment regimen.
d. The patient will demonstrate correct blood glucose testing technique.
ANS: D
“Demonstrating correct blood glucose testing technique” is a specific and measurable outcome
criterion. “Following instructions” and “not experiencing complications” are not specific criteria.
“Adhering to new regimen” would be difficult to measure.
DIF: COGNITIVE LEVEL: Applying (Application) TOP: NURSING PROCESS: Planning
MSC: NCLEX: Safe and Effective Care Environment: Management of Care


5. Which activity best reflects the implementation phase of the nursing process for the
patient who is newly diagnosed with hypertension?
a. Providing education on keeping a journal of blood pressure readings
b. Setting goals and outcome criteria with the patient’s input
c. Recording a drug history regarding over-the-counter medications used at home
d. Formulating nursing diagnoses regarding deficient knowledge related to the new
treatment regimen
ANS: A




A+ Page 3

, Created By: A Solution


Education is an intervention that occurs during the implementation phase. Setting goals and
outcomes reflects the planning phase. Recording a drug history reflects the assessment phase.
Formulating nursing diagnoses reflects analysis of data as part of planning.


DIF: COGNITIVE LEVEL: Applying (Application) TOP: NURSING PROCESS:
Implementation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care


6. The medication order reads, “Give ondansetron (Zofran) 4 mg, 30 minutes before
beginning chemotherapy to prevent nausea.” The nurse notes that the route is missing from the
order. What is the nurse’s best action?




a. Give the medication intravenously because the patient might vomit.
b. Give the medication orally because the tablets are available in 4-mg doses.
c. Contact the prescriber to clarify the route of the medication ordered.
d. Hold the medication until the prescriber returns to make rounds.


ANS: C
A complete medication order includes the route of administration. If a medication order does not
include the route, the nurse must ask the prescriber to clarify it. The intravenous and oral routes
are not interchangeable. Holding the medication until the prescriber returns would mean that the
patient would not receive a needed medication.


DIF: COGNITIVE LEVEL: Applying (Application) TOP: NURSING PROCESS:
Implementation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care


7. When the nurse considers the timing of a drug dose, which factor is appropriate to
consider when deciding when to give a drug?
a. The patient’s ability to swallow

A+ Page 4

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